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• W2801687351 abstract "Objective: To evaluate the effects of the Lystedt Law on emergency department (ED) utilization for concussion in New York. Background: To address concussion in youth sports, the first Lystedt Law was passed in 2009, and by 2014, one existed in each US state. Previous studies have shown increased healthcare utilization for sports-related concussion (SRC) corresponding with passage of the Lystedt Laws, however no study has examined data past 2012. Design/Methods: We conducted a retrospective analysis using the New York State Department of Health SPARCS database. Our study sample included 5.2 million patients aged 12–18 who presented to the ED between 1/1/2005 and 12/31/2014. We examined trends in the prevalence of ED utilization for concussion, and trends in imaging ordered during concussion workup. Prevalence of ankle injury was used as a static control. Concussion and ankle injury were identified by ICD-9 code; sports-related injuries were specified by E-code; imaging studies were identified by CPT code. Results: From 2005 to 2014, there was a 1.4% increase in ED utilization for concussion and a 0.53% increase for SRC, with the greatest increases coming from 2008–2010. Both sexes followed similar trends. During this period, ankle injury and sports-related ankle injury decreased in prevalence by 0.47% and 0.13%, respectively. Additionally, prevalence of imaging for SRC also decreased from 53.3% to 41%. All p-values for trend were less than 0.001. Conclusions: The prevalence of ED visits for concussion and SRC visits increased, consistent with findings from other studies. The greatest increases in prevalence came before the passage of the New York Lystedt Law in 2011, suggesting that other factors, such as general public awareness, may have driven these changes. Additionally, despite increasing ED utilization for concussion, the prevalence of head imaging during emergency evaluation for concussion decreased, suggesting that providers are became familiar with appropriate management of SRC. Disclosure: Dr. Baker has nothing to disclose. Dr. Kulick has nothing to disclose. Dr. Boehme has nothing to disclose. Dr. Noble has received personal compensation for activities with St. Barnabas Hospital." @default.
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• W2801687351 date "2017-04-18" @default.
• W2801687351 modified "2023-10-03" @default.
• W2801687351 title "Effects of the New York State Lystedt Law on Concussion-Related Emergency Healthcare Visits among Adolescents, 2005–2014 (P6.145)" @default.
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