Zirkel, Perry A
Court Decisions Specific to Public School Responses to Student Concussions Journal Article
In: Physical Disabilities: Education and Related Services, vol. 35, no. 1, pp. 1–16, 2016.
Abstract | BibTeX | Tags: Academic Accommodations (Disabilities), Athletics, CALIFORNIA, Constitutional Law, Court Litigation, DECISION making, DISABILITIES, Educational Legislation, Eligibility, Equal Education, Federal Legislation, Head Injuries, Individuals with Disabilities Education Act, Nebraska, PENNSYLVANIA, Public Schools, Referral, Texas
@article{Zirkel2016,
title = {Court Decisions Specific to Public School Responses to Student Concussions},
author = {Zirkel, Perry A},
year = {2016},
date = {2016-01-01},
journal = {Physical Disabilities: Education and Related Services},
volume = {35},
number = {1},
pages = {1--16},
publisher = {Physical Disabilities: Education and Related Services},
abstract = {This article provides an up-to-date and comprehensive canvassing of the judicial case law concerning the responses to students with concussions in the public school context. The two categories of court decisions are (a) those concerning continued participation in interscholastic athletics, referred to under the rubric of "return to play" and (b) those concerning the legal obligations in facilitating the continued educational progress of the student, referred to under the rubric of "return to school." The case law in the first category primarily addresses state common law claims of negligence and federal constitutional claims under the Fourteenth Amendment due process clause. The court decisions in the second category primarily address the successive issues of child find, eligibility, and "free appropriate public education" (including but not necessarily limited to accommodations) under Section 504 of the Rehabilitation Act and the Individuals with Disabilities Education Act. The outcomes of the court decisions thus far have been largely in favor of the district defendants, but the case law is far from crystallized and complete.},
keywords = {Academic Accommodations (Disabilities), Athletics, CALIFORNIA, Constitutional Law, Court Litigation, DECISION making, DISABILITIES, Educational Legislation, Eligibility, Equal Education, Federal Legislation, Head Injuries, Individuals with Disabilities Education Act, Nebraska, PENNSYLVANIA, Public Schools, Referral, Texas},
pubstate = {published},
tppubtype = {article}
}
Arbogast, K B; Curry, A E; Pfeiffer, M R; Zonfrillo, M R; Haarbauer-Krupa, J; Breiding, M J; Coronado, V G; Master, C L
Point of health care entry for youth with concussion within a large pediatric care network Journal Article
In: JAMA Pediatr, vol. 170, no. 7, 2016.
Abstract | Links | BibTeX | Tags: Adolescent, Article, Child, childhood disease, Concussion, descriptive research, electronic health record, ethnicity, Female, Health Care, health care utilization, help seeking behavior, hospital patient, human, ICD-9-CM, juvenile, major clinical study, Male, medicaid, pediatric hospital, pediatrics, PENNSYLVANIA, point of health care entry, primary medical care, priority journal, race
@article{Arbogast2016,
title = {Point of health care entry for youth with concussion within a large pediatric care network},
author = {Arbogast, K B and Curry, A E and Pfeiffer, M R and Zonfrillo, M R and Haarbauer-Krupa, J and Breiding, M J and Coronado, V G and Master, C L},
doi = {10.1001/jamapediatrics.2016.0294},
year = {2016},
date = {2016-01-01},
journal = {JAMA Pediatr},
volume = {170},
number = {7},
abstract = {Importance: Previous epidemiologic research on concussions has primarily been limited to patient populations presenting to sport concussion clinics or to emergency departments (EDs) and to those high school age or older. By examining concussion visits across an entire pediatric health care network, a better estimate of the scope of the problem can be obtained. Objective: To comprehensively describe point of entry for children with concussion, overall and by relevant factors including age, sex, race/ethnicity, and payor, to quantify where children initially seek care for this injury. Design, setting, and participants: In this descriptive epidemiologic study, datawere collected from primary care, specialty care, ED, urgent care, and inpatient settings. The initial concussion-related visit was selected and variation in the initial health care location (primary care, specialty care, ED, or hospital) was examined in relation to relevant variables. All patients aged 0 to 17 years who received their primary care from The Children's Hospital of Philadelphia's (CHOP) network and had 1 or more in-person clinical visits for concussion in the CHOP unified electronic health record (EHR) system (July 1, 2010, to June 30, 2014) were selected. Main outcomes and measures: Frequency of initial concussion visits at each type of health care location. Concussion visits in the EHR were defined based on International Classification of Diseases, Ninth Revision, Clinical Modification diagnosis codes indicative of concussion. Results: A total of 8083 patients were included (median age, 13 years; interquartile range, 10-15 years). Overall, 81.9% (95% CI, 81.1%-82.8%; n = 6624) had their first visit at CHOP within primary care, 5.2%(95% CI, 4.7%-5.7%; n = 418) within specialty care, and 11.7%(95% CI, 11.0%-12.4%; n = 947) within the ED. Health care entry varied by age: 52%(191/368) of children aged 0 to 4 years entered CHOP via the ED, whereas more than three-quarters of those aged 5 to 17 years entered via primary care (5-11 years: 1995/2492; 12-14 years: 2415/2820; and 15-17 years: 2056/2403). Insurance status also influenced the pattern of health care use, with more Medicaid patients using the ED for concussion care (478/1290 Medicaid patients [37%] used the ED vs 435/6652 private patients [7%] and 34/141 self-pay patients [24%]). Conclusions and relevance: The findings suggest estimates of concussion incidence based solely on ED visits underestimate the burden of injury, highlight the importance of the primary care setting in concussion care management, and demonstrate the potential for EHR systems to advance research in this area. Copyright © 2016 American Medical Association. All rights reserved.},
keywords = {Adolescent, Article, Child, childhood disease, Concussion, descriptive research, electronic health record, ethnicity, Female, Health Care, health care utilization, help seeking behavior, hospital patient, human, ICD-9-CM, juvenile, major clinical study, Male, medicaid, pediatric hospital, pediatrics, PENNSYLVANIA, point of health care entry, primary medical care, priority journal, race},
pubstate = {published},
tppubtype = {article}
}
Hart, Joseph M
Vestibular and Ocular Motor Assessments: Important Pieces to the Concussion Puzzle Journal Article
In: Athletic Training & Sports Health Care, vol. 5, no. 6, pp. 246–248, 2013, ISBN: 19425864.
Abstract | BibTeX | Tags: *BRAIN -- Concussion, *DIAGNOSIS, *EQUILIBRIUM (Physiology), *EYE -- Movements, *SPORTS injuries, *UNIVERSITIES & colleges, *VISUAL perception, EVALUATION, PENNSYLVANIA
@article{Hart2013,
title = {Vestibular and Ocular Motor Assessments: Important Pieces to the Concussion Puzzle},
author = {Hart, Joseph M},
isbn = {19425864},
year = {2013},
date = {2013-01-01},
journal = {Athletic Training \& Sports Health Care},
volume = {5},
number = {6},
pages = {246--248},
abstract = {The article presents the importance of the University of Pittsburgh Medical Center (UPMC) Vestibular Ocular Motor Screening Examination for the cognitive function in the evaluation of concussion. It mentions the importance of the careful assessment of vestibular and ocular motor functions in the evaluation of sports concussion. It also adds the challenging aspects exist in the evaluation of concussion.},
keywords = {*BRAIN -- Concussion, *DIAGNOSIS, *EQUILIBRIUM (Physiology), *EYE -- Movements, *SPORTS injuries, *UNIVERSITIES \& colleges, *VISUAL perception, EVALUATION, PENNSYLVANIA},
pubstate = {published},
tppubtype = {article}
}
Zirkel, Perry A
Court Decisions Specific to Public School Responses to Student Concussions Journal Article
In: Physical Disabilities: Education and Related Services, vol. 35, no. 1, pp. 1–16, 2016.
@article{Zirkel2016,
title = {Court Decisions Specific to Public School Responses to Student Concussions},
author = {Zirkel, Perry A},
year = {2016},
date = {2016-01-01},
journal = {Physical Disabilities: Education and Related Services},
volume = {35},
number = {1},
pages = {1--16},
publisher = {Physical Disabilities: Education and Related Services},
abstract = {This article provides an up-to-date and comprehensive canvassing of the judicial case law concerning the responses to students with concussions in the public school context. The two categories of court decisions are (a) those concerning continued participation in interscholastic athletics, referred to under the rubric of "return to play" and (b) those concerning the legal obligations in facilitating the continued educational progress of the student, referred to under the rubric of "return to school." The case law in the first category primarily addresses state common law claims of negligence and federal constitutional claims under the Fourteenth Amendment due process clause. The court decisions in the second category primarily address the successive issues of child find, eligibility, and "free appropriate public education" (including but not necessarily limited to accommodations) under Section 504 of the Rehabilitation Act and the Individuals with Disabilities Education Act. The outcomes of the court decisions thus far have been largely in favor of the district defendants, but the case law is far from crystallized and complete.},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
Arbogast, K B; Curry, A E; Pfeiffer, M R; Zonfrillo, M R; Haarbauer-Krupa, J; Breiding, M J; Coronado, V G; Master, C L
Point of health care entry for youth with concussion within a large pediatric care network Journal Article
In: JAMA Pediatr, vol. 170, no. 7, 2016.
@article{Arbogast2016,
title = {Point of health care entry for youth with concussion within a large pediatric care network},
author = {Arbogast, K B and Curry, A E and Pfeiffer, M R and Zonfrillo, M R and Haarbauer-Krupa, J and Breiding, M J and Coronado, V G and Master, C L},
doi = {10.1001/jamapediatrics.2016.0294},
year = {2016},
date = {2016-01-01},
journal = {JAMA Pediatr},
volume = {170},
number = {7},
abstract = {Importance: Previous epidemiologic research on concussions has primarily been limited to patient populations presenting to sport concussion clinics or to emergency departments (EDs) and to those high school age or older. By examining concussion visits across an entire pediatric health care network, a better estimate of the scope of the problem can be obtained. Objective: To comprehensively describe point of entry for children with concussion, overall and by relevant factors including age, sex, race/ethnicity, and payor, to quantify where children initially seek care for this injury. Design, setting, and participants: In this descriptive epidemiologic study, datawere collected from primary care, specialty care, ED, urgent care, and inpatient settings. The initial concussion-related visit was selected and variation in the initial health care location (primary care, specialty care, ED, or hospital) was examined in relation to relevant variables. All patients aged 0 to 17 years who received their primary care from The Children's Hospital of Philadelphia's (CHOP) network and had 1 or more in-person clinical visits for concussion in the CHOP unified electronic health record (EHR) system (July 1, 2010, to June 30, 2014) were selected. Main outcomes and measures: Frequency of initial concussion visits at each type of health care location. Concussion visits in the EHR were defined based on International Classification of Diseases, Ninth Revision, Clinical Modification diagnosis codes indicative of concussion. Results: A total of 8083 patients were included (median age, 13 years; interquartile range, 10-15 years). Overall, 81.9% (95% CI, 81.1%-82.8%; n = 6624) had their first visit at CHOP within primary care, 5.2%(95% CI, 4.7%-5.7%; n = 418) within specialty care, and 11.7%(95% CI, 11.0%-12.4%; n = 947) within the ED. Health care entry varied by age: 52%(191/368) of children aged 0 to 4 years entered CHOP via the ED, whereas more than three-quarters of those aged 5 to 17 years entered via primary care (5-11 years: 1995/2492; 12-14 years: 2415/2820; and 15-17 years: 2056/2403). Insurance status also influenced the pattern of health care use, with more Medicaid patients using the ED for concussion care (478/1290 Medicaid patients [37%] used the ED vs 435/6652 private patients [7%] and 34/141 self-pay patients [24%]). Conclusions and relevance: The findings suggest estimates of concussion incidence based solely on ED visits underestimate the burden of injury, highlight the importance of the primary care setting in concussion care management, and demonstrate the potential for EHR systems to advance research in this area. Copyright © 2016 American Medical Association. All rights reserved.},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
Hart, Joseph M
Vestibular and Ocular Motor Assessments: Important Pieces to the Concussion Puzzle Journal Article
In: Athletic Training & Sports Health Care, vol. 5, no. 6, pp. 246–248, 2013, ISBN: 19425864.
@article{Hart2013,
title = {Vestibular and Ocular Motor Assessments: Important Pieces to the Concussion Puzzle},
author = {Hart, Joseph M},
isbn = {19425864},
year = {2013},
date = {2013-01-01},
journal = {Athletic Training \& Sports Health Care},
volume = {5},
number = {6},
pages = {246--248},
abstract = {The article presents the importance of the University of Pittsburgh Medical Center (UPMC) Vestibular Ocular Motor Screening Examination for the cognitive function in the evaluation of concussion. It mentions the importance of the careful assessment of vestibular and ocular motor functions in the evaluation of sports concussion. It also adds the challenging aspects exist in the evaluation of concussion.},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
Zirkel, Perry A
Court Decisions Specific to Public School Responses to Student Concussions Journal Article
In: Physical Disabilities: Education and Related Services, vol. 35, no. 1, pp. 1–16, 2016.
Abstract | BibTeX | Tags: Academic Accommodations (Disabilities), Athletics, CALIFORNIA, Constitutional Law, Court Litigation, DECISION making, DISABILITIES, Educational Legislation, Eligibility, Equal Education, Federal Legislation, Head Injuries, Individuals with Disabilities Education Act, Nebraska, PENNSYLVANIA, Public Schools, Referral, Texas
@article{Zirkel2016,
title = {Court Decisions Specific to Public School Responses to Student Concussions},
author = {Zirkel, Perry A},
year = {2016},
date = {2016-01-01},
journal = {Physical Disabilities: Education and Related Services},
volume = {35},
number = {1},
pages = {1--16},
publisher = {Physical Disabilities: Education and Related Services},
abstract = {This article provides an up-to-date and comprehensive canvassing of the judicial case law concerning the responses to students with concussions in the public school context. The two categories of court decisions are (a) those concerning continued participation in interscholastic athletics, referred to under the rubric of "return to play" and (b) those concerning the legal obligations in facilitating the continued educational progress of the student, referred to under the rubric of "return to school." The case law in the first category primarily addresses state common law claims of negligence and federal constitutional claims under the Fourteenth Amendment due process clause. The court decisions in the second category primarily address the successive issues of child find, eligibility, and "free appropriate public education" (including but not necessarily limited to accommodations) under Section 504 of the Rehabilitation Act and the Individuals with Disabilities Education Act. The outcomes of the court decisions thus far have been largely in favor of the district defendants, but the case law is far from crystallized and complete.},
keywords = {Academic Accommodations (Disabilities), Athletics, CALIFORNIA, Constitutional Law, Court Litigation, DECISION making, DISABILITIES, Educational Legislation, Eligibility, Equal Education, Federal Legislation, Head Injuries, Individuals with Disabilities Education Act, Nebraska, PENNSYLVANIA, Public Schools, Referral, Texas},
pubstate = {published},
tppubtype = {article}
}
Arbogast, K B; Curry, A E; Pfeiffer, M R; Zonfrillo, M R; Haarbauer-Krupa, J; Breiding, M J; Coronado, V G; Master, C L
Point of health care entry for youth with concussion within a large pediatric care network Journal Article
In: JAMA Pediatr, vol. 170, no. 7, 2016.
Abstract | Links | BibTeX | Tags: Adolescent, Article, Child, childhood disease, Concussion, descriptive research, electronic health record, ethnicity, Female, Health Care, health care utilization, help seeking behavior, hospital patient, human, ICD-9-CM, juvenile, major clinical study, Male, medicaid, pediatric hospital, pediatrics, PENNSYLVANIA, point of health care entry, primary medical care, priority journal, race
@article{Arbogast2016,
title = {Point of health care entry for youth with concussion within a large pediatric care network},
author = {Arbogast, K B and Curry, A E and Pfeiffer, M R and Zonfrillo, M R and Haarbauer-Krupa, J and Breiding, M J and Coronado, V G and Master, C L},
doi = {10.1001/jamapediatrics.2016.0294},
year = {2016},
date = {2016-01-01},
journal = {JAMA Pediatr},
volume = {170},
number = {7},
abstract = {Importance: Previous epidemiologic research on concussions has primarily been limited to patient populations presenting to sport concussion clinics or to emergency departments (EDs) and to those high school age or older. By examining concussion visits across an entire pediatric health care network, a better estimate of the scope of the problem can be obtained. Objective: To comprehensively describe point of entry for children with concussion, overall and by relevant factors including age, sex, race/ethnicity, and payor, to quantify where children initially seek care for this injury. Design, setting, and participants: In this descriptive epidemiologic study, datawere collected from primary care, specialty care, ED, urgent care, and inpatient settings. The initial concussion-related visit was selected and variation in the initial health care location (primary care, specialty care, ED, or hospital) was examined in relation to relevant variables. All patients aged 0 to 17 years who received their primary care from The Children's Hospital of Philadelphia's (CHOP) network and had 1 or more in-person clinical visits for concussion in the CHOP unified electronic health record (EHR) system (July 1, 2010, to June 30, 2014) were selected. Main outcomes and measures: Frequency of initial concussion visits at each type of health care location. Concussion visits in the EHR were defined based on International Classification of Diseases, Ninth Revision, Clinical Modification diagnosis codes indicative of concussion. Results: A total of 8083 patients were included (median age, 13 years; interquartile range, 10-15 years). Overall, 81.9% (95% CI, 81.1%-82.8%; n = 6624) had their first visit at CHOP within primary care, 5.2%(95% CI, 4.7%-5.7%; n = 418) within specialty care, and 11.7%(95% CI, 11.0%-12.4%; n = 947) within the ED. Health care entry varied by age: 52%(191/368) of children aged 0 to 4 years entered CHOP via the ED, whereas more than three-quarters of those aged 5 to 17 years entered via primary care (5-11 years: 1995/2492; 12-14 years: 2415/2820; and 15-17 years: 2056/2403). Insurance status also influenced the pattern of health care use, with more Medicaid patients using the ED for concussion care (478/1290 Medicaid patients [37%] used the ED vs 435/6652 private patients [7%] and 34/141 self-pay patients [24%]). Conclusions and relevance: The findings suggest estimates of concussion incidence based solely on ED visits underestimate the burden of injury, highlight the importance of the primary care setting in concussion care management, and demonstrate the potential for EHR systems to advance research in this area. Copyright © 2016 American Medical Association. All rights reserved.},
keywords = {Adolescent, Article, Child, childhood disease, Concussion, descriptive research, electronic health record, ethnicity, Female, Health Care, health care utilization, help seeking behavior, hospital patient, human, ICD-9-CM, juvenile, major clinical study, Male, medicaid, pediatric hospital, pediatrics, PENNSYLVANIA, point of health care entry, primary medical care, priority journal, race},
pubstate = {published},
tppubtype = {article}
}
Hart, Joseph M
Vestibular and Ocular Motor Assessments: Important Pieces to the Concussion Puzzle Journal Article
In: Athletic Training & Sports Health Care, vol. 5, no. 6, pp. 246–248, 2013, ISBN: 19425864.
Abstract | BibTeX | Tags: *BRAIN -- Concussion, *DIAGNOSIS, *EQUILIBRIUM (Physiology), *EYE -- Movements, *SPORTS injuries, *UNIVERSITIES & colleges, *VISUAL perception, EVALUATION, PENNSYLVANIA
@article{Hart2013,
title = {Vestibular and Ocular Motor Assessments: Important Pieces to the Concussion Puzzle},
author = {Hart, Joseph M},
isbn = {19425864},
year = {2013},
date = {2013-01-01},
journal = {Athletic Training \& Sports Health Care},
volume = {5},
number = {6},
pages = {246--248},
abstract = {The article presents the importance of the University of Pittsburgh Medical Center (UPMC) Vestibular Ocular Motor Screening Examination for the cognitive function in the evaluation of concussion. It mentions the importance of the careful assessment of vestibular and ocular motor functions in the evaluation of sports concussion. It also adds the challenging aspects exist in the evaluation of concussion.},
keywords = {*BRAIN -- Concussion, *DIAGNOSIS, *EQUILIBRIUM (Physiology), *EYE -- Movements, *SPORTS injuries, *UNIVERSITIES \& colleges, *VISUAL perception, EVALUATION, PENNSYLVANIA},
pubstate = {published},
tppubtype = {article}
}