Traumatic brain injury (TBI) issues are a frequent topic for us. If you have read any of our past blogs, then you know we have big concerns that TBI victims are not diagnosed, not treated and not understood by both the legal and medical systems. Many issues contribute to the lack of understanding and treatment. Even many medical professionals fail to understand the significance of TBI issues.
A recent research study published in JAMA Network Open asked an important question — Do patients with mild traumatic brain injury receive adequate levels of follow-up care? You can read my entire post for more discussion of this issue. If you want an immediate answer, then it is “no” on follow-up care. According to the study author, a large proportion of TBI patients do not receive follow-up care after a personal injury even when continuing to suffer postconcussive problems.
The study followed patients who had been to the emergency room with a TBI at 11 different hospitals. Each of these hospitals was a level 1 trauma center – A hopital that provides the highest level of care to trauma patients. If you want to know more about the distinction in hospitals, the Alabama Department of Public Health has a map that indicates the Level 1 trauma centers in our state. Sadly, only Huntsville, Birmingham and Mobile/Baldwin Counties presently have Level 1 hospitals. A Montgomery channel has even written about the lack of a Level 1 hospital in that part of the State. What does this tell us about the TBI study? It tells us that it followed patients treated at the best trauma hospitals. Keep that in mind as I suspect the percentage of patients with no follow-up is much higher when you consider other hospitals.