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Concussion Care Pathway

Date of last update: September, 2024

12. Criteria for Discharge

  • Establish Clear Criteria: Discharge criteria should be based on the achievement of initial goals (e.g., symptom resolution, cognitive and physical recovery, return to symptom-free normal activities), reaching a plateau, or progressing signs and symptoms that may warrant referral.

  • Referral Considerations: If symptoms persist beyond the typical recovery timeline (2 weeks for adults, 4 weeks for children), referral or co-management is generally recommended. However, the decision to refer should be made on a case-by-case basis. If the patient shows measurable improvements without the emergence of new red or yellow flags, ongoing management may continue with close monitoring. Functional progression, patient-reported outcomes, and regular re-evaluation should guide the discharge and referral process.

  • Monitoring and Reassessment: Continue to use tools like SCAT6/SCOAT6 to assess progress. If the patient continues to meet discharge criteria without new concerns, proceed with discharge. If new symptoms or red/yellow flags emerge, consider referral or adjusting the management plan accordingly.

  • Post-discharge Planning: Ensure a comprehensive post-discharge plan that includes self-management strategies, follow-ups, and support to prevent recurrence. Periodic reassessments should be planned to monitor the patient’s ongoing recovery.

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