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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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CCGI is funded by provincial associations and regulatory boards, and national associations including the Canadian Chiropractic Association

and Canadian Chiropractic Protective Association. CCGI maintains editorial independence from funders.

All content and media on the Canadian Chiropractic Guideline Initiative (CCGI) website is created and published online for informational purposes only. It is not intended to be a substitute for professional medical advice and should not be relied on as health or personal advice. Always seek the guidance of a qualified health professional with questions, concerns or management regarding your health.

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