Presenter Profile
Alise Haddad, BS
Oakland University William Beaumont School of Medicine
alisehaddad@oakland.edu
Alise Haddad is a third-year medical student at Oakland University William Beaumont School of Medicine with a Bachelor of Science in Biochemistry and a minor in Philosophy. She has extensive clinical and volunteer experience in pediatrics, including serving as a medical assistant at Grand Blanc Pediatrics and volunteering at the Al Ghassaneyh Charitable Dispensary and Orphanage in Syria, where she provided direct patient care to children. Her research focuses on pediatric neutropenia related to long-term antibiotic use and pediatric traumatic brain injury (TBI) follow-up rates, specifically evaluating systemic factors influencing post-discharge care after implementation of the Visio-Vestibular Exam (VVE). Alise’s broader research experience includes biochemistry, organic chemistry, and clinical case reports. She has founded UNICEF at her institution, emphasizing child advocacy and global health equity. Alise is fluent in Arabic and actively engaged in medical education outreach as an admissions ambassador.
Presentations
Correlation Between Various Systemic Factors and Pediatric Traumatic Brain Injury (TBI) Follow-up Rates after the implementation of the Visio-Vestibular Exam
Alise Haddad, BS
Matthew Denenberg, MD
Richard Kennedy, PhD
Ethan Dimock, BS
Sue Townsel, MS
Sarah Rauner, NP
Jacob Kelley, MS
Mild to moderate head injuries are common in pediatric patients, yet follow-up care is often inconsistent. The Visio-Vestibular Exam (VVE) System was implemented in two Corewell Health Emergency Centers (Troy and Royal Oak) to enhance concussion assessment and potentially improve follow-up compliance.
As part of a quality improvement initiative, we retrospectively analyzed data from pediatric patients treated for mild to moderate head injuries between October 2023 and October 2024. Variables assessed included injury severity markers (loss of consciousness, vomiting, CT use), race, age, insurance status, and whether a VVE was performed in the ED.
Out of 509 eligible patients, 43.4% attended their follow-up appointment. No statistically significant differences in follow-up rates were found based on age, race, insurance status, or injury severity. Unexpectedly, patients who received a VVE during their ED visit were significantly less likely to follow up than those who did not (30.7% vs. 47.6%, p = 0.00023).
Demographic and clinical factors traditionally believed to influence follow-up adherence did not significantly predict outcomes in this cohort. Notably, completion of a VVE was associated with lower follow-up rates, suggesting that families may perceive the exam as sufficient care. These findings underscore the importance of improving discharge communication to emphasize the necessity of post-injury follow-up, regardless of initial ED findings.
1. To evaluate follow-up rates after pediatric head injuries
2. To understand how factors such as injury severity, race, age, insurance type, and completion of a VVE influenced the likelihood of attending a scheduled follow-up appointment