Caregiver reported long-term outcomes in children with major trauma and traumatic brain injuries: A single-centre retrospective study
Introduction: We aim to investigate the functional outcomes and long-term health-related quality of life (HRQOL) in children with major trauma associated with traumatic brain injury (TBI). Method: We performed a retrospective review of records among patients >2 and ≤16 years old in a tertiary pae...
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Published in | Annals of the Academy of Medicine, Singapore Vol. 53; no. 1; pp. 15 - 22 |
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Main Authors | , , , , , , |
Format | Journal Article |
Language | English |
Published |
30.01.2024
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Online Access | Get full text |
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Summary: | Introduction: We aim to investigate the functional outcomes and long-term health-related quality of life (HRQOL) in children with major trauma associated with traumatic brain injury (TBI).
Method: We performed a retrospective review of records among patients >2 and ≤16 years old in a tertiary paediatric hospital between January 2014 and October 2019 with major trauma (Injury Severity Score of ≥16) and TBI of all severities. We recorded each child’s Glasgow Outcome Scale-Extended Pediatric Version (GOS-E Peds) at 12 months post-injury and Pediatric Quality of Life Inventory (PedsQL) scores at 6 and 12 months post-injury based on the parent proxy-report scales.
Results: We included 53 patients with a median age of 9.0 years old (interquartile range 2.3–15.5). Most injuries were due to falls (30, 56.6%) or road traffic collisions (15, 28.3%); 41 patients (77.3%) required intensive care while 30 patients (56.6%) underwent neurosurgical intervention. Most patients (43, 81.1%) had GOS-E Peds scores of ≤2 at 12 months post-injury. We reported a significant mean difference between the 6- and 12-month parent-reported scores for physical functioning (6.6, 95% confidence interval [CI] 0.3–12.8, P=0.041), psychosocial functioning (4.1, 95% CI 1.0–7.2, P=0.012) and overall scores (5.0, 95% CI 1.4–8.7, P=0.008). Compared with the validated PedsQL scores, our mean scores were higher across all domains at 12 months.
Conclusion: With current standard of care, parents of children with major trauma and TBI reported gains in quality of life, physical, psychosocial and overall function between 6 and 12 months post-injury. |
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ISSN: | 0304-4602 0304-4602 |
DOI: | 10.47102/annals-acadmedsg.202387 |