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Caregiver reported long-term outcomes in children with major trauma and traumatic brain injuries: A single-centre retrospective study.
Koh, Joel Song Kai; Ng, Zhi Min; Feng, Jasmine Xun Yi; Badron, Junaidah; Chiang, Li Wei; Ang, Angelina Su Yin; Chong, Shu-Ling.
Afiliación
  • Koh JSK; Department of Emergency Medicine, KK Women's and Children's Hospital, Singapore.
  • Ng ZM; Department of Paediatrics, KK Women's and Children's Hospital, Singapore.
  • Feng JXY; Department of Emergency Medicine, KK Women's and Children's Hospital, Singapore.
  • Badron J; Department of Emergency Medicine, KK Women's and Children's Hospital, Singapore.
  • Chiang LW; Department of Paediatric Surgery, KK Women's and Children's Hospital, Singapore.
  • Ang ASY; Department of Emergency Medicine, KK Women's and Children's Hospital, Singapore.
  • Chong SL; Department of Emergency Medicine, KK Women's and Children's Hospital, Singapore.
Ann Acad Med Singap ; 53(1): 15-22, 2024 Jan 30.
Article en En | MEDLINE | ID: mdl-38920211
ABSTRACT

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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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Calidad de Vida / Cuidadores / Escala de Consecuencias de Glasgow / Lesiones Traumáticas del Encéfalo Límite: Adolescent / Child / Child, preschool / Female / Humans / Male País/Región como asunto: Asia Idioma: En Revista: Ann Acad Med Singap Año: 2024 Tipo del documento: Article País de afiliación: Singapur Pais de publicación: Singapur
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Calidad de Vida / Cuidadores / Escala de Consecuencias de Glasgow / Lesiones Traumáticas del Encéfalo Límite: Adolescent / Child / Child, preschool / Female / Humans / Male País/Región como asunto: Asia Idioma: En Revista: Ann Acad Med Singap Año: 2024 Tipo del documento: Article País de afiliación: Singapur Pais de publicación: Singapur