儿童轻度创伤性脑损伤的生活质量及其与脑震荡后症状的关系。
Quality of life in pediatric mild traumatic brain injury and its relationship to postconcussive symptoms.
机构信息
Department of Psychology, Nationwide Children's Hospital, 700 Children's Dr, Columbus, OH 43205, USA.
出版信息
J Pediatr Psychol. 2012 Aug;37(7):736-44. doi: 10.1093/jpepsy/jsr087. Epub 2011 Oct 12.
OBJECTIVES
Mild traumatic brain injury (TBI) and injury-related outcomes such as postconcussive symptoms (PCS) may influence health-related quality of life (HRQOL) in children.
METHODS
We evaluated HRQOL in 186 8- to 15-year-old children with mild TBI and 99 children with orthopedic injuries (OI). Parents rated the frequency and severity of PCS at an initial assessment within 2-weeks postinjury and rated HRQOL at 3- and 12-months postinjury.
RESULTS
The mild TBI and OI groups did not differ in psychosocial HRQOL, but the mild TBI group showed lower physical HRQOL at the 12-month follow-up. Somatic PCS were a significant predictor of physical HRQOL over time, and both cognitive and somatic PCS were significant predictors of psychosocial HRQOL over time. Children with higher PCS at the initial assessment had lower HRQOL scores at later time points.
CONCLUSIONS
Effective management of PCS may be associated with improvements in HRQOL following pediatric mild TBI.
目的
轻度创伤性脑损伤 (TBI) 和与损伤相关的结局，如脑震荡后症状 (PCS)，可能会影响儿童的健康相关生活质量 (HRQOL)。
方法
我们评估了 186 名 8 至 15 岁轻度 TBI 患儿和 99 名骨科损伤 (OI) 患儿的 HRQOL。父母在受伤后 2 周内进行初始评估时，对 PCS 的频率和严重程度进行评分，并在受伤后 3 个月和 12 个月进行 HRQOL 评分。
结果
轻度 TBI 组和 OI 组在心理社会 HRQOL 方面没有差异，但轻度 TBI 组在 12 个月随访时的身体 HRQOL 较低。躯体 PCS 是随时间变化的身体 HRQOL 的显著预测因子，认知和躯体 PCS 都是随时间变化的心理社会 HRQOL 的显著预测因子。初始评估时 PCS 较高的儿童在以后的时间点 HRQOL 评分较低。
结论
有效管理 PCS 可能与儿科轻度 TBI 后 HRQOL 的改善有关。
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