Jagnoor Jagnoor, Prinja Shankar, Christou Aliki, Baker Jannah, Gabbe Belinda, Ivers Rebecca
The George Institute for Global Health, University of New South Wales (UNSW), Sydney 2052, Australia.
School of Public Health, Post Graduate Institute for Medical Education and Research, Chandigarh 160012, India.
Int J Environ Res Public Health. 2017 Sep 28;14(10):1144. doi: 10.3390/ijerph14101144.
Paediatric injuries can lead to long-term functional impairment and reduced health-related quality of life, and are a growing public health issue in India. To date, however, the burden has been poorly characterized. This study assessed the impact of non-fatal injuries on health-related quality of life in a prospective cohort study of 373 children admitted to three hospitals in Chandigarh and Haryana states in India. The Pediatric Quality of Life Inventory (PedsQL) and King's Outcome Scale for Childhood Head Injury (KOSCHI) were administered at baseline (pre-injury) and at 1, 2, 4, and 12 months post-injury by telephone interview. Follow-up at all-time points was completed for 277 (77%) of all living participants. Less than one percent reported ongoing disability at 4 months, and no disability was reported at 12 months. PedsQL physical health scores were below healthy child norms (83.4) at 1 month in the cohort for ages 8-12 years and 13-16 years. Although injuries are prevalent, ongoing impact on functioning and disability from most childhood injuries at 12 months was reported to be low. The results raise questions about reliability of generic, Western-centric tools in low- and middle-income settings, and highlight the need for local context-specific tools.
儿科损伤可导致长期功能障碍并降低与健康相关的生活质量，在印度，这是一个日益严重的公共卫生问题。然而，迄今为止，这一负担的特征仍未得到充分描述。本研究在一项前瞻性队列研究中，评估了非致命性损伤对印度昌迪加尔和哈里亚纳邦三家医院收治的373名儿童与健康相关生活质量的影响。通过电话访谈，在基线（受伤前）以及受伤后1个月、2个月、4个月和12个月时，使用儿童生活质量量表（PedsQL）和儿童头部损伤国王预后量表（KOSCHI）进行评估。所有在世参与者中有277名（77%）在所有时间点均完成了随访。不到1%的人在4个月时报告有持续残疾，12个月时未报告有残疾。在8至12岁和13至16岁年龄组的队列中，1个月时PedsQL身体健康得分低于健康儿童标准（83.4）。尽管损伤很普遍，但据报告，大多数儿童损伤在12个月时对功能和残疾的持续影响较低。研究结果对低收入和中等收入环境中以西方为中心的通用工具的可靠性提出了质疑，并强调了需要针对当地具体情况的工具。
