Levas Michael N, Melzer-Lange Marlene, Tarima Sergey, Beverung Lauren M, Panepinto Julie
From the Section of Emergency Medicine, Department of Pediatrics.
Division of Biostatistics.
Pediatr Emerg Care. 2020 Feb;36(2):e72-e78. doi: 10.1097/PEC.0000000000001423.
Measuring health-related quality of life (HRQOL) provides the patient's perspective of his/her well-being and offers a unique outcome measure to demonstrate the impact of violence on the victim. To date, no study has described HRQOL in youth victims of violence in the United States. The purpose of this study was to describe HRQOL in youth victims of violence as compared with healthy youth and youth with chronic disease.
We conducted an exploratory cross-sectional study of the HRQOL of victims of violence aged 8 to 18 years. Descriptive statistics were reported for participant and injury demographics. One sample t tests were used to compare the sample population's HRQOL to known HRQOL of healthy populations and specific disease populations.
Fifty-eight victims of violence participated in the study. Youth victims of violence had significantly worse mean HRQOL scores (mean, 71.4) compared with healthy youth in overall functioning (mean, 83.9), P < 0.001. Youth victims of violence reported worse psychosocial (mean, 67.6), emotional (mean, 62.9), and school (mean, 63.8) functioning than youth with obesity (mean, 72.1, 68.6, 75.0, respectively) and cancer (mean, 72.1, 72.2, 68.3, respectively). Mean Patient-Reported Outcomes Measurement Information System T scores for youth victims of violence were significantly worse in anxiety (T = 51.9) and depression (T = 52.4) compared with youth with obesity (T = 48.3, 49.2), cancer (T = 47.7, 47.6), and sickle cell disease (T = 43, 44).
Youth victims of violence suffer significant impairment in HRQOL compared with healthy populations and youth with specific disease burdens. Future studies into violence prevention effectiveness should use HRQOL as a comparative outcome measure to better tailor post injury management and interventions.
测量与健康相关的生活质量（HRQOL）能提供患者对自身幸福感的看法，并提供一种独特的结果指标来证明暴力对受害者的影响。迄今为止，尚无研究描述美国青少年暴力受害者的HRQOL。本研究的目的是描述暴力青少年受害者与健康青少年以及慢性病青少年相比的HRQOL。
我们对8至18岁暴力受害者的HRQOL进行了一项探索性横断面研究。报告了参与者和损伤人口统计学的描述性统计数据。使用单样本t检验将样本人群的HRQOL与健康人群和特定疾病人群已知的HRQOL进行比较。
58名暴力受害者参与了该研究。与健康青少年相比，暴力青少年受害者在整体功能方面的平均HRQOL得分（均值为71.4）明显更差（均值为83.9），P < 0.001。暴力青少年受害者报告的心理社会功能（均值为67.6）、情绪功能（均值为62.9）和学校功能（均值为63.8）比肥胖青少年（均值分别为72.1、68.6、75.0）和癌症青少年（均值分别为72.1、72.2、68.3）更差。与肥胖青少年（T = 48.3、49.2）、癌症青少年（T = 47.7、47.6）和镰状细胞病青少年（T = 43、44）相比，暴力青少年受害者的平均患者报告结局测量信息系统T得分在焦虑（T = 51.9）和抑郁（T = 52.4）方面明显更差。
与健康人群和患有特定疾病负担的青少年相比，暴力青少年受害者的HRQOL遭受了显著损害。未来关于暴力预防效果的研究应使用HRQOL作为比较结果指标，以更好地调整受伤后的管理和干预措施。
