青少年运动员运动相关损伤后的长期健康相关生活质量：一项纵向队列研究。
Long-Term Health-Related Quality of Life After Sport-Related Injury in Youth Athletes: A Longitudinal Cohort Study.
作者信息
Verma Rajiv, Render Alexandria, Ramirez Mario, Shenvi Neeta, Easley Kirk A, LaBella Cynthia, Stracciolini Andrea, Jayanthi Neeru
机构信息
Endeavor Health, Glenview, Illinois, USA.
Emory Sports Medicine Center, Johns Creek, Georgia, USA.
出版信息
Orthop J Sports Med. 2025 Jun 5;13(6):23259671251341467. doi: 10.1177/23259671251341467. eCollection 2025 Jun.
BACKGROUND
Long-term effects of sport-related injury (SRI) on health-related quality of life (HRQoL) in young athletes are unknown.
PURPOSES
To compare 2-year long-term HRQoL outcomes between injured young athletes and available normative data for healthy youth (NDHY) and evaluate these outcomes by sex, age, surgical status, and sport attrition status.
STUDY DESIGN
Cohort study; Level of evidence, 3.
METHODS
Patients ages 8 to 18 years who presented to 1 of 3 sports medicine clinics with SRI were included in the study. Baseline sport and injury history were collected. HRQoL was measured at 1, 12, and 24 months after injury via the PROMIS Pediatric-25 v2.0. Six HRQoL domains were analyzed by injury type (acute, overuse, concussion) with a mixed model for repeated measures. Scores >0.5 standard deviations from the reference mean were considered statistically significant.
RESULTS
357 patients completed baseline surveys (36% male, 64% female; mean age, 14.4 years) at 1 month after injury. There were 119 (33.3%) acute injuries, 42 (11.8%) concussions, and 196 (54.9%) overuse injuries. Of the sample, 336 (94.2%) were athletes and 21 (5.8%) were nonathletes. Cohort retention was 64% (228/357) at 12 months and 35% (126/357) at 24 months. Patients with overuse injury showed worse mobility at 1 month after injury compared with NDHY (mean [95% CI], 44.4 [43.1-45.6]), with resolution of this finding at 12- and 24-month follow-up (50.8 [48.9-52.7] and 51.8 [49.4-54.2], respectively). Patients who were older, were female, quit sport, or underwent surgery showed worse mobility compared with NDHY at 1 month after injury (44.0 [41.9-46.1], 44.7 [43.5-45.9], 40.8 [38.4-43.2], 34.3 [30.6-37.9], respectively), with similar resolution at 12- and 24-month follow-up. Female patients showed worse anxiety/fear, depression/sadness, and pain interference than male patients at 1-month follow-up ( = .002, = .001, and = .021, respectively), 12-month follow-up ( < .001, = .001, = .009), and 24-month follow-up (≤ .001, = .001, ≤ .001) but were no worse than NDHY at 12- and 24-month follow-up.
CONCLUSION
SRI in youth athletes does not negatively affect long-term HRQoL outcomes 24 months after injury. Female sex was found to be associated with worse short- and long-term HRQoL outcomes.
背景
运动相关损伤（SRI）对年轻运动员健康相关生活质量（HRQoL）的长期影响尚不清楚。
目的
比较受伤年轻运动员与健康青少年可用标准数据（NDHY）之间2年的长期HRQoL结果，并按性别、年龄、手术状态和运动损耗状态评估这些结果。
研究设计
队列研究；证据等级，3级。
方法
纳入8至18岁因SRI到3家运动医学诊所之一就诊的患者。收集基线运动和损伤史。在受伤后1、12和24个月通过PROMIS Pediatric-25 v2.0测量HRQoL。通过损伤类型（急性、过度使用、脑震荡），采用重复测量混合模型分析6个HRQoL领域。与参考均值相差>0.5个标准差的分数被认为具有统计学意义。
结果
357例患者在受伤后1个月完成了基线调查（男性36%，女性64%；平均年龄14.4岁）。有119例（33.3%）急性损伤、42例（11.8%）脑震荡和196例（54.9%）过度使用损伤。在样本中，336例（94.2%）是运动员，21例（5.8%）是非运动员。12个月时队列保留率为64%（228/357），24个月时为35%（126/357）。与NDHY相比，过度使用损伤患者在受伤后1个月时活动能力较差（均值[95%CI]，44.4[43.1-45.6]），在12个月和24个月随访时这一情况得到缓解（分别为50.8[48.9-52.7]和51.8[49.4-54.2]）。与NDHY相比，年龄较大、女性、停止运动或接受手术的患者在受伤后1个月时活动能力较差（分别为44.0[41.9-46.1]、44.7[43.5-45.9]、40.8[38.4-43.2]、34.3[30.6-37.9]），在12个月和24个月随访时情况类似。在1个月随访时（分别为P = .002、P = .001和P = .021）、12个月随访时（P < .001、P = .001、P = .009）和24个月随访时（P≤.001、P = .001、P≤.001），女性患者的焦虑/恐惧、抑郁/悲伤和疼痛干扰比男性患者更严重，但在12个月和24个月随访时不比NDHY差。
结论
年轻运动员的SRI在受伤24个月后对长期HRQoL结果没有负面影响。发现女性与短期和长期较差的HRQoL结果相关。
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