Long-Term Health-Related Quality of Life in Major Pediatric Trauma: A Pilot Study

European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society
Loes JanssensHerman R Holtslag

Abstract

Major trauma is the leading cause of mortality and morbidity in children of developed countries. Little research has been done about the health-related quality of life (HRQL) in these children. The aim of the current research is to describe the HRQL of children in the long term after major trauma and to compare it with healthy peers. A prospective cohort study of severely injured children (ISS ≥ 16, age < 16 years) who survived the trauma and were admitted to the emergency department of a Dutch level 1 trauma center in 1999 and 2000 (n = 40) was conducted. Between 6 and 8 years after trauma (mean 7.3, SD 0.7 years), outcome was assessed by the Pediatric Quality of Life Inventory (PedsQL 4.0), the EuroQol 5D (EQ-5D), and the EuroQol Visual Analogue Scale (EQ-VAS). The mean age at the time of the accident was 8.9 years (SD 4.6 years), the mean ISS was 24.9 (SD 11.1), and 25 (63%) cases were male; 28 out of 40 patients were followed up. The mean score on the PedsQL was 81.2 and this did not differ significantly from the norm value. On the EQ-5D, more health problems were reported than in a healthy reference population. The mean EQ-VAS score was 79.4 and was significantly lower than in healthy peers. The lowest scores on the PedsQL...Continue Reading

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Citations

Apr 25, 2012·Clinical Child and Family Psychology Review·Susanne P Martin-HerzRobert J McMahon
Jul 16, 2016·Journal of Trauma Nursing : the Official Journal of the Society of Trauma Nurses·Anna Garnett, Gina Browne
Dec 28, 2017·International Journal of Environmental Research and Public Health·Shanthi AmeratungaBelinda Gabbe
Oct 16, 2012·The Journal of Trauma and Acute Care Surgery·Loes JanssensLuke P H Leenen

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