Quality of Life and Functional Outcome after Pediatric Trauma
The Journal of Trauma: Injury, Infection, and Critical CarePublished 1 March 2005
Andrea Winthrop, Karen J. Brasel, Linda Stahovic, Justin Paulson, Benjamin Schneeberger, Evelyn M. Kuhn
Citations106
Generate an AI Snapshot to get a quick, structured summary of this paper.
Study Snapshot
ObjectiveStudy objective
MethodsResearch methodology
PopulationPopulation studied
Sample sizeSample sizes
OutcomesStudy outcomes here
ResultsStudy results comes here
LimitationsResearch study limitations comes here
A concise AI-generated summary of the paper will appear here once you click Generate AI Snapshot.
TL;DR
Although children demonstrate a rapid recovery of function and quality of life after blunt injury, physical function remains lower than age-matched norms at 6 months postinjury.
Abstract
Injury in children results in a significant burden on families. Although children demonstrate a rapid recovery of function and quality of life after blunt injury, physical function remains lower than age-matched norms at 6 months postinjury. It is unclear whether this represents a plateau in recovery or whether further improvements can be expected over longer time intervals.
Keywords
Medicine
PubMedThe injury severity score: a method for describing patients with multiple injuries and evaluating emergency care.
8,022 Citations1974Susan P. Baker, Brian O’Neill +2 more
The Journal of Trauma: Injury, Infection, and Critical CareTHE INJURY SEVERITY SCORE
7,298 Citations1974Susan P. Baker, Brian O’Neill +2 more
Results of this investigation indicate that the Injury Severity Score represents an important step in solving the problem of summarizing injury severity, especially in patients with multiple trauma.
The Journal of Trauma: Injury, Infection, and Critical CareTHE INJURY SEVERITY SCORE
1,424 Citations1976Susan P. Baker, Brian O’Neill
The injury severity score has changed little in the past decade, but the number of hospital admissions and the severity of the injuries has changed significantly.
Medical CareThe Development of an Impact-on-Family Scale: Preliminary Findings
514 Citations1980Ruths E.K. Stein, Catherine Kohler Riessman
A 24-item scale is presented which elicits variability in response and which is internally consistent and reveals that 4 dimensions of impact are contained in the measure: Financial, Social/Familial, Personal Strain, and Mastery.
Outcome after Major Trauma
481 Citations1999Troy L. Holbrook, John P. Anderson +3 more
This is the first report of long-term outcome based on the QWB Scale, a standardized quality-of-life measure, and provides new and provocative evidence that the magnitude of dysfunction after major injury has been underestimated.
Outcome after Major Trauma
231 Citations1998Troy L. Holbrook, John P. Anderson +3 more
Postinjury functional limitation is a clinically significant complication in trauma patients at discharge and a 6-month follow-up, and the Quality of Well-Being (QWB) scale yields a more sensitive assessment of functional status than traditional ADL instruments.
The Journal of Trauma: Injury, Infection, and Critical CareThe Impact of Major Trauma: Quality-of-Life Outcomes Are Worse in Women than in Men, Independent of Mechanism and Injury Severity
203 Citations2004Troy L. Holbrook, David B. Hoyt
These analyses provide further important and more detailed evidence that women are at risk of worse QoL outcomes and early psychologic morbidity after major trauma than men, independent of mechanism and injury severity.
Long-Term Outcomes after Lower Extremity Trauma
158 Citations1996J. Laurence Butcher, Ellen J. MacKenzie +6 more
Overall, outcomes after serious trauma are good when appropriate trauma and rehabilitation care are rendered, however, a minority of patients still report limitations at 30 months after injury, with one-fifth not returning to work.
Journal of Pediatric OrthopaedicsPediatric Femur Fractures: Effects of Spica Cast Treatment on Family and Community
133 Citations1995Hughes Bf, Paul D. Sponseller +1 more
Twenty-three consecutive children with isolated closed femur fractures treated with early spica casts were studied to determine the impact on family, school, and other support systems.
Diabetic MedicineThe Child Health Questionnaire in children with diabetes: cross‐sectional survey of parent and adolescent‐reported functional health status
130 Citations2000Melissa Wake, Kylie D. Hesketh +1 more
Health and Quality of Life OutcomesHealth related quality of life in 3 and 4 year old children and their parents: preliminary findings about a new questionnaire.
87 Citations2003Anne F. Klassen, Jeanne M. Landgraf +6 more
Archives of Physical Medicine and RehabilitationRecovery of injured children: parent perspectives on family needs
73 Citations2004Mary E. Aitken, Nancy Mele +1 more
American Journal of Respiratory and Critical Care MedicineUse of the Child Health Questionnaire in a Sample of Moderate and Low-Income Inner-City Children with Asthma
69 Citations2000Linda Asmussen, Lynn Olson +4 more
Tests of validity found CHQ scales better at distinguishing levels of disease severity as defined by symptom activity than medication use or pulmonary function tests, and some scales may be more salient than others in assessing health status of children at highest risk for asthma morbidity.
Trauma Patients with Multiple Extremity Injuries
68 Citations1998Ken T. Fern, J. Terry Smith +4 more
The study emphasizes the need for injury scoring systems that better predict the needs of patients with MEI and that will serve as a basis for equitable funding of trauma centers.
PEDIATRICSHealth Status of Children After Admission for Injury
67 Citations2002Mary E. Aitken, J. Mick Tilford +5 more
Significantly reduced scores in several domains of the CHQ highlight problem areas for injury patients, several of which persist through 6 months of follow-up, suggesting that improved management of these problems is required.
Child and Family Functioning 6 and 12 Months after a Serious Pediatric Fracture
57 Citations2001Terry Stancin, Astrīda S. Kaugars +5 more
Examination of child and family outcomes of pediatric traumatic fractures at 6 months and 1 year after injury found fracture stabilization that allows for greater ambulation may offer some benefits related to functional outcomes and family impact.
The Journal of Trauma: Injury, Infection, and Critical CareFUNCTIONAL LIMITATION AFTER MAJOR TRAUMA
56 Citations1994Troy L. Holbrook, David B. Hoyt +1 more
International Journal of CancerMutual concurrent validity of the Child Health Questionnaire and the Health Utilities Index: An exploratory analysis using survivors of childhood cancer
54 Citations1999Kathy N. Speechley, Elizabeth Maunsell +5 more
The CHQ and HUI, which are based on different methodologies (summative Likert scaling and utility analysis, respectively), appear to capture similar constructs in childhood cancer survivors.
Archives of Physical Medicine and RehabilitationFunctional outcome in children with multiple trauma without significant head injury
42 Citations1999Mary E. Aitken, Kenneth M. Jaffe +2 more
Functional dependence is present in a large proportion of injured children, even without significant head injury, and rehabilitation and other services may be underused in this population.
Journal of Pediatric SurgeryLong-term disability after trauma in children
38 Citations2000Saulius Valadka, Dan Poenaru +1 more
Half of injured children do have long-term sequelae, and their occurrence can be predicted from trauma scores, mechanism of injury, and number of regions injured.
The Journal of Trauma: Injury, Infection, and Critical CareThe Health-Related Quality of Life of Pediatric Traffic Victims
23 Citations2002Leontien M. Sturms, Corry K. van der Sluis +3 more
Children of low SES parents and severely injured children are at particularly high risk of a reduced HRQoL following a traffic accident, according to retrospective analysis of data obtained from a registration system and questionnaires completed by 211 parents of young traffic victims.
