Quality of Life and Functional Outcome after Pediatric Trauma

Winthrop, Andrea; Brasel, Karen J.; Stahovic, Linda; Paulson, Justin; Schneeberger, Benjamin; Kuhn, Evelyn M.

doi:10.1097/01.ta.0000153940.23471.b7

Cited by 94 publications

(40 citation statements)

References 20 publications

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“…In general, Aitken et al (2002) found that fewer CHQ-PF50 subscales were significantly lower than population norms at the 6-month follow-up point than at discharge or 1 month after injury, although additional deficits remained in the areas of role/social-emotional functioning and behavior. In the Winthrop et al (2005) study, younger children, ages 1 to 4 years, showed significant improvement in the physical ability subscale of the CHQ-IT between 1 and 6 months after injury but not in the behavior overall or change in health subscales. Of note, no available norms for this measure existed at the time of study, so it was not possible to conclude that deficits existed.…”

Section: Resultsmentioning

confidence: 86%

“…Studies utilizing the CHQ summary scales suggest ongoing physical deficits 6 months after injury (Aitken et al 2002; Schweer et al 2006; Winthrop et al 2005) and improvement in psychosocial functioning between 1 and 6 months in two of the three studies (Aitken et al 2002; Winthrop et al 2005). Regarding CHQ subscale findings, some improvement was seen over time, but deficits remained in all studies whether 1 month (Aitken et al 2002; Schweer et al 2006), 6 months (Aitken et al 2002; Schweer et al 2006), 1 year (Zatzick et al 2008b) or 1.5 years (Davey et al 2005) after injury.…”

Section: Resultsmentioning

confidence: 93%

“…Twelve of the reviewed studies investigated domain or subscale scores (Aitken et al 2002; Davey et al 2005; Janssens et al 2009; Landolt et al 2009b; Schweer et al 2006; Soori and Abachizadeh 2008; Sturms et al 2002, 2003, 2005; Vollrath and Landolt 2005; Winthrop et al 2005; Zatzick et al 2008b). All but the one study conducted 6 to 8 years after injury (Janssens et al 2009) reported deficits at their initial evaluation.…”

Section: Resultsmentioning

confidence: 99%

“…All but the one study conducted 6 to 8 years after injury (Janssens et al 2009) reported deficits at their initial evaluation. In studies using a version of the CHQ, all found significant HRQOL deficits on the PHS and the PSS 1 month after injury (Aitken et al 2002; Schweer et al 2006; Winthrop et al 2005). PHS deficits remained in all three studies 6 months after injury, whereas PSS deficits were detected in only one study at this time point (Schweer et al 2006).…”

Section: Resultsmentioning

confidence: 99%

“…Aitken et al (2002) described their sample as 81% white, 17% black and 2% other races. Winthrop et al (2005) reported a sample of 85% white, 11% black and 4% other participants, while Holbrook et al (2007) described their sample as 53% white, 34% Hispanic and 13% other. Davey et al (2005) noted their sample contained 3% Aboriginal particpants, and Zatzick et al (2008b) reported their sample to be 73% white.…”

Section: Methodsmentioning

confidence: 99%

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Health-Related Quality of Life in Children and Adolescents Following Traumatic Injury: A Review

Martin-Herz

Zatzick

McMahon

2012

Clin Child Fam Psychol Rev

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This paper comprehensively reviews the published literature investigating HRQOL following general traumatic injury in individuals between birth and 18 years. Studies were not considered if they primarily compared medical treatment options, evaluated physical function but not other aspects of HRQOL, or focused on non-traumatic wounds. Specific injury types (e.g., burn injury) were also not included. A total of 16 studies met criteria. Participants were age 1 to 18 years, with 12 studies considering children 5 years of age or older. Males were overrepresented. Injury severity averaged mostly in the moderate range. HRQOL deficits were noted in injured samples in all studies except the two with the longest time to follow-up (6-11 years). Some improvement was seen 6 months to 2 years after injury. Factors associated with HRQOL deficits were investigated, with acute and posttraumatic stress symptoms showing the strongest relationship. Research to date in this area is impressive, particularly the number of studies using prospective longitudinal investigations and validated measures. Challenges remain regarding methodologic differences, assessment of preinjury status, retention of participants and management of missing data. Suggested future directions include extension of follow-up duration, utilization of pediatric self-report when possible, inclusion of younger children, and development of intervention programs.

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Section: Resultsmentioning

confidence: 86%

Section: Resultsmentioning

confidence: 93%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

See 3 more Smart Citations

Health-Related Quality of Life in Children and Adolescents Following Traumatic Injury: A Review

Martin-Herz

Zatzick

McMahon

2012

Clin Child Fam Psychol Rev

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Factors Associated With Hospital Length of Stay and Hospital Charges of Motor Vehicle Crash–Related Hospitalizations Among Children in the United States

Gardner

Smith²,

Chany³

et al. 2007

Arch Pediatr Adolesc Med

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Objectives: To calculate national estimates of motor vehicle crash (MVC)-related hospitalization and associated use of health care resources among patients 20 years and younger and to explore the effects of certain sociodemographic and health care system-related factors and injury severity on use of hospital resources and lengths of stay (LOSs) in the United States. Main Outcome Measures: National estimates of MVCassociated hospitalizations, rates, resource use, Injury Severity Scores, and demographics were calculated. Potentially significant covariate associations were studied using hospital charges and LOS.Results: Sixty-two thousand eight hundred eighty MVC-related hospitalizations occurred among patients 20 years and younger in the United States in 2003, resulting in more than $2.0 billion (SD=$1.2 million) in inpatient charges and 304 196 days (SD=55 113 days) of hospitalization. Mean (SD) hospital charges and LOS were $33 440 ($55 113) and 4.8 (7.7) days, respectively. The mean (SD) Injury Severity Score was 10.3 (11.4). Adolescents aged 18 through 20 years had the highest hospitalization rates (197 cases per 100 000 children). Older age, being male, urban hospital location, mortality during hospitalization, higher injury severity, and longer LOS were significantly associated with higher total charges. Longer LOS was significantly associated with older age, urban hospital location, higher injury severity, and mortality. Conclusion:Motor vehicle crash-related injuries among children burden health care resources, with nationwide charges exceeding $2 billion annually.Arch Pediatr Adolesc Med. 2007;161(9):889-895

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