Erin A Brown1, Justin Kenardy2, Bronwyn Chandler2, Vicki Anderson3, Lynne McKinlay4, Robyne Le Brocque2. 1. Centre of National Research on Disability and Rehabilitation Medicine, The University of Queensland, e.brown5@uq.edu.au. 2. Centre of National Research on Disability and Rehabilitation Medicine, The University of Queensland. 3. Murdoch Children's Research Institute, Royal Children's Hospital, and. 4. Queensland Paediatric Rehabilitation Service, Royal Children's Hospital.
Abstract
OBJECTIVE: To identify which specific aspects of health-related quality of life (HRQL) are affected by traumatic brain injury (TBI) injury severity (Severity), time since injury (Time), and the interaction between Severity and Time, in a pediatric sample. It was hypothesized that Severity would decrease HRQL, Time would increase HRQL, and time to recover would be protracted for children with severe TBI. METHODS: This study followed a pediatric sample (n = 182, aged 6-14 years, recruited through three Australian hospitals) who sustained a mild or moderate-severe TBI across 3, 6, 12, and 18 months post-TBI. 12 specific HRQL outcomes were assessed via the Child Health Questionnaire-Parent Form 50 questionnaire. RESULTS: Dimensions of HRQL were differentially affected. Children with moderate-severe TBI generally experienced greater initial dysfunction than children with mild TBI; however, this difference disappeared by 18 months post-TBI. CONCLUSIONS: Specific time points where HRQL outcomes may remediate are identified, and clinical recommendations regarding intervention strategies are discussed.
OBJECTIVE: To identify which specific aspects of health-related quality of life (HRQL) are affected by traumatic brain injury (TBI) injury severity (Severity), time since injury (Time), and the interaction between Severity and Time, in a pediatric sample. It was hypothesized that Severity would decrease HRQL, Time would increase HRQL, and time to recover would be protracted for children with severe TBI. METHODS: This study followed a pediatric sample (n = 182, aged 6-14 years, recruited through three Australian hospitals) who sustained a mild or moderate-severe TBI across 3, 6, 12, and 18 months post-TBI. 12 specific HRQL outcomes were assessed via the Child Health Questionnaire-Parent Form 50 questionnaire. RESULTS: Dimensions of HRQL were differentially affected. Children with moderate-severe TBI generally experienced greater initial dysfunction than children with mild TBI; however, this difference disappeared by 18 months post-TBI. CONCLUSIONS: Specific time points where HRQL outcomes may remediate are identified, and clinical recommendations regarding intervention strategies are discussed.
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