Megan N Houston1, R Curtis Bay2, Tamara C Valovich McLeod2,3. 1. a John A. Feagin Jr. Sports Medicine Fellowship , Keller Army Hospital , West Point , NY , USA. 2. b Department of Interdisciplinary Health Sciences. 3. c School of Osteopathic Medicine , A.T. Still University , Mesa , AZ , USA.
Abstract
BACKGROUND: Little is known about the relationship between post-concussion impairments and health-related quality-of-life (HRQoL). The primary purpose of this study was to determine the relationship between traditional concussion assessments and HRQoL in adolescent athletes post-concussion. The secondary purpose was to determine the association between HRQoL deficits and time lost. METHODS: In total, 1134 athletes completed a baseline assessment battery. HRQoL measures included the Pediatric Quality of Life Inventory (PedsQL), Multidimensional Fatigue Scale (MFS) and Headache Impact Test-6. In total, 122 athletes sustained a concussion and underwent follow-up testing at 3 and 10 days post-injury. RESULTS: The strongest relationships were between symptom severity and HRQoL. For concurrent regression analyses at Day 3, PedsQL-Physical accounted for 17.9% of the variance in time lost beyond that accounted for by traditional measures. At Day 10, PedsQL-School accounted for 15.2% and symptom severity for 7.1% of this variance. In predictive analyses, at Day 3, PedsQL-Physical accounted for 3.9% and MFS-General for 3.3% of the variance in time lost beyond that accounted for by traditional measures. At Day 10, MFS-Cognitive accounted for 12.0% of this variance. CONCLUSIONS: HRQoL appears to play a role in time lost post-concussion and should be measured in combination with traditional concussion assessments.
BACKGROUND: Little is known about the relationship between post-concussion impairments and health-related quality-of-life (HRQoL). The primary purpose of this study was to determine the relationship between traditional concussion assessments and HRQoL in adolescent athletes post-concussion. The secondary purpose was to determine the association between HRQoL deficits and time lost. METHODS: In total, 1134 athletes completed a baseline assessment battery. HRQoL measures included the Pediatric Quality of Life Inventory (PedsQL), Multidimensional Fatigue Scale (MFS) and Headache Impact Test-6. In total, 122 athletes sustained a concussion and underwent follow-up testing at 3 and 10 days post-injury. RESULTS: The strongest relationships were between symptom severity and HRQoL. For concurrent regression analyses at Day 3, PedsQL-Physical accounted for 17.9% of the variance in time lost beyond that accounted for by traditional measures. At Day 10, PedsQL-School accounted for 15.2% and symptom severity for 7.1% of this variance. In predictive analyses, at Day 3, PedsQL-Physical accounted for 3.9% and MFS-General for 3.3% of the variance in time lost beyond that accounted for by traditional measures. At Day 10, MFS-Cognitive accounted for 12.0% of this variance. CONCLUSIONS: HRQoL appears to play a role in time lost post-concussion and should be measured in combination with traditional concussion assessments.
Authors: John J Leddy; Mohammad N Haider; Michael J Ellis; Rebekah Mannix; Scott R Darling; Michael S Freitas; Heidi N Suffoletto; Jeff Leiter; Dean M Cordingley; Barry Willer Journal: JAMA Pediatr Date: 2019-04-01 Impact factor: 16.193
Authors: Ashleigh M Johnson; Carolyn A McCarty; Lyscha A Marcynyszyn; Douglas F Zatzick; Sara Pd Chrisman; Frederick P Rivara Journal: Brain Inj Date: 2021-03-18 Impact factor: 2.311