In a new article in the Journal of Neurosurgery: Pediatrics by Kelly Russell, PhD, Erin Selci, BSc, Brian Black, MD, FRCSC, and Michael J. Ellis, MD, FRCSC, the authors define health-related QOL as "the 'hidden morbidity' or more subtle consequences of medical conditions or injuries on patient functioning that may not be captured by more traditional clinical outcome measures." These researchers from Winnipeg conducted a prospective study of health-related QOL in young athletes who experienced a sports-related concussion or sports-related extremity fracture. The aim was twofold: 1) compare the effects of these sports-related concussions and extremity fractures on health-related QOL in adolescents during the recovery period and 2) identify what clinical variables are associated with worse QOL in adolescent patients with sports-related concussion.
In general, the study period extended from the date of the initial clinical assessment until physician-verified clinical recovery -- a median of 26 days in the 135 patients with a concussion (60% male, mean age 14.7 years) and a median of 31 days in the 96 patients with a fractured extremity (59% male, mean age 14.1 years). Only three patients with a concussion did not attain verified clinical recovery during the study period.
Time - Assessment - Patients - Concussion - Rate
At the time of the first clinical assessment, patients with a concussion were asked to rate their symptoms on a standard questionnaire (Post-Concussion Symptom Scale).
To evaluate all of the patients' health-related QOL, the researchers relied on patient responses to self-assessment questionnaires covering cognitive functioning (Pediatric Quality of Life Inventory [PedsQL] Cognitive Functioning Scale) as well as physical, emotional, social, and school functioning, and also overall QOL (PedsQL Generic Core Scale). The...
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