Temporary Impairment in HRQOL After Teen Sports Concussion
THURSDAY, Jan. 17, 2019 -- Adolescent sports-related concussion (SRC) is associated with temporary impairments in health-related quality of life (HRQOL), according to a study published online Jan. 15 in the Journal of Neurosurgery: Pediatrics.
Kelly Russell, Ph.D., from the University of Manitoba in Winnipeg, Canada, and colleagues conducted a prospective cohort study of adolescents (age 13 to 18 years) with acute SRC (135 patients) or a sports-related extremity fracture (SREF; 96 patients) who underwent clinical assessment and follow-up at specialty clinics. Using the adolescent version of the Pediatric Quality of Life Inventory Generic Core Scale and Cognitive Functioning Scale, HRQOL was measured at the time of initial assessment and at each follow-up appointment.
The researchers found that compared with SREF patients, SRC patients demonstrated significantly worse cognitive HRQOL and clinically meaningful impairments in school and overall HRQOL at the initial assessment. Among SRC patients, the clinical variables associated with a worse HRQOL differed by domain but were significantly affected by patients' initial symptom burden and development of delayed physician-documented clinical recovery. Among SRC patients who were followed up until physician-documented clinical recovery, there were no persistent improvements in HRQOL.
"Adolescents who report lower health-related QOL after their concussion will likely take longer to recover," Russell said in a statement. "Even though adolescents can experience temporary impairments in health-related QOL after a sport-related concussion or fracture, these deficits generally do not persist past clinical recovery."
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Posted: January 2019