دورية أكاديمية
أعرض في EDS

Influence of Personal and Injury-Related Factors Predicting Deficits in Quality of Life Domains Among Pediatric Athletes: Findings From the Sport Concussion Outcomes in Pediatrics Study.

التفاصيل البيبلوغرافية
العنوان: Influence of Personal and Injury-Related Factors Predicting Deficits in Quality of Life Domains Among Pediatric Athletes: Findings From the Sport Concussion Outcomes in Pediatrics Study.
المؤلفون: Valovich McLeod TC; A.T. Still University, Mesa, AZ., Snedden T; University of Wisconsin, Madison, WI., Halstead M; Washington University, St. Louis, MO, USA., Wilson J; Children's Hospital of Colorado, University of Colorado School of Medicine, Aurora, CO, USA., Master C; Children's Hospital of Philadelphia, Philadelphia, PA, USA., Grady M; Children's Hospital of Philadelphia, Philadelphia, PA, USA., Fazekas M; Joe DiMaggio Children's Hospital, Hollywood, FL, USA., Santana J; Texas Children's Hospital, Houston, TX, USA., Zaslow T; Cedars-Sinai Kerlan Jobe Institute, Los Angeles, CA, USA., Miller S; Scottish Rite for Children, Dallas, TX, USA; and., Coel R; Kapi'olani Medical Center for Women and Children, Honolulu, HI., Howell DR; Children's Hospital of Colorado, University of Colorado School of Medicine, Aurora, CO, USA.
مؤلفون مشاركون: PRiSM Concussion Research Interest Group
المصدر: Clinical journal of sport medicine : official journal of the Canadian Academy of Sport Medicine [Clin J Sport Med] 2023 Sep 01; Vol. 33 (5), pp. 489-496. Date of Electronic Publication: 2023 Mar 01.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Wolters Kluwer Health, Inc Country of Publication: United States NLM ID: 9103300 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1536-3724 (Electronic) Linking ISSN: 1050642X NLM ISO Abbreviation: Clin J Sport Med Subsets: MEDLINE
أسماء مطبوعة: Publication: <2015- > : Philadelphia, PA : Wolters Kluwer Health, Inc.
Original Publication: New York, NY : Raven Press, c1991-
مواضيع طبية MeSH: Athletic Injuries*/complications , Athletic Injuries*/diagnosis , Brain Concussion*/complications , Brain Concussion*/diagnosis , Post-Concussion Syndrome*/diagnosis , Post-Concussion Syndrome*/complications , Sports* , Migraine Disorders*/complications, Humans ; Child ; Female ; Male ; Quality of Life ; Prospective Studies ; Athletes ; Amnesia ; Unconsciousness ; Pain
مستخلص: Objective: To examine patient and injury factors that may predict quality of life (QoL) and symptom duration after concussion.
Design: Prospective, longitudinal.
Settings: Six children's hospital-based medical centers and 9 secondary school athletic training facilities.
Patients: Pediatric patients (8-18 years) were enrolled as part of the Sport Concussion Outcomes in Pediatrics (SCOPE) study during their initial visit for a diagnosis of sport-related concussion.
Interventions: Patients completed a medical history, the Postconcussion Symptom Inventory (PCSI), and Patient-Reported Outcomes Measurement Information System Pediatric Profile-25 (PROMIS-PP).
Main Outcome Measures: Eight predictor variables [age, sex, assessment time, loss of consciousness, amnesia and history of concussion, migraines, or attention-deficit hyperactivity disorder or (ADHD)] were assessed using regression models constructed for each dependent variable.
Results: A total of 244 patients (15.1 ± 2.1 years, 41% female) were enrolled (mean = 5 ± 3 days after concussion; range = 1-14 days). Female sex, later initial assessment, and presence of amnesia were associated with lower QoL scores on several domains, whereas loss of consciousness was associated with higher QoL for fatigue. A history of migraines was associated with lower peer relationship QoL. Patients who subsequently developed persisting symptoms had lower mobility scores and higher anxiety, depressive symptom, fatigue, and pain interference scores.
Conclusions: Female sex, later clinic presentation, and amnesia were associated with a lower QoL related to mobility, anxiety, depressive symptoms, fatigue, and pain interference. Interestingly, previous concussion and preinjury ADHD diagnosis did not negatively impact postinjury QoL at the initial visit. Future studies should assess the influence of these factors on QoL at later postinjury time points using a concussion-specific outcomes instrument.
Competing Interests: The authors report no conflicts of interest.
(Copyright © 2023 Wolters Kluwer Health, Inc. All rights reserved.)
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تواريخ الأحداث: Date Created: 20230301 Date Completed: 20231023 Latest Revision: 20231025
رمز التحديث: 20240628
DOI: 10.1097/JSM.0000000000001140
PMID: 36858431
قاعدة البيانات: MEDLINE
الوصف
تدمد:1536-3724
DOI:10.1097/JSM.0000000000001140