Health-Related Quality of Life in Pediatric Minor Injury

Details

• Alternative Title:
  Arch Pediatr Adolesc Med
• Personal Author:
  Stevens, Martha W. ; Hainsworth, Keri R. ; Weisman, Steven J. ; Layde, Peter M.
• Description:
  Objective ; To evaluate the feasibility, reliability, validity, and responsiveness of the Pediatric Quality of Life Inventory 4.0 Generic Core Scales (PedsQL) in the first 2 weeks after pediatric emergency department care of minor injury. ; Design ; Prospective cohort study. ; Setting ; Pediatric hospital emergency department. ; Participants ; Children and adolescents with minor injury (n = 334). ; Main Outcome Measures ; Child- and parent-reported clinical outcomes and PedsQL scale scores. ; Results ; The PedsQL had good to excellent internal consistency reliability (α range, 0.73–0.93). For each day that the clinical symptoms persisted, there were consistent decreases in mean health-related quality of life (HRQOL) scores (validity testing). There were significantly greater negative changes in mean HRQOL scores for fractures vs soft-tissue injuries and for lower vs upper extremity injuries. Clinical outcomes categorized as poor had large negative changes in HRQOL not seen in good outcome groups. Distribution-based indicators of change supported good responsiveness (effect sizes for the physical summary score, 0.01–2.44; group differences at follow-up exceeded estimates of the minimal importance difference). ; Conclusions ; The PedsQL is feasible, reliable, and demonstrates good construct and discriminant validity and responsiveness in measuring short-term outcome after minor injury care in the pediatric emergency department. Assessing short-term outcome from the patient perspective with HRQOL measures may greatly enhance our ability to evaluate the effectiveness of emergency department care.
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• Subjects:
  • Adolescent
  • Child
  • Child, Preschool
  • Emergency Service, Hospital
  • Feasibility Studies
  • Female
  • Humans
  • Male
  • Prospective Studies
  • Quality of Life
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• Source:
  Arch Pediatr Adolesc Med. 2012; 166(1):74-81
• Pubmed ID:
  22213754
• Pubmed Central ID:
  PMC3714102
• Document Type:
  Journal Article
• Funding:
  K23 HD051809/HD/NICHD NIH HHSUnited States/ ; UL1 RR031973/RR/NCRR NIH HHSUnited States/ ; 323R49/CE00175/CE/NCIPC CDC HHSUnited States/ ; UL1RR031973/RR/NCRR NIH HHSUnited States/
• Volume:
  166
• Issue:
  1
• Download URL:
  https://stacks.cdc.gov/view/cdc/33599/cdc_33599_DS1.pdf
• File Type:
  [PDF - 317.72 KB]
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:d738f4f3e722e2bfe5fb8611f22d97dd3737f8c84b56010a5bdb07a6b31a464c