RT Journal Article
SR Electronic
T1 Longitudinal changes in health-related quality of life during concussion recovery among youth athletes
JF British Journal of Sports Medicine
JO Br J Sports Med
FD BMJ Publishing Group Ltd and British Association of Sport and Exercise Medicine
SP A18
OP A18
DO 10.1136/bjsports-2016-097270.44
VO 51
IS 11
A1 Kelly Russell
A1 Erin Selci
A1 Samuel Fineblit
A1 Michael Ellis
YR 2017
UL http://bjsm.bmj.com/content/51/11/A18.1.abstract
AB Objective Determine longitudinal changes in health-related quality of life (HRQoL) in youth during recovery from a sport-related concussion.Design Prospective case-series.Participants 68 youth (13–18 years; 62% male) with an acute sport-related concussion were enrolled with 5 lost to follow-up.Intervention (or assessment of risk factors) Subsequently developing Post-Concussion Syndrome (PCS: symptomatic after 30 days), initial symptom severity (Post Concussion Symptom Scale), concussion history, sex, age, and academic accommodations during recovery.Outcome measures PedsQL Cognitive Functioning Scale and PedsQL 4.0 measured physical, social, and emotional domains of HRQoL. They were administered before each appointment until medical clearance. Multivariable mixed modelling accounted for repeated measures within an athlete and expressed as point increase per week. Main results Initial mean HRQoL was highest for social (non-PCS: 92.7 out of 100; PCS: 86.3), followed by emotional (non-PCS: 86.45; PCS: 69.7), physical (non-PCS: 80.95; PCS: 49.2), and cognitive domains (non-PCS: 69.1; PCS: 50.3). There was effect modification by developing PCS. Changes in HRQoL subscores were: cognitive functioning non-PCS (+9.8 points [95% CI: 6.9, 12.7]) and PCS (+4.2 points [95% CI: 2.8, 5.6]); social HRQoL non-PCS (+2.3 points [1.0, 4.0]) and PCS (+0.5 points [0.1, 1.0); emotional HRQoL non-PCS (+5.0 points [95% CI: 2.9, 7.0]) and PCS points (+2.2 [1.6, 2.9]); and physical non-PCS (+6.3 points [95% CI: [3.5, 9.2]) and PCS (+3.3 points (95% CI: 2.5, 4.2).Conclusions HRQoL significantly improved longitudinally with greater improvement among non-PCS athletes. HRQoL impairment was most apparent in the cognitive and physical domains.Competing interests None.