Health-Related Quality of Life in Non-Concussed Children: A Normative Study to Inform Concussion Management

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

“…The lack of association between age and QoL findings is similar to studies of normative QoL outcomes in children aged 8 to 12 years that did not find differences in QoL between ages. 23 It is important to note that although our age range of included patients was between 8 to 18 years, our patient sample was relatively homogenous and closely centered around age 15 years. This lack of variability may have prevented the identification of any potential associations between QoL and age.…”

“…Premorbid conditions have also been implicated as risk factors for PPCS and lower QoL after injury. A previous concussion has been associated with lower preseason QoL, [21][22][23]35 for overall QoL and physical, social, and emotional domain scores. 27 By contrast, the current findings suggest that a previous concussion is not associated with QoL reports after concussion.…”

“…Among healthy adolescents, those with a history of headaches or diagnosed ADHD reported lower overall QoL than peers. 23 In addition to personal factors, injury-related factors can also be important in identifying the risk of persisting symptoms. The literature suggests patients who delay reporting or who present later to concussion specialty care are more likely to have persistent symptoms and an associated delayed recovery compared with those who immediately report or present to specialty care within the first week after injury, potentially having a great impact on female patients.…”

“…A number of factors, including sex, 20 previous concussion, 21,22 and mental health history, 23 have been associated with lower QoL, either during preseason or compared with other patient groups after injury or illness. However, the influence of various factors on QoL after concussion has not been investigated in a prospective, multisite investigation.…”

Persistent postconcussive symptoms in children and adolescents with mild traumatic brain injury receiving initial head computed tomography

“…26 A further analysis investigating the association between HRQOL and postconcussive symptoms in 1722 nonconcussed children aged 8-12 years identified a negative correlation between good HRQOL and postconcussion symptoms that were experienced by the noninjured children due to daily stressors. 27 Similarly, by evaluating long-term HRQOL 2.7 years after concussion in young mTBI patients aged 8-18 years, it could be shown that children's premorbid attention and mood are relevant for outcome and need to be assessed in clinical settings to prevent and treat long-term psychosocial postconcussion problems. 28 In our study, adolescent and pediatric patients with PCS had significantly lower QOLIBRI total scores, indicating lower or even unsatisfactory HRQOL compared with young patients without PCS.…”