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Adolescent optimism - Coping well after severe injury: A qualitative study
Amund Hovengen Ringen1, Rachel Joergensen2, Torben Wisborg3
1Department of Research & Development, Division of Emergencies and Critical Care, Oslo University Hospital, Oslo, , P.O.box 4956 Nydalen, 0424 Oslo, Norway; Institute of Clinical Medicine, Faculty of Medicine, University of Oslo, P.O.box 1078 Blindern 0316 Oslo, Norway.
Injury
|March 31, 2025
Summary
Most adolescents with moderate to severe injuries, excluding traumatic brain injury (TBI), cope well six months post-discharge. While some experience fatigue, social support and activities aid recovery, though structured follow-up is desired.
Area of Science:
- Pediatric trauma care
- Adolescent health outcomes
- Quality of Life (QoL) research
Background:
- Trauma is a leading global cause of childhood death and disability.
- Severe traumatic brain injury (TBI) impacts pediatric quality of life (QoL).
- Limited data exists on QoL in children without TBI post-injury.
Purpose of the Study:
- To investigate QoL in adolescents six months after discharge following moderate to severe trauma, excluding TBI.
- To identify factors influencing recovery and challenges faced by this population.
Main Methods:
- Study included 18 adolescents (13-17 years) admitted to a Scandinavian trauma center.
- Exclusion criteria: moderate to severe head injuries (AIS > 2).
- Interviews conducted 6-9 months post-discharge to assess QoL.
Main Results:
- Majority of participants reported coping well post-injury.
- Minority experienced fatigue and difficulty keeping up with daily activities.
- Most were unconcerned about long-term consequences and used few painkillers.
Conclusions:
- Most severely injured adolescents, without TBI, demonstrate good QoL post-discharge.
- Strong social relationships and engagement in school/activities are crucial for recovery.
- Fatigue and challenges were manageable, but structured post-discharge follow-up was desired.
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