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Paediatric Patients With Multiple Referrals and Complex Health Complaints Experienced Notable Functional Impairment.

Ragnhild B Lygre1,2,3, John Roger Andersen4,5, Rolf Gjestad2,6

  • 1Department of Clinical Medicine, University of Bergen, Bergen, Norway.

Acta Paediatrica (Oslo, Norway : 1992)
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Children with complex health issues often face significant functional impairment. This study highlights their reduced quality of life and high school absences, emphasizing the need for comprehensive assessments.

Keywords:
complex health complaintsfunctional impairmentinterdisciplinary interventionquality of lifeschool absences

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Area of Science:

  • Pediatric Health
  • Complex Health Conditions
  • Functional Impairment

Background:

  • Managing complex pediatric health complaints is challenging.
  • Cumulative functional impairment can be overlooked when conditions are treated individually.
  • This study focuses on functional impairment in children with combined somatic and mental health issues.

Purpose of the Study:

  • To examine functional impairment in pediatric patients with complex somatic and mental health complaints.
  • To assess health-related quality of life and school absences in this population.
  • To identify factors associated with functional impairment.

Main Methods:

  • An open-label trial involving 71 pediatric patients (aged 6-16) with multiple hospital referrals.
  • Data collected between January 2020 and July 2023.
  • Parents completed the KIDSCREEN-27 tool for health-related quality of life and a school absence questionnaire.

Main Results:

  • Patients reported significantly lower health-related quality of life compared to European norms.
  • High rates of school absenteeism were observed, with 52% missing school weekly.
  • Lower quality of life correlated with increased school absences; older age was linked to poorer school environment scores.

Conclusions:

  • Pediatric patients with multiple referrals and complex health issues experience considerable functional impairment.
  • Holistic assessments are crucial for addressing both the health complaints and functional deficits.
  • Early identification and intervention can improve outcomes for these vulnerable children.