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.

Insights

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.

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.
Abstract

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