儿童和青少年生活质量差异 儿童和青少年有0,1到2,或3+持续的脑震荡后症状
Madison C Chandler1,2, Josh Bloom3, Janna Fonseca3
1Matthew Gfeller Center, Department of Exercise & Sport Science.
Journal of athletic training
|June 22, 2023
概括
患有持续性脑震荡后症状 (PPCS) 的儿童和青少年的生活质量下降. 即使是1-2个症状也会显著影响与健康相关的生活质量 (HRQoL),并增加疲劳,这强调了早期干预的必要性.
科学领域:
- 儿科神经学 儿科神经学
- 运动医学运动医学
- 康复科学是康复的科学.
背景情况:
- 持续的脑震荡后症状 (PPCS) 对儿科患者的健康相关生活质量 (HRQoL) 有负面影响.
- 通常,PPCS是由3个或更多的症状定义的,但更少的症状也会影响HRQoL.
研究的目的:
- 在脑震荡后一个月,根据父母报告的持续症状数量 (0,1-2或3+) 来比较儿童和青少年的HRQoL.
主要方法:
- 一项前性队列研究涉及236名被诊断患有脑震荡的8至18岁的个人.
- 使用Rivermead脑震荡后症状问卷 (RPQ) 收集了父母关于持续症状 (0,1-2,3+) 的报告.
- 与健康相关的生活质量 (HRQoL) 和疲劳使用儿科生活质量库存 (PedsQL) 和多维疲劳量表 (MDFS) 进行了评估.
主要成果:
- 在所有症状组中发现了PedsQL HRQoL和MDFS总得分的显著差异 (P < .001).
- 与没有症状的人 (HRQoL 93.5,疲劳92.4) 相比,患有1-2症状的人报告HRQoL更低 (中位数84.8) 和疲劳更高 (中位数78.5).
- 那些有3+症状的人表现出最低的HRQoL (中位数为70.7) 和最高的疲劳 (中位数为54.2).
结论:
- 即使是一到两个持续的脑震荡后症状也与儿童和青少年的HRQoL降低和疲劳增加有关.
- HRQoL降低和疲劳的严重程度与持续症状的数量相关.
- 干预对于预防和管理PPCS至关重要,以改善儿科脑震荡患者的治疗结果.
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