%0 Journal Article
%T Caregiver reported long-term outcomes in children with major trauma and traumatic brain injuries: A single-centre retrospective study.
%A Koh JSK
%A Ng ZM
%A Feng JXY
%A Badron J
%A Chiang LW
%A Ang ASY
%A Chong SL
%J Ann Acad Med Singap
%V 53
%N 1
%D 2024 Jan 30
%M 38920211
%F 8.713
%R 10.47102/annals-acadmedsg.202387
%X <B>UNASSIGNED: </B>We aim to investigate the functional outcomes and long-term health-related quality of life (HRQOL) in children with major trauma associated with traumatic brain injury (TBI).<BR><B>UNASSIGNED: </B>We performed a retrospective review of records among patients >2 and ≤16 years old in a tertiary paediatric hospital between January 2014 and October 2019 with major trauma (Injury Severity Score of ≥16) and TBI of all severities. We recorded each child's Glasgow Outcome Scale-Extended Pediatric Version (GOS-E Peds) at 12 months post-injury and Pediatric Quality of Life Inventory (PedsQL) scores at 6 and 12 months post-injury based on the parent proxy-report scales.<BR><B>UNASSIGNED: </B>We included 53 patients with a median age of 9.0 years old (interquartile range 2.3-15.5). Most injuries were due to falls (30, 56.6%) or road traffic collisions (15, 28.3%); 41 patients (77.3%) required intensive care while 30 patients (56.6%) underwent neurosurgical intervention. Most patients (43, 81.1%) had GOS-E Peds scores of ≤2 at 12 months post-injury. We reported a significant mean difference between the 6- and 12-month parent-reported scores for physical functioning (6.6, 95% confidence interval [CI] 0.3-12.8, P=0.041), psychosocial functioning (4.1, 95% CI 1.0-7.2, P=0.012) and overall scores (5.0, 95% CI 1.4-8.7, P=0.008). Compared with the validated PedsQL scores, our mean scores were higher across all domains at 12 months.<BR><B>UNASSIGNED: </B>With current standard of care, parents of children with major trauma and TBI reported gains in quality of life, physical, psychosocial and overall function between 6 and 12 months post-injury.