TY - JOUR
T1 - The health-related quality of life of children with an extremity fracture
T2 - A one-year follow-up study
AU - Ding, Ru
AU - McCarthy, Melissa L.
AU - Houseknecht, Eileen
AU - Ziegfeld, Susan
AU - Knight, Vinita Misra
AU - Korehbandi, Patricia
AU - Parnell, Donna
AU - Klotz, Patricia
AU - McCarthy, Melissa
AU - MacKenzie, Ellen
AU - Durbin, Dennis
AU - Paidas, Charles
AU - Aitken, Mary
AU - Jaffe, Kenneth M.
AU - Slomine, Beth
AU - Dorsch, Andrea
AU - Christensen, James R
AU - Berk, Ronald
AU - Houseknecht, Eileen
AU - Ziegfeld, Susan
AU - Knight, Vinita Misra
AU - Korehbandi, Patricia
AU - Parnell, Donna
AU - Klotz, Pat
PY - 2006/3
Y1 - 2006/3
N2 - PURPOSE: To document the health-related quality of life (HRQOL) of children with an extremity fracture at 3 and 12 months postinjury and to determine whether it varies significantly by fracture region and site. METHODS: Children hospitalized for an extremity fracture at 4 pediatric trauma centers were studied. A baseline, 3-month, and 12-month telephone interview were completed by a primary caregiver to measure the child's HRQOL using the Pediatric Quality of Life Inventory (PedsQL). HRQOL was modeled as a function of injury, patient, and family characteristics using a longitudinal regression model. RESULT: Of the 100 children enrolled, 52 sustained a lower extremity fracture (LEF) and 48 an upper extremity fracture (UEF). Postinjury HRQOL scores were significantly poorer than preinjury scores for all subjects (P = 0.05). In addition, a significant proportion of subjects reported impaired physical and psychosocial HRQOL at 3 (44% and 46%, respectively) and 12 months (23% and 33%, respectively) postinjury. At 3 months postinjury, children with an LEF had significantly poorer HRQOL outcomes compared to children with a UEF. By 12 months postinjury, the physical function of children with a tibia and/or fibula fracture remained significantly lower than children with a UEF (P ≤ 0.05). CONCLUSIONS: Children hospitalized for an extremity fracture suffered dramatic declines in physical and psychosocial well-being during the first 3 months postinjury. By 1 year postinjury, most children recovered; however, children with a tibia and/or fibula fracture still reported significantly poorer physical functioning.
AB - PURPOSE: To document the health-related quality of life (HRQOL) of children with an extremity fracture at 3 and 12 months postinjury and to determine whether it varies significantly by fracture region and site. METHODS: Children hospitalized for an extremity fracture at 4 pediatric trauma centers were studied. A baseline, 3-month, and 12-month telephone interview were completed by a primary caregiver to measure the child's HRQOL using the Pediatric Quality of Life Inventory (PedsQL). HRQOL was modeled as a function of injury, patient, and family characteristics using a longitudinal regression model. RESULT: Of the 100 children enrolled, 52 sustained a lower extremity fracture (LEF) and 48 an upper extremity fracture (UEF). Postinjury HRQOL scores were significantly poorer than preinjury scores for all subjects (P = 0.05). In addition, a significant proportion of subjects reported impaired physical and psychosocial HRQOL at 3 (44% and 46%, respectively) and 12 months (23% and 33%, respectively) postinjury. At 3 months postinjury, children with an LEF had significantly poorer HRQOL outcomes compared to children with a UEF. By 12 months postinjury, the physical function of children with a tibia and/or fibula fracture remained significantly lower than children with a UEF (P ≤ 0.05). CONCLUSIONS: Children hospitalized for an extremity fracture suffered dramatic declines in physical and psychosocial well-being during the first 3 months postinjury. By 1 year postinjury, most children recovered; however, children with a tibia and/or fibula fracture still reported significantly poorer physical functioning.
KW - Extremity fracture
KW - Health-related quality of life
KW - PedsQL
UR - http://www.scopus.com/inward/record.url?scp=33645942082&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=33645942082&partnerID=8YFLogxK
U2 - 10.1097/01.bpo.0000218521.98244.7e
DO - 10.1097/01.bpo.0000218521.98244.7e
M3 - Article
C2 - 16557127
AN - SCOPUS:33645942082
SN - 0271-6798
VL - 26
SP - 157
EP - 163
JO - Journal of Pediatric Orthopaedics
JF - Journal of Pediatric Orthopaedics
IS - 2
ER -