The health-related quality of life of children with an extremity fracture: A one-year follow-up study

Ru Ding, Melissa L. McCarthy, Eileen Houseknecht, Susan Ziegfeld, Vinita Misra Knight, Patricia Korehbandi, Donna Parnell, Patricia Klotz, Melissa McCarthy, Ellen MacKenzie, Dennis Durbin, Charles Paidas, Mary Aitken, Kenneth M. Jaffe, Beth Slomine, Andrea Dorsch, James Christensen, Ronald Berk, Eileen Houseknecht, Susan ZiegfeldVinita Misra Knight, Patricia Korehbandi, Donna Parnell, Pat Klotz

Research output: Contribution to journalArticlepeer-review

Abstract

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.

Original languageEnglish (US)
Pages (from-to)157-163
Number of pages7
JournalJournal of Pediatric Orthopaedics
Volume26
Issue number2
DOIs
StatePublished - Mar 1 2006
Externally publishedYes

Keywords

  • Extremity fracture
  • Health-related quality of life
  • PedsQL

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Orthopedics and Sports Medicine

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