TY - JOUR PY - 2016// TI - Health-related quality of life after pediatric mild TBI and concussion: a systematic review JO - Journal of neurotrauma A1 - Fineblit, Samuel A1 - Selci, Erin A1 - Loewen, Hal A1 - Ellis, Michael A1 - Russell, Kelly SP - 1561 EP - 1568 VL - 33 IS - 17 N2 - Health-related quality of life (HRQOL) is an emerging method to quantify the consequences of pediatric mild traumatic brain injury (mTBI)/concussion in both clinical practice and research. However, in order to utilize HRQOL measurements to their full potential in the context of mTBI/concussion recovery, a better understanding of the typical course of HRQOL after these injuries is needed. The objective was to summarize current knowledge on HRQOL after pediatric mTBI/concussion and identify areas in need of further research. The following databases from their earliest date of coverage through June 1, 2015: MEDLINE, PubMed, Embase, Scopus, CINAHL, SPORTDiscus, Cochrane Central, PEDro, and CDAS. Studies must have examined HRQOL in a pediatric population after mTBI/concussion, using a validated HRQOL measurement tool. 8 of 1660 records identified ultimately met inclusion criteria. Comprehensive data was extracted and checked by second reviewer for accuracy and completeness. There appears to be a small but important subgroup of patients who experience poor HRQOL outcomes up to a year or longer post-injury. Potential predictors of poor HRQOL include older age, lower socioeconomic status, or a history of headaches or trouble sleeping. Differing definitions of mTBI precluded meta-analysis. HRQOL represents an important outcome measure in mTBI/concussion clinical practice and research. The evidence shows a small but important proportion of patients have diminished HRQOL up to a year or longer post-injury. Further study on this topic is warranted to determine the typical longitudinal progression of HRQOL after pediatric concussion.

Language: en

LA - en SN - 0897-7151 UR - http://dx.doi.org/10.1089/neu.2015.4292 ID - ref1 ER -