Predictors of 12 month functional outcomes and length of stay of severely injured children in NSW, Australia. A longitudinal multi-centre study.
- Publisher:
- ELSEVIER SCI LTD
- Publication Type:
- Journal Article
- Citation:
- Injury, 2022, 53, (5), pp. 1684-1689
- Issue Date:
- 2022-05
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1-s2.0-S0020138322000110-main.pdf | 404.36 kB | Adobe PDF |
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Full metadata record
Field | Value | Language |
---|---|---|
dc.contributor.author | Curtis, K | |
dc.contributor.author | Kennedy, B | |
dc.contributor.author | Lam, MK | |
dc.contributor.author | Mitchell, RJ | |
dc.contributor.author | Black, D | |
dc.contributor.author | Jan, S | |
dc.contributor.author | Burns, B | |
dc.contributor.author | Dinh, M | |
dc.contributor.author | Holland, AJ | |
dc.date.accessioned | 2022-11-23T02:55:41Z | |
dc.date.available | 2021-12-31 | |
dc.date.available | 2022-11-23T02:55:41Z | |
dc.date.issued | 2022-05 | |
dc.identifier.citation | Injury, 2022, 53, (5), pp. 1684-1689 | |
dc.identifier.issn | 0020-1383 | |
dc.identifier.issn | 1879-0267 | |
dc.identifier.uri | http://hdl.handle.net/10453/163673 | |
dc.description.abstract | BACKGROUND: The majority of paediatric injury outcomes studies focus on mortality rather than the impact on long-term quality of life, health care use and other health-related outcomes. This study sought to determine predictors of 12-month functional and psychosocial outcomes for children sustaining major injury in NSW. METHODS: The study included all children < 16 years requiring intensive care or an injury severity score (ISS) ≥ 9 treated in NSW at a paediatric trauma centre (PTC). Children were identified through the three PTCs and NSW Trauma Registry. The paediatric Quality of Life Inventory (PedsQL) and EuroQol five-dimensional EQ-5D-Y were used to measure HRQoL post-injury, completed via parent/carer proxy recruited through NSW PTCs. RESULTS: There were 510 children treated at the three NSW PTCs during the 15-month study period. The mean (SD) age was 6.7 (6.0) years, with a median NISS (New Injury Severity Score) of 11 (IQR: 9-18). Regression analysis showed worse psychosocial health at twelve months was associated with hospital length of stay (LoS) and number of body regions injured (F2,65 = 5.85, p = 0.005). Physical outcome was associated with LoS and intensive care unit (ICU) admission (F2,66 = 13.48, p < 0.001). Hospital LoS was significantly associated with NISS and head injury (F2,398 = 51.5, p < 0.001). CONCLUSION: Hospital length of stay and polytrauma are independent factors that negatively influence psychological and physical outcomes of children with major injuries. Early intervention to enable emotional well-being, discharge home and long-term follow up such as dedicated family support and rehabilitation at home could reduce preventable poor outcomes. | |
dc.format | Print-Electronic | |
dc.language | eng | |
dc.publisher | ELSEVIER SCI LTD | |
dc.relation.ispartof | Injury | |
dc.relation.isbasedon | 10.1016/j.injury.2021.12.057 | |
dc.rights | info:eu-repo/semantics/closedAccess | |
dc.subject | 1103 Clinical Sciences, 1110 Nursing, 1117 Public Health and Health Services | |
dc.subject.classification | Orthopedics | |
dc.subject.mesh | Australia | |
dc.subject.mesh | Child | |
dc.subject.mesh | Humans | |
dc.subject.mesh | Injury Severity Score | |
dc.subject.mesh | Length of Stay | |
dc.subject.mesh | Quality of Life | |
dc.subject.mesh | Trauma Centers | |
dc.subject.mesh | Wounds and Injuries | |
dc.subject.mesh | Australia | |
dc.subject.mesh | Child | |
dc.subject.mesh | Humans | |
dc.subject.mesh | Injury Severity Score | |
dc.subject.mesh | Length of Stay | |
dc.subject.mesh | Quality of Life | |
dc.subject.mesh | Trauma Centers | |
dc.subject.mesh | Wounds and Injuries | |
dc.subject.mesh | Humans | |
dc.subject.mesh | Wounds and Injuries | |
dc.subject.mesh | Length of Stay | |
dc.subject.mesh | Injury Severity Score | |
dc.subject.mesh | Quality of Life | |
dc.subject.mesh | Child | |
dc.subject.mesh | Trauma Centers | |
dc.subject.mesh | Australia | |
dc.title | Predictors of 12 month functional outcomes and length of stay of severely injured children in NSW, Australia. A longitudinal multi-centre study. | |
dc.type | Journal Article | |
utslib.citation.volume | 53 | |
utslib.location.activity | Netherlands | |
utslib.for | 1103 Clinical Sciences | |
utslib.for | 1110 Nursing | |
utslib.for | 1117 Public Health and Health Services | |
pubs.organisational-group | /University of Technology Sydney | |
pubs.organisational-group | /University of Technology Sydney/Faculty of Health | |
pubs.organisational-group | /University of Technology Sydney/Faculty of Health/Public Health | |
utslib.copyright.status | closed_access | * |
pubs.consider-herdc | false | |
dc.date.updated | 2022-11-23T02:55:40Z | |
pubs.issue | 5 | |
pubs.publication-status | Published | |
pubs.volume | 53 | |
utslib.citation.issue | 5 |
Abstract:
BACKGROUND: The majority of paediatric injury outcomes studies focus on mortality rather than the impact on long-term quality of life, health care use and other health-related outcomes. This study sought to determine predictors of 12-month functional and psychosocial outcomes for children sustaining major injury in NSW. METHODS: The study included all children < 16 years requiring intensive care or an injury severity score (ISS) ≥ 9 treated in NSW at a paediatric trauma centre (PTC). Children were identified through the three PTCs and NSW Trauma Registry. The paediatric Quality of Life Inventory (PedsQL) and EuroQol five-dimensional EQ-5D-Y were used to measure HRQoL post-injury, completed via parent/carer proxy recruited through NSW PTCs. RESULTS: There were 510 children treated at the three NSW PTCs during the 15-month study period. The mean (SD) age was 6.7 (6.0) years, with a median NISS (New Injury Severity Score) of 11 (IQR: 9-18). Regression analysis showed worse psychosocial health at twelve months was associated with hospital length of stay (LoS) and number of body regions injured (F2,65 = 5.85, p = 0.005). Physical outcome was associated with LoS and intensive care unit (ICU) admission (F2,66 = 13.48, p < 0.001). Hospital LoS was significantly associated with NISS and head injury (F2,398 = 51.5, p < 0.001). CONCLUSION: Hospital length of stay and polytrauma are independent factors that negatively influence psychological and physical outcomes of children with major injuries. Early intervention to enable emotional well-being, discharge home and long-term follow up such as dedicated family support and rehabilitation at home could reduce preventable poor outcomes.
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