TY  - JOUR
PY  - 2014//
TI  - Quality-of-life after brain injury in childhood: Time, not severity, is the significant factor
JO  - Brain injury
A1  - DeMatteo, Carol A.
A1  - Hanna, Steven E.
A1  - Yousefi-Nooraie, Reza
A1  - Lin, Chia-Yu A.
A1  - Mahoney, William J.
A1  - Law, Mary C.
A1  - McCauley, Dayle
SP  - 114
EP  - 121
VL  - 28
IS  - 1
N2  - OBJECTIVE: Little is known about the impact of acquired brain injury (ABI) on the long-term quality-of-life (QoL) in children and youth. The objectives of this study were to illustrate the long-term QoL trajectories at 5 years post-ABI. METHODS: The QoL of children between 5-18 years (n = 94) admitted to McMaster Children's Hospital with ABI were assessed longitudinally for a minimum of 5 years post-injury using the Child Health Questionnaire. Independent t-tests were used to examine differences in QoL between the study cohort and a normative sample at different time points. Mixed-effects models were used to identify predictors for QoL. RESULTS: The QoL of children with ABI was significantly poorer (p < 0.05) than the normative data on all domains and at all-time points except at baseline. The CHQ physical summary score (PHSS) showed a significant decline immediately after injury and a significant recovery at 8 months post-injury; while the CHQ psychosocial summary score (PSSS) showed a significant immediate decline, which remained over the course of the study. Pre-morbid school record, time post-injury and mechanism of injury significantly predicted the CHQ PSSS. CONCLUSIONS: QoL is impacted by ABI regardless of severity. This impact is further affected by time post-injury.<p />  <p>Language: en</p>
LA  - en
SN  - 0269-9052
UR  - http://dx.doi.org/10.3109/02699052.2013.848380
ID  - ref1
ER  -