Clinical Edge

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Quality of Life Post-Concussion Examined

Clin Pediatr; ePub 2018 Oct 12; Howell, et al

Impairments in quality of life (QOL) following concussion may identify children and adolescents who need additional referral to address persistent symptoms, according to a recent study. Age, however, was not significantly associated with physical or psychosocial QOL ratings. Researchers conducted a prospective study of children and adolescents (n=176; mean age=13.0 ±2.7 years; 38% female) assessed acutely post-concussion and again 30 days later. They investigated the association between symptom burden and QOL outcomes, as well as the effect of age on QOL. QOL was assessed using patient-reported Pediatric Quality of Life Inventory 4.0, and symptoms using the Health and Behavior Inventory (HBI). They found:

  • Acute (<2 days post-injury) HBI ratings demonstrated a low correlation (R2 = 0.08) with physical health QOL and a moderate correlation with psychosocial health QOL (R2 = 0.21) 30 days post-concussion.
  • HBI ratings 30 days post-concussion demonstrated a moderately high correlation with physical health QOL (R2 = 0.35) and psychosocial health QOL (R2 = 0.57).


Howell DR. Wilson JC, Kirkwood MW, Grubenhoff JA. Quality of life and symptom burden 1 month after concussion in children and adolescents. [Published online ahead of print October 12, 2018]. Clin Pediatr. doi:10.1177%2F0009922818806308.

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