Original scientific paper
Clinical Scoring Systems in Predicting Health-Related Quality of Life of Children with Injuries
Julije Meštrović
; University of Split, School of Medicine, Split University Hospital Center, Pediatric Intensive Care Unit, Department of
Marija Meštrović
; University of Split, Split University Hospital Center, Division of Pediatric Neurology, Department of Paediatrics, Split, Croatia
Branka Polić
; University of Split, School of Medicine, Split University Hospital Center, Pediatric Intensive Care Unit, Department of
Josko Markić
; University of Split, School of Medicine, Split University Hospital Center, Pediatric Intensive Care Unit, Department of
Goran Kardum
; University of Split, School of Medicine, Department of Neuroscience, Split, Croatia
Grgo Gunjača
; University of Split, School of Medicine, Department of Pharmacology, Split, Croatia
Anita Matas
; Split Centre for Emergency Medicine, Split, Croatia
Tatjana Ćatipović
Marija Radonić
; Dubrovnik General Hospital, Department of Paediatrics, Dubrovnik, Croatia
Abstract
The aim of the study was to explore the association between Glasgow Coma Scale (GCS), Paediatric Index ofMortality (PIM2) and Injury Severity Score (ISS), and the long-term outcome of children with injuries. The health related quality of life (HRQL) was assessed by using the Royal Alexandra Hospital for children Measure of Function (RAHC MOF), 12 months post discharge. Out of 118 children with injuries (9% of all patients), 75 had injury of the head as the leading injury. There were no significant differences at admission in the severity of clinical condition, as expressed by PIM2 and ISS, between patients with head injuries and patients with other injured leading body regions. Children with head injuries had significantly worse HRQOL than children with other leading injured body region (p<0.045), and children from road traffic accidents had significantly worse HRQL (p=0.004), compared to other mechanisms of injury. HRQL correlated significantly with GCS (p=0.027), but not with ISS and PIM2. As the conclusion, among all scoring systems applied,
only GCS, which demonstrates severity of head injury, showed significant impact on long-term outcome of injured children.
Keywords
clinical scoring system; injury severity score; injury; treatment outcome; intensive care unit; pediatric; quality of life
Hrčak ID:
104463
URI
Publication date:
1.7.2013.
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