Greater impairments seen in adolescents with sports-related concussions vs. extreme fractures

Temporary impairments in health-related quality of life correlated with sports-related concussions in adolescents compared with sports-related extreme fractures; however, impairments resolved in patients who were followed until physician-documented clinical recovery, according to a recently published study.

Researchers performed a retrospective cohort study of 135 adolescent patients with acute sports-related concussion and 96 patients with sports-related extreme fracture. At the time of the initial assessment and at each follow-up, investigators used the adolescent version of the Pediatric Quality of Life Inventory Generic Core Scale and Cognitive Functioning Scale to measure longitudinal patient-reported health-related quality of life (HRQOL).

Results at the initial assessment showed patients with sports-related concussion had significantly worse cognitive HRQOL and clinically meaningful impairments in school and overall HRQOL compared with patients with sports-related extreme fracture. Investigators noted the clinical variables among patients with sports-related concussion that correlated with a worst HRQOL were different based on domain; however, were significantly impacted by the patients’ initial symptom burden and development of delayed physician-documented clinical recovery. There were no persistent impairments in HRQOL seen in patients with sports-related concussion, who were followed until physician-documented clinical recovery. – by Monica Jaramillo

Disclosures: The authors report no relevant financial disclosures.

Temporary impairments in health-related quality of life correlated with sports-related concussions in adolescents compared with sports-related extreme fractures; however, impairments resolved in patients who were followed until physician-documented clinical recovery, according to a recently published study.

Researchers performed a retrospective cohort study of 135 adolescent patients with acute sports-related concussion and 96 patients with sports-related extreme fracture. At the time of the initial assessment and at each follow-up, investigators used the adolescent version of the Pediatric Quality of Life Inventory Generic Core Scale and Cognitive Functioning Scale to measure longitudinal patient-reported health-related quality of life (HRQOL).

Results at the initial assessment showed patients with sports-related concussion had significantly worse cognitive HRQOL and clinically meaningful impairments in school and overall HRQOL compared with patients with sports-related extreme fracture. Investigators noted the clinical variables among patients with sports-related concussion that correlated with a worst HRQOL were different based on domain; however, were significantly impacted by the patients’ initial symptom burden and development of delayed physician-documented clinical recovery. There were no persistent impairments in HRQOL seen in patients with sports-related concussion, who were followed until physician-documented clinical recovery. – by Monica Jaramillo

Disclosures: The authors report no relevant financial disclosures.