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23-09-2019

Self- and parent-reported Quality of Life 7 years after severe childhood traumatic brain injury in the Traumatisme Grave de l’Enfant cohort: associations with objective and subjective factors and outcomes

Authors: Hugo Câmara-Costa, Marion Opatowski, Leila Francillette, Hanna Toure, Dominique Brugel, Anne Laurent-Vannier, Philippe Meyer, Laurence Watier, Georges Dellatolas, Mathilde Chevignard

Published in: Quality of Life Research | Issue 2/2020

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Abstract

Purpose

To investigate self- and parent-reported Health-Related Quality-of-Life (HRQoL) and their associations after severe childhood traumatic brain injury (TBI) in the Traumatisme Grave de l’Enfant (TGE) cohort.

Methods

Self- (n = 34) and/or parent-reports (n = 25) of HRQoL were collected for 38 participants (age 7–22 years) 7 years after severe childhood TBI. The collected data included sociodemographic characteristics, injury severity indices, and overall disability and functional outcome at 3-months, 1- and 2-years post-injury. At 7-years post-injury, data were collected in the TBI group and in a control group (n = 33): overall disability (Glasgow Outcome Scale Extended), intellectual ability (IQ), and questionnaires assessing HRQoL (Pediatric Quality of Life Inventory), executive functions (Behavior Rating Inventory of Executive Functions), behavior (Child Behavior Checklist), fatigue (Multidimensional Fatigue Scale) and participation (Child and Adolescent Scale of Participation).

Results

Parent- and self-reports of HRQoL were significantly lower in the TBI group than in the control group. Parent-rated HRQoL was not associated with objectively assessed factors, whereas self-reported HRQoL was associated with gender (worse in females) and initial functional outcome. All questionnaire scores completed by the same informant (self or parent) were strongly inter-correlated.

Conclusions

Reported HRQoL 7-years after severe childhood TBI is low compared to controls, weakly or not-related to objective factors, such as injury severity indices, clinically assessed functional outcomes, or IQ, but strongly related to reports by the same informant of executive deficits, behavior problems, fatigue, and participation.

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Title: Self- and parent-reported Quality of Life 7 years after severe childhood traumatic brain injury in the Traumatisme Grave de l’Enfant cohort: associations with objective and subjective factors and outcomes
Authors: Hugo Câmara-Costa
Marion Opatowski
Leila Francillette
Hanna Toure
Dominique Brugel
Anne Laurent-Vannier
Philippe Meyer
Laurence Watier
Georges Dellatolas
Mathilde Chevignard
Publication date: 23-09-2019
Publisher: Springer International Publishing
Published in: Quality of Life Research / Issue 2/2020
Print ISSN: 0962-9343
Electronic ISSN: 1573-2649
DOI: https://doi.org/10.1007/s11136-019-02305-7

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