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Predictors of participation and quality of life following major traumatic injuries in childhood: a systematic review.

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Title: Predictors of participation and quality of life following major traumatic injuries in childhood: a systematic review.
Authors: Greenham, Mardee, Botchway, Edith, Knight, Sarah, Bonyhady, Bruce, Tavender, Emma, Scheinberg, Adam, Anderson, Vicki, Muscara, Frank
Source: Disability & Rehabilitation. Jun2022, Vol. 44 Issue 12, p2591-2607. 17p.
Subjects: Accidents, Social participation, Spinal cord injuries, Social support, Education, Systematic reviews, Severity of illness index, Quality of life, Research funding, Independent living, Brain injuries, Wounds & injuries, Rehabilitation, Early medical intervention, Children
Abstract: Review the literature on predictors of participation and quality of life in children and young people who sustained a traumatic brain injury (TBI), spinal cord injury (SCI), and/or multi-trauma in a motor vehicle or other accident or trauma. This systematic review was conducted and reported in line with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). The protocol was registered on PROSPERO (registration number CRD42020131698). Electronic databases were searched for studies published between January 2000 and August 2020. Prospective and retrospective cohort studies were considered and risk of bias was assessed using the Quality In Prognosis Studies (QUIPS) tool. The search yielded 5771 articles of which 30 studies met the inclusion criteria. Nineteen studies included patients with TBI and 11 with SCI. No studies of patients with multi-trauma met criteria. Evidence was found for associations with various factors (e.g., injury severity, level of education, mental health problems), although these findings are limited due to the quality of the studies (5 studies moderate and 25 high risk of bias). Research on predictors of participation and quality of life following major traumatic injuries in childhood is lacking. More methodologically sound prospective, longitudinal studies are needed across different injury groups to further elucidate predictors of outcome. While long-term participation and quality of life is influenced by injury characteristics (i.e., injury severity), a number of potential modifiable factors can be targeted to improve outcomes following traumatic injuries in childhood. Young people should be provided with support to stay in school and pursue further education. Early intervention and prevention of mental health problems may improve long-term outcomes. Better management of ongoing medical problems and greater support for functional independence may improve participation. [ABSTRACT FROM AUTHOR]
Copyright of Disability & Rehabilitation is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Predictors of participation and quality of life following major traumatic injuries in childhood: a systematic review.
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  Data: <searchLink fieldCode="JN" term="%22Disability+%26+Rehabilitation%22">Disability & Rehabilitation</searchLink>. Jun2022, Vol. 44 Issue 12, p2591-2607. 17p.
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  Data: <searchLink fieldCode="DE" term="%22Accidents%22">Accidents</searchLink><br /><searchLink fieldCode="DE" term="%22Social+participation%22">Social participation</searchLink><br /><searchLink fieldCode="DE" term="%22Spinal+cord+injuries%22">Spinal cord injuries</searchLink><br /><searchLink fieldCode="DE" term="%22Social+support%22">Social support</searchLink><br /><searchLink fieldCode="DE" term="%22Education%22">Education</searchLink><br /><searchLink fieldCode="DE" term="%22Systematic+reviews%22">Systematic reviews</searchLink><br /><searchLink fieldCode="DE" term="%22Severity+of+illness+index%22">Severity of illness index</searchLink><br /><searchLink fieldCode="DE" term="%22Quality+of+life%22">Quality of life</searchLink><br /><searchLink fieldCode="DE" term="%22Research+funding%22">Research funding</searchLink><br /><searchLink fieldCode="DE" term="%22Independent+living%22">Independent living</searchLink><br /><searchLink fieldCode="DE" term="%22Brain+injuries%22">Brain injuries</searchLink><br /><searchLink fieldCode="DE" term="%22Wounds+%26+injuries%22">Wounds & injuries</searchLink><br /><searchLink fieldCode="DE" term="%22Rehabilitation%22">Rehabilitation</searchLink><br /><searchLink fieldCode="DE" term="%22Early+medical+intervention%22">Early medical intervention</searchLink><br /><searchLink fieldCode="DE" term="%22Children%22">Children</searchLink>
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  Data: Review the literature on predictors of participation and quality of life in children and young people who sustained a traumatic brain injury (TBI), spinal cord injury (SCI), and/or multi-trauma in a motor vehicle or other accident or trauma. This systematic review was conducted and reported in line with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). The protocol was registered on PROSPERO (registration number CRD42020131698). Electronic databases were searched for studies published between January 2000 and August 2020. Prospective and retrospective cohort studies were considered and risk of bias was assessed using the Quality In Prognosis Studies (QUIPS) tool. The search yielded 5771 articles of which 30 studies met the inclusion criteria. Nineteen studies included patients with TBI and 11 with SCI. No studies of patients with multi-trauma met criteria. Evidence was found for associations with various factors (e.g., injury severity, level of education, mental health problems), although these findings are limited due to the quality of the studies (5 studies moderate and 25 high risk of bias). Research on predictors of participation and quality of life following major traumatic injuries in childhood is lacking. More methodologically sound prospective, longitudinal studies are needed across different injury groups to further elucidate predictors of outcome. While long-term participation and quality of life is influenced by injury characteristics (i.e., injury severity), a number of potential modifiable factors can be targeted to improve outcomes following traumatic injuries in childhood. Young people should be provided with support to stay in school and pursue further education. Early intervention and prevention of mental health problems may improve long-term outcomes. Better management of ongoing medical problems and greater support for functional independence may improve participation. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Disability & Rehabilitation is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=157611007
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      – Type: doi
        Value: 10.1080/09638288.2020.1849425
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      – Code: eng
        Text: English
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      Pagination:
        PageCount: 17
        StartPage: 2591
    Subjects:
      – SubjectFull: Accidents
        Type: general
      – SubjectFull: Social participation
        Type: general
      – SubjectFull: Spinal cord injuries
        Type: general
      – SubjectFull: Social support
        Type: general
      – SubjectFull: Education
        Type: general
      – SubjectFull: Systematic reviews
        Type: general
      – SubjectFull: Severity of illness index
        Type: general
      – SubjectFull: Quality of life
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      – SubjectFull: Research funding
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      – SubjectFull: Independent living
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      – SubjectFull: Brain injuries
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      – SubjectFull: Wounds & injuries
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      – SubjectFull: Rehabilitation
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      – SubjectFull: Early medical intervention
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      – SubjectFull: Children
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      – TitleFull: Predictors of participation and quality of life following major traumatic injuries in childhood: a systematic review.
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              Text: Jun2022
              Type: published
              Y: 2022
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