Long-Term Health-Related Quality of Life and Perceptions of Recovery in Adults Who Received Clinical Profiles Informed Care for Concussion.

IF 3.3 3区医学 Q2 CLINICAL NEUROLOGY

Journal of Head Trauma Rehabilitation Pub Date : 2025-07-02 DOI:10.1097/HTR.0000000000001079

Melissa N Womble, Kori J Durfee, Sabrina Jennings, Christina M Dollar, Sheri Fedor, Philip Schatz, R J Elbin

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引用次数: 0

Abstract

Objective: Document long-term health-related quality of life (HRQoL) and recovery perceptions in adults who received clinical profiles-informed concussion care and explore risk factors that predict poor long-term HRQoL outcomes.

Setting: Outpatient specialty concussion clinic.

Participants: 125 adults, aged 18-65 years.

Design: A retrospective cohort design documented perceived recovery, negative life events, and Patient-Reported Outcomes Measurement Information System (PROMIS) scores in adults (M = 33.44 years, SD = 13.31) who were medically cleared from concussion approximately 4.32 years (SD = 1.54, range = 1.11-6.30 years) following injury. Chi-square tests assessed associations among perceived recovery, negative life events, PROMIS scores, and select injury-related variables.

Main measures: Perceived Recovery Status, PROMIS Scale v1.2-Global Health, PROMIS 29 + 2 Profile, PROMIS v2.0-Cognitive Function, and Life Events List.

Results: Eighty-three percent (104/125) of participants reported still being recovered from concussion, and 85% (106/125) had <2 PROMIS scores exceeding 1SD (ie, within normal limits). Fifteen percent (19/125) exhibited >3 PROMIS scores beyond 1SD. Participants endorsing multiple negative self-events in the previous 12 months had 2.95 times greater odds (χ2[1, 125] = 4.64, P = .03, 95% CI = 1.07-8.11) of having ≥3 PROMIS scores beyond 1SD and 2.82 times greater odds (χ2[1, 125] = 4.66, P = .03, 95% CI = 1.07-7.42) of not being recovered compared to participants endorsing ≤1 negative self-events. In addition to negative self-events, only anxiety (χ2[1, 125] = 4.25, P = .04, OR: 3.64, 95% CI: 1.00-13.26) and depression (χ2[1, 125] = 5.92, P = .02, OR: 3.65, 95% CI: 1.23-10.87) history predicted ≥3 PROMIS scores beyond 1SD. Other injury-related factors, including any clinical profile, symptom burden, or prolonged recovery, did not (P>.05).

Conclusion: The majority of adults treated with a clinical-profiles-informed care model for concussion had normal HRQoL scores 1-6 years following recovery.

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长期健康相关的生活质量和接受脑震荡临床资料知情护理的成年人对康复的感知

目的：记录接受基于临床资料的脑震荡护理的成年人的长期健康相关生活质量（HRQoL）和恢复感知，并探讨预测不良长期HRQoL结果的危险因素。单位：脑震荡专科门诊。参与者：125名成年人，年龄18-65岁。设计：回顾性队列设计记录了创伤后大约4.32年（SD = 1.54，范围= 1.11-6.30年）医学上清除脑震荡的成年人（M = 33.44岁，SD = 13.31）的感知恢复、负面生活事件和患者报告的结果测量信息系统（PROMIS）评分。卡方检验评估了感知恢复、负面生活事件、PROMIS评分和选择损伤相关变量之间的关联。主要测量指标：感知恢复状态、PROMIS量表v1.2-全球健康、PROMIS 29 + 2概况、PROMIS v2.0-认知功能和生活事件列表。结果：83%（104/125）的参与者报告仍然从脑震荡中恢复，85%（106/125）的PROMIS评分超过1SD。在过去的12个月里，有多个消极自我事件的参与者与有≤1个消极自我事件的参与者相比，有≥3个PROMIS评分超过1SD的几率高2.95倍（χ2[1,125] = 4.64, P = 0.03, 95% CI = 1.07-8.11），没有康复的几率高2.82倍（χ2[1,125] = 4.66, P = 0.03, 95% CI = 1.07-7.42）。除负性自我事件外，只有焦虑（χ2[1,125] = 4.25, P = 0.04, OR: 3.64, 95% CI: 1.00-13.26）和抑郁（χ2[1,125] = 5.92, P = 0.02, OR: 3.65, 95% CI: 1.23-10.87）病史预测PROMIS评分≥3分，超过1SD。其他损伤相关因素，包括任何临床表现、症状负担或恢复时间延长，均无统计学意义（P < 0.05）。结论：大多数接受临床资料-知情护理模式治疗的脑震荡患者在康复后1-6年HRQoL评分正常。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Head Trauma Rehabilitation 医学-康复医学

CiteScore

4.80

自引率

4.20%

发文量

153

审稿时长

6-12 weeks

期刊介绍： The Journal of Head Trauma Rehabilitation is a leading, peer-reviewed resource that provides up-to-date information on the clinical management and rehabilitation of persons with traumatic brain injuries. Six issues each year aspire to the vision of “knowledge informing care” and include a wide range of articles, topical issues, commentaries and special features. It is the official journal of the Brain Injury Association of America (BIAA).