Article

Longitudinal fatigue data in children suffering from traumatic brain
injury (TBI) are lacking. OBJECTIVES: To examine the effects of time postinjury
(6-12 months) and injury severity on fatigue after childhood TBI. Secondarily, we
compared fatigue 12 months postinjury against published control data. SETTING:
Three tertiary children's hospitals across Australia (n = 1) and Canada (n = 2).
PARTICIPANTS: Parents (n = 109) of children (mean [M] = 9.9 years at injury;
range, 1.0-16.9 years) admitted to one of 3 participating hospitals with mild (n
= 69) or moderate/severe (n = 37) TBI. DESIGN: Longitudinal prospective study.
MEASURES: Primary: Pediatric Quality of Life Multidimensional Fatigue Scale
(total, general, sleep/rest, and cognitive), rated by parents 6 and 12 months
postinjury. Secondary: Pediatric Injury Functional Outcome Scale (fatigue and
sleep items, rated on recruitment and 6 and 12 months postinjury). Demographic
and children data were collected at recruitment. RESULTS: Mixed-models analysis
demonstrated nonsignificant effects of time (6 vs 12 months postinjury) on
multidimensional fatigue scores. Cognitive fatigue worsened over time.
Moderate/severe TBI was associated with worse fatigue 12 months postinjury
(general, P = .03; cognitive,
P = .02). Across all severities, fatigue 12 months
postinjury was significantly worse compared with control data (total fatigue, P < .001; all domains, all Ps < .025). CONCLUSION: Fatigue remains significant at 12 months since injury, particularly for those with moderate/severe TBI.
- Enfant

Langue : ANGLAIS