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Arch Pediatr Adolesc Med. 2012 Jan;166(1):74-81. doi: 10.1001/archpediatrics.2011.694.

Health-related quality of life in pediatric minor injury: reliability, validity, and responsiveness of the Pediatric Quality of Life Inventory in the emergency department.

Author information

1
Section of Emergency Medicine, Department of Pediatrics, Children’s Research Institute, Medical College of Wisconsin, Milwaukee, WI 53226, USA. mstevens@mcw.edu

Abstract

OBJECTIVE:

To evaluate the feasibility, reliability, validity, and responsiveness of the Pediatric Quality of Life Inventory 4.0 Generic Core Scales (PedsQL) in the first 2 weeks after pediatric emergency department care of minor injury.

DESIGN:

Prospective cohort study.

SETTING:

Pediatric hospital emergency department.

PARTICIPANTS:

Children and adolescents with minor injury (n = 334).

MAIN OUTCOME MEASURES:

Child- and parent-reported clinical outcomes and PedsQL scale scores.

RESULTS:

The PedsQL had good to excellent internal consistency reliability (α range, 0.73-0.93). For each day that the clinical symptoms persisted, there were consistent decreases in mean health-related quality of life (HRQOL) scores (validity testing). There were significantly greater negative changes in mean HRQOL scores for fractures vs soft-tissue injuries and for lower vs upper extremity injuries. Clinical outcomes categorized as poor had large negative changes in HRQOL not seen in good outcome groups. Distribution-based indicators of change supported good responsiveness (effect sizes for the physical summary score, 0.01-2.44; group differences at follow-up exceeded estimates of the minimal importance difference).

CONCLUSIONS:

The PedsQL is feasible, reliable, and demonstrates good construct and discriminant validity and responsiveness in measuring short-term outcome after minor injury care in the pediatric emergency department. Assessing short-term outcome from the patient perspective with HRQOL measures may greatly enhance our ability to evaluate the effectiveness of emergency department care.

PMID:
22213754
PMCID:
PMC3714102
DOI:
10.1001/archpediatrics.2011.694
[Indexed for MEDLINE]
Free PMC Article

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