Journal Article Ahead of print
PubMed: 42696730 DOI: 10.1097/JSM.0000000000001508
Health-Related Quality of Life 5 to 15 Years Following Adolescent Sport-Related Injury: The SHRed Consequences of Injury Study.
Clin J Sport Med
Authors: Chelsea L Martin, Jean-Michel Galarneau, Keith O Yeates, Araba Chintoh, Scott Ramsay, Carolyn A Emery
Affiliations
- Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, United States.
- Atrium Health Musculoskeletal Institute, Charlotte, North Carolina, United States.
- Sport Injury Prevention Research Centre, Faculty of Kinesiology, University of Calgary, Calgary, AB, Canada.
- Department of Psychology, University of Calgary, Calgary, AB, Canada.
- Departments of Pediatrics and Clinical Neurosciences, University of Calgary, Calgary, AB, Canada.
- Alberta Children's Hospital Research Institute, University of Calgary, Calgary, AB, Canada.
- Hotchkiss Brain Institute, University of Calgary, Calgary, AB, Canada.
- Cumming School of Medicine, Department of Psychiatry, University of Calgary, Calgary, AB, Canada.
- O'Brien Institute for Public Health, University of Calgary, Calgary, AB, Canada.
- McCaig Institute for Bone and Joint Health, University If Calgary, Calgary, AB, Canada.
- School of Nursing, Faculty of Applied Science, University of British Columbia, Vancouver, Canada.
- British Columbia Children's Hospital Research Institute, University of British Columbia, Vancouver, BC, Canada; and.
- Departments of Community Health Sciences and Pediatrics, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada.
Abstract
OBJECTIVES
This study examined the association between adolescent (aged 11-18 years) sport-related concussion (SRC) or musculoskeletal (MSK) injury and long-term (ie, 5-15 years postinjury) health-related quality of life (HRQoL).
DESIGN
This was a substudy of a historical cohort study.
SETTING
This study was conducted in a university setting.
PARTICIPANTS
Individuals who participated in adolescent sport 5 to 15 years before assessment were included in this study.
ASSESSMENT OF RISK FACTORS VARIABLES
Reports of SRC, MSK injury, or no injury during adolescent sport participation.
MAIN OUTCOME MEASURES
Multivariable regression models assessed associations between an adolescent SRC or MSK injury and long-term HRQoL (EQ-5D-5L visual analog scale [VAS] and Index Score) standardized to Canadian population preferences. Models were adjusted for sex, time since injury, athlete identity, and 4 physical activity exposures modeled separately to reduce collinearity. Effect measure modification was evaluated for all two-way interactions.
RESULTS
A total of 325 individuals participated (aged 16-33 years). EQ-5D-5L median [interquartile range] scores were high across groups [Index Score, no injury: 0.91 (0.88, 0.95), MSK injury: 0.91 (0.87, 0.95), SRC: 0.91 (0.87, 0.95); VAS score, no injury: 85 (78, 90), MSK injury: 85 (78, 90), SRC: 85 (75, 90)]. The SRC group demonstrated lower EQ-5D-5L index scores across all models (β-range: -1.93 to -1.97, 95% confidence interval range: -3.61-0.34) compared with the uninjured group. No VAS score differences were observed between groups; however, the age-by-group interaction was significant, indicating lower VAS scores among older participants who sustained a SRC.
CONCLUSION
Sport-related concussion may influence HRQoL years after injury, and targeted interventions focusing on the specific domains of HRQoL that are impacted may be indicated.
MeSH
Quality Of Life, Youth Sports, Athletic Injuries, Aged, Adolescent, Sports Medicine, Sports