Journal of pediatric health care : official publication of National Association of Pediatric Nurse Associates & Practitioners · 2025
Assessing Pediatric Traumatic Brain Injury and Health-Related Quality of Life in Three Eastern European Countries.
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Coman Madalina Adina, Dulf Diana, Marga Patricia Maria, Tadevosyan Artashes, Chikhladze Nino, Cazacu-Stratu Angela, Peek-Asa Corinne
Аннотация
INTRODUCTION: Pediatric traumatic brain injury (TBI) is a major global cause of disability, yet its impact in low- and middle-income countries (LMICs) is poorly understood. This study assesses TBI incidence and health-related quality of life (HRQoL) among children in Armenia, Georgia, and Moldova.
METHODS: This cross-sectional study used a standardized pediatric TBI registry and the EQ-5D-Y-3L instrument (in Georgia and Moldova). A total of 745 pediatric TBI cases were recorded, with 273 children aged 4-18 completing the HRQoL assessment.
RESULTS: Most TBIs were mild (93.7%). Despite mild severity, 30.6% reported pain/discomfort and 23.8% reported difficulty with usual activities. Older age was significantly associated with lower EQ-VAS scores (p = .007).
CONCLUSIONS: Even mild pediatric TBIs can negatively affect HRQoL, particularly in older children. Incorporating HRQoL measures into TBI registries in LMICs can support evidence-based care, guide targeted interventions, and inform health policy in resource-limited settings.
METHODS: This cross-sectional study used a standardized pediatric TBI registry and the EQ-5D-Y-3L instrument (in Georgia and Moldova). A total of 745 pediatric TBI cases were recorded, with 273 children aged 4-18 completing the HRQoL assessment.
RESULTS: Most TBIs were mild (93.7%). Despite mild severity, 30.6% reported pain/discomfort and 23.8% reported difficulty with usual activities. Older age was significantly associated with lower EQ-VAS scores (p = .007).
CONCLUSIONS: Even mild pediatric TBIs can negatively affect HRQoL, particularly in older children. Incorporating HRQoL measures into TBI registries in LMICs can support evidence-based care, guide targeted interventions, and inform health policy in resource-limited settings.