Injuries to Children and Adolescents: Impact on Physical Health

PEDIATRICS ◽  
1991 ◽  
Vol 88 (4) ◽  
pp. 783-788
Author(s):  
Frederick P. Rivara ◽  
Robert S. Thompson ◽  
Diane C. Thompson ◽  
Ned Calonge

Disability resulting from injuries was examined in a health maintenance organization population of children and adolescents 0 through 19 years of age. The physical health status instrument from the Rand Health Insurance Study was used to evaluate functional outcome of patients seen in the emergency room and outpatient clinic. Overall, 55.1% of individuals had limitations in their usual activities during the week following injury; 16.4% and 3.8% were not yet back to full activities after 1 week and 1 month, respectively. Individuals 10 years of age and older had more functional impairment than did younger children. Restrictions were greatest for fractures/dislocations and sprains and for injuries due to sports, play/recreational activities, and falls.

Author(s):  
Jennie C.I. Tsao ◽  
Subhadra Evans ◽  
Laura C. Seidman ◽  
Lonnie K. Zeltzer

Abstract Background: Few studies have focused on identifying predictors of medical consultation for pain in healthy children and adolescents. Objective: This investigation sought to identify parent and child laboratory and non-laboratory predictors of pediatric healthcare utilization for pain problems. Study group: Participants were 210 healthy children and adolescents (102 girls), aged 8–17 years who took part in a laboratory pain session. Methods: Three months after the laboratory session, participants were contacted by telephone to ascertain whether they had experienced pain and whether they had seen a healthcare professional for pain. Zero-order correlations among sociodemographic status, child laboratory pain responses, parent physical/mental health status and medical consultation for pain were conducted to identify relevant correlates of pediatric healthcare utilization; these correlates were subjected to multivariate analyses. Results: Bivariate analyses indicated that higher anticipated pain and bother for the cold pressor task, as well as poorer parent physical health status, were associated with pediatric medical consultation for pain, but only among girls. Sequential logistic regression analyses controlling for child age indicated that only parent physical health status, not the laboratory indicators, significantly predicted healthcare consultation for pain among girls. No parent or child correlates of care-seeking for pain emerged for boys. Conclusion: The findings suggest that parents’ perceived physical health plays a role in determining whether medical care is sought for pain complaints in healthy girls. These results suggest that interventions to assist parents in managing their own physical health problems could lead to reductions in medical consultation for girls’ pain.


2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Hyero Kim ◽  
Heejo Koo ◽  
Euna Han

AbstractThis study analyzed the impact of visual impairment on socioeconomic and physical health status and its heterogeneity by severity of visual impairment. We used nationally representative cohort data based on Korean national health insurance claims (2002–2013), which were extracted for 11,030 persons (2206 visually impaired, 8824 control). This was restructured as monthly data for each person (person-month). Multivariate and ordered logistic regressions were conducted, and the pre-impairment status between the visually impaired and non-visually impaired people was adjusted by difference-in-difference (DiD) estimation. Focusing on medical aid (a public healthcare service assistance program for people who cannot afford health insurance premiums), the DiD estimate showed that the likelihood of receiving aid was higher among visually impaired compared with non-impaired people. Mildly and severely visually impaired people were more likely to be medical aid recipients than their counterparts. The severely visually impaired group was more likely to be unemployed. The visually impaired group were less likely to have no comorbidity. Our findings show that the socioeconomic and physical health status of visually impaired people is more likely to deteriorate than that of their non-visually impaired counterparts following onset of impairment.


2009 ◽  
Author(s):  
Kristen Allison ◽  
Kimberly Fleming ◽  
Tamara Newton ◽  
Rafael Fernandez-Botran ◽  
James Miller ◽  
...  

2014 ◽  
Author(s):  
Erynne H. Shatto ◽  
Sarah J. Fucillo ◽  
Z. Kane Jones ◽  
James R. Stefurak ◽  
Valerie Bryan

2009 ◽  
Vol 24 (S1) ◽  
pp. 1-1
Author(s):  
M. George ◽  
P. Thakkar ◽  
K. Vasudev ◽  
N. Mitcheson

Aim:An audit was conducted in September 2006 to determine whether the Physical health monitoring of patients on anti-psychotic medication was concurrent with the national guidelines.This audit done in Dec 07 aimed to ascertain to what extent the recommendations were implemented and followed, thereby completing the audit cycle.Methods:The Audit was conducted in a 15 bedded medium secure forensic rehab ward.As there was a lack of recording of the physical health status a monitoring sheet was introduced in the notes after the first audit. Age, Weight, Height, Smoking status, Blood Pressure, Diabetic Status, Blood Lipid Profile, ECG and the Medication regimen were noted for each of the patient.Results:Conclusion:100% physical health monitoring was achieved and improvements in weight, CV risk, Total/HDL cholesterol ratio was noted 4 cases of significant QT prolongation and another 3 cases of prolactin elevation were detected because of the introduction of monitoring.


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