title: Cross-sectional study to investigate the health-related quality of life in children with severe lower limb trauma in Victoria.
abstract: OBJECTIVE
  The aim of this study is to investigate the health-related quality of life in children with severe lower limb trauma after at least 12 months post-injury and to assess patient and injury characteristics in association with the health-related quality of life scores.
  
  
  METHODS
  All children in the state of Victoria, who were 18 years of age or younger, suffering from severe lower limb injury before 2006 were studied. Patient and injury characteristics were abstracted from medical records. The health-related quality of life (HRQOL) scores were obtained using the Paediatric Quality of Life Inventory.
  
  
  RESULTS
  Thirty-two out of 64 eligible patients participated in this study. All aspects of health-related quality of life in children with severe lower limb trauma after at least 12 months post-injury were significantly poorer compared with non-affected children, particularly in the physical health domain (difference: -12.51 ± 7.43: P < 0.05). It was observed that bilateral limb involvement and the need for soft tissue management were related to poor physical functioning (P < 0.05). Other characteristics such as traumatic amputation, gender, growth plate injury, joint bony injury and accident mechanism did not affect the overall HRQOL scores (P > 0.05).
  
  
  CONCLUSIONS
  The HRQOL in children with severe lower limb trauma was significantly impaired even after 12 months post-injury, notably in patient group with bilateral limb involvement and need for soft tissue management. Traumatic amputation, gender, growth plate injury, joint bony injury and accident mechanism did not have an impact on quality of life.
authors: Melbourne University, Melbourne, Victoria, Australia. lah1984@hotmail.com
authors: Aik H
authors: AH
authors: Lim
authors: Damon
authors: D
authors: Thomas
authors: Kerr H
authors: KH
authors: Graham
mesh_terms: D000293:Adolescent; D002648:Child; D003430:Cross-Sectional Studies; D005260:Female; D006304:Health Status; D006801:Humans; D007869:Leg Injuries / Q000503:physiopathology / Q000523:psychology*; D008297:Male; D011788:Quality of Life; D015599:Trauma Severity Indices; D014739:Victoria