The impact of trauma mechanism on outcome: a follow-up study on health-related quality of life after major trauma

European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society
Katarina BilénCarin Ottosson

Abstract

To relate the trauma mechanism in a trauma population to health-related quality of life outcomes and mortality rates. A consecutive series of patients (>15 years old) with major injuries [Injury Severity Score (ISS) ≥10] treated during a 2-year period at a general hospital in a city area were included (n = 458). Baseline data were collected from medical records, and patients were followed up 12 months post injury. Outcome was measured by health-related quality of life (HRQoL) according to the SF-36 and musculoskeletal function according to the short musculoskeletal function assessment (SMFA). Mortality rates were collected during 7 years. Of all patients, 86.9% had an unintentional injury, 4.4% had a self-inflicted injury, and 8.7% had been assaulted. The mortality rate during the acute phase and at 7 years post trauma did not differ between the groups with different trauma mechanisms. At 12 months, patients with unintentional injuries and assault victims had SF-36 ratings comparable to the general population, while patients with self-inflicted injuries had worse ratings in all SF-36 domains except physical function and general health. There were no differences between the groups regarding SMFA results. Even though the follow-u...Continue Reading

References

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Citations

Oct 16, 2012·Development and Psychopathology·Wendy Johnson
Mar 9, 2019·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Sten SaarPeep Talving

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