BACKGROUND: The factors that determine quality of life (QOL) and disability after traumatic injury are poorly understood. This study identified the unique contributions that characteristics about the injury/hospital admission and acute psychological adjustment make in determining 12-month role-related disability and QOL. METHODS: Consecutive admissions (n = 363) to a Level I trauma service were assessed just before discharge and followed up at 12 months. Structural equational modeling was used to examine the relationships between the acute factors and 12-month outcomes. RESULTS: Characteristics of the individual's injuries measured in the acute setting significantly predicted 12-month disability but only indirectly predicted 12-month QOL. An individual's acute psychological response directly predicted both the level of disability and QOL at 12 months. CONCLUSIONS: Both characteristics about an individual's injury and acute psychological responses play important roles in determining later QOL and role-related disability outcomes. Trauma care systems must consider both physical and psychological injury to offer effective and comprehensive healthcare management.
BACKGROUND: The factors that determine quality of life (QOL) and disability after traumatic injury are poorly understood. This study identified the unique contributions that characteristics about the injury/hospital admission and acute psychological adjustment make in determining 12-month role-related disability and QOL. METHODS: Consecutive admissions (n = 363) to a Level I trauma service were assessed just before discharge and followed up at 12 months. Structural equational modeling was used to examine the relationships between the acute factors and 12-month outcomes. RESULTS: Characteristics of the individual's injuries measured in the acute setting significantly predicted 12-month disability but only indirectly predicted 12-month QOL. An individual's acute psychological response directly predicted both the level of disability and QOL at 12 months. CONCLUSIONS: Both characteristics about an individual's injury and acute psychological responses play important roles in determining later QOL and role-related disability outcomes. Trauma care systems must consider both physical and psychological injury to offer effective and comprehensive healthcare management.
Authors: Brian E Bunnell; Tatiana M Davidson; Jennifer R Winkelmann; Jessica L Maples-Keller; Leigh E Ridings; Jennifer Dahne; Samir M Fakhry; Kenneth J Ruggiero Journal: Telemed J E Health Date: 2019-02-07 Impact factor: 3.536
Authors: Douglas Zatzick; Stephen S O'Connor; Joan Russo; Jin Wang; Nigel Bush; Jeff Love; Roselyn Peterson; Leah Ingraham; Doyanne Darnell; Lauren Whiteside; Erik Van Eaton Journal: J Trauma Stress Date: 2015-10
Authors: Douglas F Zatzick; Frederick P Rivara; Gregory J Jurkovich; Charles W Hoge; Jin Wang; Ming-Yu Fan; Joan Russo; Sarah Geiss Trusz; Avery Nathens; Ellen J Mackenzie Journal: Arch Gen Psychiatry Date: 2010-12
Authors: D Serralta-Colsa; C Camarero-Mulas; A M García-Marín; J Martin-Gil; E España-Chamorro; F Turegano-Fuentes Journal: Eur J Trauma Emerg Surg Date: 2010-04-20 Impact factor: 3.693