BACKGROUND: The primary aim of this study was to assess the health-related quality of life of survivors of severe trauma 1 year after injury, specified according to all the separate dimensions of the EuroQol-5D (EQ-5D) and the Health Utilities Index (HUI). METHODS: A prospective cohort study was conducted in which all severely injured trauma patients presented at a Level I trauma center were included. After 12 months, the EQ-5D, HUI2 and HUI3 were used to analyze the health status. RESULTS: Follow-up assessments were obtained from 246 patients (response rate, 68%). The overall population EQ-5D (median) utility score was 0.73 (EQ-5D Dutch general population norm, 0.88). HUI2, HUI3, and EQ-5D Visual Analog Scale scores were 0.81, 0.65, and 70, respectively. Eighteen percent had at least one functional limitation 1 year after trauma, and 60% reported functional limitations on two or more domains using the EQ-5D. The female gender and comorbidity were significant independent predictors of disability. CONCLUSION: Functional outcome and quality of life of survivors of severe injury have not returned to normal 1 year after trauma. The prevalence of specific limitations in this population is very high (40-70%). Female gender and comorbidity are predictors of long-term disability.
BACKGROUND: The primary aim of this study was to assess the health-related quality of life of survivors of severe trauma 1 year after injury, specified according to all the separate dimensions of the EuroQol-5D (EQ-5D) and the Health Utilities Index (HUI). METHODS: A prospective cohort study was conducted in which all severely injured traumapatients presented at a Level I trauma center were included. After 12 months, the EQ-5D, HUI2 and HUI3 were used to analyze the health status. RESULTS: Follow-up assessments were obtained from 246 patients (response rate, 68%). The overall population EQ-5D (median) utility score was 0.73 (EQ-5D Dutch general population norm, 0.88). HUI2, HUI3, and EQ-5D Visual Analog Scale scores were 0.81, 0.65, and 70, respectively. Eighteen percent had at least one functional limitation 1 year after trauma, and 60% reported functional limitations on two or more domains using the EQ-5D. The female gender and comorbidity were significant independent predictors of disability. CONCLUSION: Functional outcome and quality of life of survivors of severe injury have not returned to normal 1 year after trauma. The prevalence of specific limitations in this population is very high (40-70%). Female gender and comorbidity are predictors of long-term disability.
Authors: C C H M van Delft-Schreurs; J J M van Bergen; P van de Sande; M H J Verhofstad; J de Vries; M A C de Jongh Journal: Qual Life Res Date: 2013-11-08 Impact factor: 4.147
Authors: Juanita A Haagsma; Akkie N Ringburg; Esther Mm van Lieshout; Ed F van Beeck; Peter Patka; Inger B Schipper; Suzanne Polinder Journal: BMC Psychiatry Date: 2012-12-27 Impact factor: 3.630
Authors: Steve W Goodacre; Richard W Wilson; Mike Bradburn; Martina Santarelli; Jon P Nicholl Journal: Health Qual Life Outcomes Date: 2012-02-03 Impact factor: 3.186
Authors: Belinda J Gabbe; James E Harrison; Ronan A Lyons; Elton R Edwards; Peter A Cameron Journal: BMC Health Serv Res Date: 2013-01-26 Impact factor: 2.655