AIMS AND OBJECTIVES: To describe the recovery of trauma intensive care patients up to six months posthospital discharge. BACKGROUND: Injury is a leading cause of preventable mortality and morbidity worldwide, with approximately 10% of hospitalised trauma patients being admitted to intensive care. Intensive care patients experience significant ongoing physical and psychological burden after discharge; however, the patterns of recovery and the subgroups of intensive care patients who experience the greatest burden are not described. DESIGN: This prospective cohort study was conducted in one tertiary referral hospital in south-east Queensland, Australia. METHODS: Following ethics approval, injured patients who required admission to intensive care provided consent. Participants completed questionnaires prior to hospital discharge (n = 123) and one (n = 93) and six months (n = 88) later. Data included demographic and socioeconomic details, pre-injury health, injury characteristics, acute care factors, postacute factors [self-efficacy, illness perception, perceived social support and psychological status as measured by the Kessler Psychological Distress Scale (K10) and the PTSD Civilian Checklist] and health status (SF-36). RESULTS: All participants required ongoing support from healthcare providers in the six months after discharge from hospital, and approximately half required support services such as accommodation and home modifications. Approximately 20% of participants reported post-traumatic stress symptoms, while approximately half the participants reported psychological distress. Average quality of life scores were significantly below the Australian norms both one and six months postdischarge. CONCLUSIONS: Trauma intensive care patients rely on ongoing healthcare professional and social support services. Compromised health-related quality of life and psychological health persists at six months. RELEVANCE TO CLINICAL PRACTICE: Effective discharge planning and communication across the care continuum is essential to facilitate access to healthcare providers and other support services in the community setting.
AIMS AND OBJECTIVES: To describe the recovery of trauma intensive care patients up to six months posthospital discharge. BACKGROUND: Injury is a leading cause of preventable mortality and morbidity worldwide, with approximately 10% of hospitalised traumapatients being admitted to intensive care. Intensive care patients experience significant ongoing physical and psychological burden after discharge; however, the patterns of recovery and the subgroups of intensive care patients who experience the greatest burden are not described. DESIGN: This prospective cohort study was conducted in one tertiary referral hospital in south-east Queensland, Australia. METHODS: Following ethics approval, injured patients who required admission to intensive care provided consent. Participants completed questionnaires prior to hospital discharge (n = 123) and one (n = 93) and six months (n = 88) later. Data included demographic and socioeconomic details, pre-injury health, injury characteristics, acute care factors, postacute factors [self-efficacy, illness perception, perceived social support and psychological status as measured by the Kessler Psychological Distress Scale (K10) and the PTSD Civilian Checklist] and health status (SF-36). RESULTS: All participants required ongoing support from healthcare providers in the six months after discharge from hospital, and approximately half required support services such as accommodation and home modifications. Approximately 20% of participants reported post-traumatic stress symptoms, while approximately half the participants reported psychological distress. Average quality of life scores were significantly below the Australian norms both one and six months postdischarge. CONCLUSIONS:Trauma intensive care patients rely on ongoing healthcare professional and social support services. Compromised health-related quality of life and psychological health persists at six months. RELEVANCE TO CLINICAL PRACTICE: Effective discharge planning and communication across the care continuum is essential to facilitate access to healthcare providers and other support services in the community setting.
Authors: A J L M Geraerds; Amy Richardson; Juanita Haagsma; Sarah Derrett; Suzanne Polinder Journal: Health Qual Life Outcomes Date: 2020-05-29 Impact factor: 3.186
Authors: Himanshu Rawal; Daniel L Young; Roozbeh Nikooie; Awsse H Al Ani; Lisa Aronson Friedman; Sumana Vasishta; Elliott R Haut; Elizabeth Colantuoni; Dale M Needham; Victor D Dinglas Journal: Trauma Surg Acute Care Open Date: 2020-11-04