Katarina Bilén1,2, Sari Ponzer3, Maaret Castrén4, Hans Pettersson5, Carin Ottosson3. 1. Section of Internal Medicine, Department of Clinical Science and Education, Södersjukhuset, Karolinska Institutet, 118 83, Stockholm, Sweden. katarina.bilen@sodersjukhuset.se. 2. Section of Emergency Medicine, Department of Clinical Science and Education, Södersjukhuset, Karolinska Institutet, Stockholm, Sweden. katarina.bilen@sodersjukhuset.se. 3. Section of Orthopedic Surgery, Department of Clinical Science and Education, Södersjukhuset, Karolinska Institutet, Stockholm, Sweden. 4. Section of Emergency Medicine, Department of Clinical Science and Education, Södersjukhuset, Karolinska Institutet, Stockholm, Sweden. 5. Section of Biostatistics, Department of Clinical Science and Education, Södersjukhuset, Karolinska Institutet, Stockholm, Sweden.
Abstract
OBJECTIVES: To relate the trauma mechanism in a trauma population to health-related quality of life outcomes and mortality rates. METHODS: 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. RESULTS: 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. CONCLUSION: Even though the follow-up rate was only 53%, this study showed that, at 12 months, patients with self-inflicted injuries had significantly lower HRQoL ratings. There was no difference in mortality with regard to trauma mechanism. Cooperation between emergency service and psychiatric care early in the acute phase could provide a golden opportunity to reach this patient group.
OBJECTIVES: To relate the trauma mechanism in a trauma population to health-related quality of life outcomes and mortality rates. METHODS: 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. RESULTS: 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. CONCLUSION: Even though the follow-up rate was only 53%, this study showed that, at 12 months, patients with self-inflicted injuries had significantly lower HRQoL ratings. There was no difference in mortality with regard to trauma mechanism. Cooperation between emergency service and psychiatric care early in the acute phase could provide a golden opportunity to reach this patient group.
Entities:
Keywords:
HRQoL; Major trauma; Mortality; Mortality rate; Quality of life; Self-inflicted injuries
Authors: Juanita A Haagsma; Periklis Charalampous; Filippo Ariani; Anne Gallay; Kim Moesgaard Iburg; Evangelia Nena; Che Henry Ngwa; Alexander Rommel; Ausra Zelviene; Kedir Hussein Abegaz; Hanadi Al Hamad; Luciana Albano; Catalina Liliana Andrei; Tudorel Andrei; Ippazio Cosimo Antonazzo; Olatunde Aremu; Ashokan Arumugam; Alok Atreya; Avinash Aujayeb; Jose Luis Ayuso-Mateos; Luchuo Engelbert Bain; Maciej Banach; Till Winfried Bärnighausen; Francesco Barone-Adesi; Massimiliano Beghi; Derrick A Bennett; Akshaya S Bhagavathula; Félix Carvalho; Giulio Castelpietra; Ledda Caterina; Joht Singh Chandan; Rosa A S Couto; Natália Cruz-Martins; Giovanni Damiani; Anna Dastiridou; Andreas K Demetriades; Diana Dias-da-Silva; Adeniyi Francis Fagbamigbe; Seyed-Mohammad Fereshtehnejad; Eduarda Fernandes; Pietro Ferrara; Florian Fischer; Urbano Fra Paleo; Silvia Ghirini; James C Glasbey; Ionela-Roxana Glavan; Nelson G M Gomes; Michal Grivna; Netanja I Harlianto; Josep Maria Haro; M Tasdik Hasan; Sorin Hostiuc; Ivo Iavicoli; Milena D Ilic; Irena M Ilic; Mihajlo Jakovljevic; Jost B Jonas; Jacek Jerzy Jozwiak; Mikk Jürisson; Joonas H Kauppila; Gbenga A Kayode; Moien A B Khan; Adnan Kisa; Sezer Kisa; Ai Koyanagi; Manasi Kumar; Om P Kurmi; Carlo La-Vecchia; Demetris Lamnisos; Savita Lasrado; Paolo Lauriola; Shai Linn; Joana A Loureiro; Raimundas Lunevicius; Aurea Madureira-Carvalho; Enkeleint A Mechili; Azeem Majeed; Ritesh G Menezes; Alexios-Fotios A Mentis; Atte Meretoja; Tomislav Mestrovic; Tomasz Miazgowski; Bartosz Miazgowski; Andreea Mirica; Mariam Molokhia; Shafiu Mohammed; Lorenzo Monasta; Francesk Mulita; Mukhammad David Naimzada; Ionut Negoi; Subas Neupane; Bogdan Oancea; Hans Orru; Adrian Otoiu; Nikita Otstavnov; Stanislav S Otstavnov; Alicia Padron-Monedero; Songhomitra Panda-Jonas; Shahina Pardhan; Jay Patel; Paolo Pedersini; Marina Pinheiro; Ivo Rakovac; Chythra R Rao; Salman Rawaf; David Laith Rawaf; Violet Rodrigues; Luca Ronfani; Dominic Sagoe; Francesco Sanmarchi; Milena M Santric-Milicevic; Brijesh Sathian; Aziz Sheikh; Rahman Shiri; Siddharudha Shivalli; Inga Dora Sigfusdottir; Rannveig Sigurvinsdottir; Valentin Yurievich Skryabin; Anna Aleksandrovna Skryabina; Catalin-Gabriel Smarandache; Bogdan Socea; Raúl A R C Sousa; Paschalis Steiropoulos; Rafael Tabarés-Seisdedos; Marcos Roberto Tovani-Palone; Fimka Tozija; Sarah Van de Velde; Tommi Juhani Vasankari; Massimiliano Veroux; Francesco S Violante; Vasiliy Vlassov; Yanzhong Wang; Ali Yadollahpour; Sanni Yaya; Mikhail Sergeevich Zastrozhin; Anasthasia Zastrozhina; Suzanne Polinder; Marek Majdan Journal: Arch Public Health Date: 2022-05-20