Gunilla Wihlke1,2, Lovisa Strömmer3, Thomas Troëng4, Olof Brattström5,6. 1. Trauma and Reparative Medicine, Karolinska University Hospital, Solna, 171 76, Stockholm, Sweden. gunilla.wihlke@sll.se. 2. Perioperative Medicine and Intensive Care, Karolinska University Hospital, 17176, Stockholm, Sweden. gunilla.wihlke@sll.se. 3. Division of Surgery, Department of Clinical Science, Intervention and Technology (CLINTEC), Karolinska Institute, 141 86, Stockholm, Sweden. 4. Section of Vascular Surgery, Department of Surgical Sciences, Uppsala University, 751 85, Uppsala, Sweden. 5. Perioperative Medicine and Intensive Care, Karolinska University Hospital, 17176, Stockholm, Sweden. 6. Section of Anesthesiology and Intensive Care Medicine, Department of Physiology and Pharmacology, Karolinska Institute, 141 86, Stockholm, Sweden.
Abstract
PURPOSE: Trauma patients often suffer for long time after their injury with physical and psychological problems. Patient-reported outcome measurements (PROM) help us to understand outcomes beyond mortality. The aim of the study was to describe a sample of Swedish trauma patients, regarding their physical function, psychological morbidity, and quality of life after trauma. METHODS: The study population was sourced from the Swedish Trauma Register: taking 1 month of data from five hospitals, over three consecutive years. 218 patients met the inclusion criteria, 147 data sets were used. Inclusion criteria included: age ≥ 18; New Injury Severity Scale (NISS) ≥ 9; and discharged alive. Data were collected at 3, 6, and 12 months after the trauma. EuroQol-5D (EQ-5D), Posttraumatic Symptom Scale-10 (PTSS-10) questionnaires and Glasgow Outcome Score (GOS) instrument were used with additional questions about pain and return to work. RESULTS: 12 months after the trauma: full functional recovery (GOS 5) was seen in 68% of the patients; 59% reported difficult or moderate pain or discomfort; and 44.5% of the patients had returned to work. In EQ-5D mobility dimension, no recovery was evident between 6 and 12 months. Twenty percent of the patients had significant symptoms for PTSD after 6 months and 16% after 3 months and 12 months. CONCLUSION: Trauma patients had decreased physical function and psychological morbidity up to 1 year after the initial injury. Incorporating PROM in the follow-up after trauma is important to understand the patient's perspective of care and treatment.
PURPOSE:Traumapatients often suffer for long time after their injury with physical and psychological problems. Patient-reported outcome measurements (PROM) help us to understand outcomes beyond mortality. The aim of the study was to describe a sample of Swedish traumapatients, regarding their physical function, psychological morbidity, and quality of life after trauma. METHODS: The study population was sourced from the Swedish Trauma Register: taking 1 month of data from five hospitals, over three consecutive years. 218 patients met the inclusion criteria, 147 data sets were used. Inclusion criteria included: age ≥ 18; New Injury Severity Scale (NISS) ≥ 9; and discharged alive. Data were collected at 3, 6, and 12 months after the trauma. EuroQol-5D (EQ-5D), Posttraumatic Symptom Scale-10 (PTSS-10) questionnaires and Glasgow Outcome Score (GOS) instrument were used with additional questions about pain and return to work. RESULTS: 12 months after the trauma: full functional recovery (GOS 5) was seen in 68% of the patients; 59% reported difficult or moderate pain or discomfort; and 44.5% of the patients had returned to work. In EQ-5D mobility dimension, no recovery was evident between 6 and 12 months. Twenty percent of the patients had significant symptoms for PTSD after 6 months and 16% after 3 months and 12 months. CONCLUSION:Traumapatients had decreased physical function and psychological morbidity up to 1 year after the initial injury. Incorporating PROM in the follow-up after trauma is important to understand the patient's perspective of care and treatment.
Entities:
Keywords:
EQ-5D; Outcome; PTSS-10; Quality of life; Trauma
Authors: B Bouillon; H J Kreder; E Eypasch; T L Holbrook; H J Kreder; R Mayou; D Nast-Kolb; N Pirente; G Schelling; T Tiling; D Yates Journal: Restor Neurol Neurosci Date: 2002 Impact factor: 2.406