Health-related quality of life and return to work 1 year after major trauma from a network perspective.

Autor:	van Ditshuizen, Jan C., van Lieshout, Esther M. M., van Beeck, Ed F., Verhofstad, Michiel H. J., den Hartog, Dennis, Dutch Trauma Registry Southwest, Soesman, N. M. R., Jakma, T. S. C., Waleboer, M., Staarink, M., Bruijninckx, M. M. M., Cardon, A. Y. M. V. P., den Hoed, P. T., Roukema, G. R., van der Vlies, C. H., Schep, N. W. L., van de Schoot, L.
Předmět:	PAIN UNEMPLOYMENT TIME TRAUMA centers HEALTH status indicators COGNITION PATIENTS ACTIVITIES of daily living PATIENTS' attitudes QUALITY of life EMERGENCY medical services QUESTIONNAIRES PHYSICAL mobility MENTAL depression DESCRIPTIVE statistics WOUNDS & injuries EMPLOYMENT reentry ANXIETY HEALTH self-care
Zdroj:	European Journal of Trauma & Emergency Surgery; Jun2022, Vol. 48 Issue 3, p2421-2431, 11p, 1 Diagram, 5 Charts
Abstrakt:	Introduction: Major trauma often results in long-term disabilities. The aim of this study was to assess health-related quality of life, cognition, and return to work 1 year after major trauma from a trauma network perspective. Methods: All major trauma patients in 2016 (Injury Severity Score > 15, n = 536) were selected from trauma region Southwest Netherlands. Eligible patients (n = 365) were sent questionnaires with the EQ-5D-5L and questions on cognition, level of education, comorbidities, and resumption of paid work 1 year after trauma. Results: A 50% (n = 182) response rate was obtained. EQ-US and EQ-VAS scored a median (IQR) of 0.81 (0.62–0.89) and 70 (60–80), respectively. Limitations were prevalent in all health dimensions of the EQ-5D-5L; 90 (50%) responders reported problems with mobility, 36 (20%) responders reported problems with self-care, 108 (61%) responders reported problems during daily activities, 129 (73%) responders reported pain or discomfort, 70 (39%) responders reported problems with anxiety or depression, and 102 (61%) of the patients reported problems with cognition. Return to work rate was 68% (37% full, 31% partial). A median (IQR) EQ-US of 0.89 (0.82–1.00) and EQ-VAS of 80 (70–90) were scored for fully working responders; 0.77 (0.66–0.85, p < 0.001) and 70 (62–80, p = 0.001) for partial working respondents; and 0.49 (0.23–0.69, p < 0.001) and 55 (40–72, p < 0.001) for unemployed respondents. Conclusion: The majority experience problems in all health domains of the EQ-5D-5L and cognition. Return to work status was associated with all health domains of the EQ-5D-5L and cognition. [ABSTRACT FROM AUTHOR]
Databáze:	Complementary Index
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