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

Autor: Jan C, van Ditshuizen, Esther M M, van Lieshout, Ed F, van Beeck, Michiel H J, Verhofstad, Dennis, den Hartog, L, van de Schoot
Přispěvatelé: Surgery, Public Health
Rok vydání: 2021
Předmět:
Zdroj: European Journal of Trauma and Emergency Surgery, 48(3), 2421-2431. Springer International Publishing AG
ISSN: 1863-9941
1863-9933
Popis: 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 p = 0.001) for partial working respondents; and 0.49 (0.23–0.69, p p 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.
Databáze: OpenAIRE
Externí odkaz: