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 |
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Přispěvatelé: | Surgery, Public Health |
Rok vydání: | 2021 |
Předmět: |
medicine.medical_specialty
Activities of daily living Sports medicine Health Status Pain Anxiety Critical Care and Intensive Care Medicine Return to Work Quality of life Surveys and Questionnaires medicine Humans Orthopedics and Sports Medicine Depression (differential diagnoses) Response rate (survey) business.industry Major trauma Cognition medicine.disease Quality of Life Emergency Medicine Physical therapy Surgery medicine.symptom business |
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 |
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