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Outcome and quality of life 5 years after major trauma
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- Sluys, Kerstin, 1956- (author)
- Karolinska Institutet
- Häggmark, Tom (author)
- Iselius, Lennart (author)
- (creator_code:org_t)
- Baltimore : Lippincott Williams & Wilkins, 2005
- 2005
- English.
- In: Journal of Trauma. - Baltimore : Lippincott Williams & Wilkins. - 0022-5282 .- 1529-8809. ; 59:1, s. 223-232
- Journal article (peer-reviewed)
Abstract
Subject headings
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- BACKGROUND: This study aimed to determine quality of life after injury and identify factors potentially associated with outcome.METHODS: Five years after injury from blunt or penetrating trauma, patients received a questionnaire based on the SF-36 Health Survey.RESULTS: Two hundred five patients (83%) replied. Most were men, median age 39 years, 93% injured by blunt energy, median Injury Severity Score 14 (range 9-57). Mean SF-36 scores were significantly lower than in a matched reference group. Poor outcome was associated with: in-hospital days, intensive care days, surgical procedures, in-hospital major complications, age, recurrent injury, and inadequate information. Subjects reported considerable physical (68%) and psychologic (41%) disabilities. Near half reported need of improved follow-up care. Injury severity did not predict poor health-related quality of life 5 years later.CONCLUSION: Adequate information, sufficient pain management and follow-up by trauma specialist teams are needed. Certain factors can help identify patients in need of additional help and support.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Omvårdnad (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Nursing (hsv//eng)
Keyword
- injury trauma
- injury severity score
- follow-up outcome
- quality of life health status
Publication and Content Type
- ref (subject category)
- art (subject category)
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