Outcome from Injury: General Health, Work Status, and Satisfaction 12 Months after Trauma

Michaels, Andrew J.; Michaels, Claire E.; Smith, Joshua S.; Moon, Christina H.; Peterson, Christopher; Long, William B.

doi:10.1097/00005373-200005000-00007

Cited by 306 publications

(180 citation statements)

References 19 publications

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“…These propositions are supported by the literature indicating that when psychiatric disorders are co-morbid with traumatic injury, the associated disability is substantial. Many studies, including our own, have uncovered psychiatric disorders (Mason, Wardrope, Turpin, & Rowlands, 2002;Read et al, 2004) and disability after injury (Maraste, Persson, & Berntman, 2003;Smith et al, 2005) and demonstrated that psychiatric morbidity is a major contributor to this disability (Michaels et al, 2000).…”

Section: Introductionmentioning

confidence: 90%

Psychiatric Disorders in Patients Presenting to the Emergency Department for Minor Injury

Richmond

Hollander²,

Ackerson³

et al. 2007

Nursing Research

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Section: Introductionmentioning

confidence: 90%

Psychiatric Disorders in Patients Presenting to the Emergency Department for Minor Injury

Richmond

Hollander²,

Ackerson³

et al. 2007

Nursing Research

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“…ASD, PTSD, and psychological distress are positively associated with wound healing and fatigue 13,[20][21][22][23][24][25] and negatively with quality of life (QOL) compared to the general population 18,[26][27][28][29][30][31] . Also, patients' satisfaction with work status, general health, and recovery from injury are related with impaired mental health, depressive symptoms, and increased risk of substance abuse 30,32 . As a result, the costs of care increases due to patients who needs more medical care, for example longer hospital stay after trauma or multiple hospital visits 25,33,34 .…”

mentioning

confidence: 99%

“…Also, patients' satisfaction with work status, general health, and recovery from injury are related with impaired mental health, depressive symptoms, and increased risk of substance abuse 30,32 . As a result, the costs of care increases due to patients who needs more medical care, for example longer hospital stay after trauma or multiple hospital visits 25,33,34 .In addition to QOL, PTSD, anxiety, and depression are most frequently examined after injury [26][27][28][29][30][31] . However, information about ASD is scarce.…”

mentioning

confidence: 99%

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Physical Trauma Patients with Symptoms of an Acute and Posttraumatic Stress Disorder: Protocol for an Observational Prospective Cohort Study (Preprint)

Visser¹,

Gosens²,

Oudsten³

et al. 2017

Preprint

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Psychological trauma can be divided into Type-I trauma (i.e. one single traumatic event (e.g. car accident)) and Type-II trauma (i.e. repeated and prolonged traumatization (e.g. abuse)). Physical trauma or injury is a Type-I trauma and a major source of high medical and social costs 1 . In the Netherlands, injury is the leading cause of death for persons younger than 35 years old 2 .Due to registration and implementation of specialized trauma care after injury, the quality of trauma care has been improved and survivorship increased [1][2][3][4][5][6] . However, patients go through a process of treatment after injury: from the ambulance or trauma helicopter to the shock room, possible hospital stay, and finally rehabilitation. The treatment in, for example, the shock room can be impressive and can have a major impact on patients' wellbeing. About 43% to 84% of the patients experience psychological problems (e.g. anxiety, depressive symptoms or opioid abuse) 7-10 and 7% has psychiatric comorbidity after physical trauma 11 . About 25% of the trauma patients have an (subsyndromal) acute stress disorder (ASD) during hospitalization and about 30% had post-traumatic stress disorder (PTSD) one month after injury 12,13 . About 49% showed a delayed onset of PTSD six months after injury. This percentage decreased to 20% at 24 months after injury 13 . Diagnostic criteria for ASD and PTSD are similar with regard to re-experiencing (e.g. flashbacks), increased arousal (e.g. difficulty concentrating), and persistent avoidance (e.g. efforts to avoid thoughts, feelings or places associated with the trauma). However, dissociative symptoms (e.g., numbing, reduction in awareness of surroundings, depersonalization, derealization, and/or dissociative amnesia) are emphasized in ASD, while PTSD does not include dissociative symptoms. Moreover, the diagnosis ASD can only be given within the first month after a traumatic event and last for less than a month. If the symptoms continue longer than a month, a diagnosis of PTSD is given. The symptoms may begin either after trauma or months or years afterwards 14 . PTSD symptoms persist for at least one month after injury 15 .Psychosocial problems and disorders can have a negative impact on patients' lives up to years later 13,[16][17][18] . For instance, 45% of the patients could not pursue with leisure activities and 27% reported a broken marriage six years after trauma 19 . Furthermore, pain was found to be a major predictor for psychological adjustment problems two years after injury 16 . ASD, PTSD, and psychological distress are positively associated with wound healing and fatigue 13,[20][21][22][23][24][25] and negatively with quality of life (QOL) compared to the general population 18,[26][27][28][29][30][31] . Also, patients' satisfaction with work status, general health, and recovery from injury are related with impaired mental health, depressive symptoms, and increased risk of substance abuse 30,32 . As a result, the costs of care increases due to patients who needs more medical care...

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“…[1][2][3][4][5] Few studies have described the use of health care services post-trauma, 1,6,7 and the relationship between health care service use and ongoing disability experienced by patients is unknown. Understanding the degree of disability experienced by trauma survivors and their pattern of support and outpatient services use is important for evaluating management approaches and improving health service provision.…”

mentioning

confidence: 99%

Use of health care services 6 months following major trauma

Gabbe¹,

Sutherland²,

Williamson³

et al. 2007

Aust. Health Review

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To establish the use of health care services 6 months following major trauma, 243 blunt major trauma patients were recruited during their acute hospital stay and followed up by telephone interview at 6 months post-injury. Data collected at 6 months included health care service usage and their level of disability according to the Glasgow Outcome Scale -Extended (GOSE). Ninety-four percent of patients were living in the community at 6 months, and most (69%) reported continued use of health care services. Of those with ongoing disability, non-compensable patients were significantly more likely (OR 3.7; 95% CI, 1.6-8.6) to have ceased health care service use than com- pensable patients, independent of injury severity.MANY STUDIES HAVE described the outcomes of trauma survivors at various time points postinjury and demonstrated the presence of ongoing disability, handicap and lost quality of life. 1-5 Few studies have described the use of health care services post-trauma, 1,6,7 and the relationship between health care service use and ongoing disability experienced by patients is unknown. Understanding the degree of disability experienced by trauma survivors and their pattern of support and outpatient services use is important for evaluating management approaches and improving health service provision. The aim of this study was to establish the use of health care services at 6 months following major trauma.

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Outcome from Injury: General Health, Work Status, and Satisfaction 12 Months after Trauma

Cited by 306 publications

References 19 publications

Psychiatric Disorders in Patients Presenting to the Emergency Department for Minor Injury

Psychiatric Disorders in Patients Presenting to the Emergency Department for Minor Injury

Physical Trauma Patients with Symptoms of an Acute and Posttraumatic Stress Disorder: Protocol for an Observational Prospective Cohort Study (Preprint)

Use of health care services 6 months following major trauma

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Outcome from Injury: General Health, Work Status, and Satisfaction 12 Months after Trauma

Cited by 306 publications

References 19 publications

Psychiatric Disorders in Patients Presenting to the Emergency Department for Minor Injury

Psychiatric Disorders in Patients Presenting to the Emergency Department for Minor Injury

Physical Trauma Patients with Symptoms of an Acute and Posttraumatic Stress Disorder: Protocol for an Observational Prospective Cohort Study (Preprint)

Use of health care services 6&nbsp;months following major trauma

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Use of health care services 6 months following major trauma