Quality of life after mild to moderate trauma

Innocenti, Francesca; Taglia, Beatrice Del; Coppa, Alessandro; Trausi, Federica; Conti, Alberto; Zanobetti, Maurizio; Pini, Riccardo

doi:10.1016/j.injury.2014.11.033

Cited by 18 publications

(13 citation statements)

References 26 publications

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“…Three articles resulted from two studies in Switzerland [43][44][45] and three articles resulted from two [59,60,62], respectively. Two articles from two different studies were detected from both Italy [46,47] and Sweden [52,56]. Remaining articles were from studies conducted in Hong Kong [55], India [48], British Colombia [58], Iran [23], Spain [50], United Kingdom [49], Thailand [63], Japan [61] and Vietnam [51] (all n = 1).…”

Section: Study Characteristicsmentioning

confidence: 99%

A systematic review of studies measuring health-related quality of life of general injury populations: update 2010–2018

Geraerds

Richardson

Haagsma

et al. 2020

Health Qual Life Outcomes

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Background: Studies examining the impact of injury on health-related quality of life (HRQL) over time are necessary to understand the short-and long-term consequences of injury for population health. The aim of this systematic review was to provide an evidence update on studies that have measured HRQL over time in general injury populations using a generic (general) health state measure. Methods: Studies conducted between 2010 and 2018 that assessed HRQL at more than one time point among general injury populations were eligible for inclusion. Two reviewers independently extracted information from each study on design, HRQL measure used, method of HRQL measure administration, timing of assessment(s), predictive variables, ability to detect change, and findings. Quality appraisals of each study were also completed by two reviewers using items from the RTI Item Bank on Risk of Bias and Precision of Observational Studies and the Guidelines for the Conduction of Follow-up Studies Measuring Injury-Related Disability. Results: Twenty-nine studies (44 articles) that met the inclusion criteria were identified. HRQL was measured using 14 different generic measures; the SF-36, SF-12, and EQ-5D were used most frequently. A varying number of follow-up assessments were undertaken, ranging from one to five. Follow-up often occurred 12 months post-injury. Fewer studies (n = 11) examined outcomes two or more years post-injury, and only one to 10 years post-injury. While most studies documented improvements in HRQL over time since the injury event, study populations had not returned to pre-injury status or reached general population norm HRQL values at post-injury follow-ups. Conclusions: Since 2010 there has been a substantial increase in the number of studies evaluating the HRQL of general injury populations. However, significant variability in study design continues to impede quantification of the impact of injury on population health over time. Variation between studies is particularly evident with respect to timing and number of follow-up assessments, and selection of instruments to evaluate HRQL.

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Section: Study Characteristicsmentioning

confidence: 99%

A systematic review of studies measuring health-related quality of life of general injury populations: update 2010–2018

Geraerds

Richardson

Haagsma

et al. 2020

Health Qual Life Outcomes

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“…Previous studies have indicated that mTBI is associated with decreased quality of life, 15 long-term sick leave 21 and unemployment. 22 However, as inclusion criteria differ and many studies have relatively small sample sizes it is difficult to compare and conclude across studies.…”

Section: Introductionmentioning

confidence: 99%

Use of general practice before and after mild traumatic brain injury: a nationwide population-based cohort study in Denmark

et al. 2017

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ObjectivesTraumatic brain injury (TBI) is commonly seen in the emergency department (ED). Approximately 85%–90% of TBIs are mild (mTBI). Some cause symptoms such as headache, dizziness, anxiety, blurred vision, insomnia and concentration difficulties, collectively known as postconcussion syndrome (PCS). Some studies suggest that recovery from mTBI is complete. Others find that symptoms persist for months, even years. The aim of this study was to describe the use of general practice, before and after mTBI, as a proxy for symptoms in a large cohort.DesignNationwide population-based matched cohort study.SettingDanish EDs and general practice.ParticipantsAll patients (aged ≥18 years), first-time diagnosed with mTBI in a Danish ED between 1 January 1998 and 31 December 2010 (n=93 517). Ten reference persons per patient with mTBI were randomly matched on gender, age and general practice (n=935 170).Primary outcomeOverall use of general practice; consultations relating to mental and physical health.ResultsWe found higher use of general practice during the first year after mTBI for all ages, both genders and all types of contacts. Age 18–40 years: women, incidence rate ratio (IRR) 1.59 (95% CI 1.57 to 1.61); men, IRR 1.82 (95% CI 1.80 to 1.85). Age 41–65 years: women, IRR 1.75 (95% CI 1.72 to 1.78); men, IRR 1.85(95% CI 1.82 to 1.89). Age 66+ years: women, IRR 1.55 (95% CI 1.52 to 1.58); men, IRR 1.55 (95% CI 1.51 to 1.59). After the first year, the use decreased to the level before mTBI. Individuals with mTBI and higher use of general practice before mTBI had lower socioeconomic status and more comorbidities (P<0.001).ConclusionsThe use of general practice was higher in the first year after mTBI, specifically in the first 3 months. Patients with mTBI had different healthcare-seeking behaviour several years before diagnosis than their matched reference persons. Pretraumatic morbidity should be considered in the evaluation of PCS.

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“…HRQoL is a challenging term to define due to its multi-dimensional nature [ 28 ]. It is broadly agreed that HRQoL is the functional effect of a medical problem and its consequent treatment upon the individual and their daily life, involving their perceptions of physical, mental, emotional and social functioning [ 29 ]. In those with blunt thoracic injury, the identification of potential variables that have an impact on HRQoL can help determine the effectiveness of interventions, such as analgesic modes or evidence-based care pathways, for patients with blunt thoracic injury [ 12 , 30 – 32 ].…”

Section: Introductionmentioning

confidence: 99%

The long-term outcomes and health-related quality of life of patients following blunt thoracic injury: a narrative literature review

Baker

Xyrichis

Norton

et al. 2018

Scand J Trauma Resusc Emerg Med

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BackgroundMajor Trauma remains a leading cause of mortality and morbidity worldwide. Blunt Thoracic Injury (BTI) accounts for > 15% of United Kingdom (UK) trauma admissions and is consistently associated with respiratory related complications that include pneumonia and respiratory failure. Despite this, it is unclear in current clinical practice how BTI impacts on the recovering trauma patients after discharge from hospital. This study aimed to investigate the state of knowledge on the impact of BTI on the long-term outcomes and health-related quality of life (HRQoL).MethodsData were sourced from Ovid MEDLINE, Ovid EMBASE, CINAHL and Science Direct using a pre-defined systematic search strategy. A subsequent hand search of key references was used to identify potentially missed studies. Abstracts were screened for eligibility and inclusion. Fifteen studies met the eligibility criteria and were critically appraised. Data were extracted, analysed and synthesised in categories and sub-categories following a narrative approach.ResultsThree major themes were identified from the 15 studies included in this review: (i) physical impact of BTI, (ii) psychological impact of BTI and (iii) socio-economic impact of BTI. The bulk of the available data focused on the physical impact where further sub-themes included: (i) physical functioning, (ii) ongoing unresolved pain, (iii) reduced respiratory function, (iv) thoracic structural integrity. Although there was a substantial difference in the length and method of follow up, there remains a general trend towards physical symptoms improving over time, particularly over the first six months after injury. Despite this, where sequelae continued at six months it remained likely that these would also be present at two years after injury.ConclusionThe literature review demonstrated that BTI is associated with substantial sequelae that impacts on all aspects of daily functioning. Despite this there remains a paucity of data relating to long term outcomes in the BTI population, especially relating to psychological and socio-economic impact. There is also little consensus on the measures, tools and time-frames used to measure outcomes and HRQoL in this population. The full impact of BTI on this population needs further exploration.Electronic supplementary materialThe online version of this article (10.1186/s13049-018-0535-9) contains supplementary material, which is available to authorized users.

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Quality of life after mild to moderate trauma

Cited by 18 publications

References 26 publications

A systematic review of studies measuring health-related quality of life of general injury populations: update 2010–2018

A systematic review of studies measuring health-related quality of life of general injury populations: update 2010–2018

Use of general practice before and after mild traumatic brain injury: a nationwide population-based cohort study in Denmark

The long-term outcomes and health-related quality of life of patients following blunt thoracic injury: a narrative literature review

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