Quality of Life and Disability as a Result of Multiple Injuries

Hładki, Waldemar; Lorkowski, Jacek; Brongel, Leszek; Trybus, Marek; Nazimek, Rafał; Kuliś, Marek; Budzyński, Piotr

doi:10.2478/v10035-007-0032-8

Cited by 2 publications

(4 citation statements)

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“… Age : In 38 studies [ 2 , 29 – 49 , 133 , 134 , 136 , 138 , 140 , 144 – 151 , 153 , 154 , 157 ], the relationship between age and HRQoL was reported. The majority of those studies ( n = 24) found a significant correlation with age, mainly indicating that older age was an independent predictor of reduced HRQoL [ 2 , 29 , 31 , 33 , 35 – 37 , 41 , 42 , 44 , 133 , 134 , 136 , 138 , 145 – 147 , 149 , 153 , 154 , 157 ], disablement [ 46 , 152 ], and use of pain medication [ 149 ]. In some studies, the cut-off age for poor HRQoL was further specified: worse HRQoL was demonstrated in patients ≥ 55 [ 31 , 138 , 150 ], ≥ 60 [ 29 ], > 65 [ 139 , 148 , 154 ] and > 80 years [ 146 , 147 ].…”

Section: Resultsmentioning

confidence: 99%

“…Among patients suffering severe trauma, several factors were associated with HRQoL. Multiple parameters predicting reduced HRQoL came forward several times (in at least more than three studies), namely higher age [ 2 , 29 , 31 , 33 , 35 – 37 , 41 , 42 , 44 , 46 , 133 , 134 , 136 , 139 , 146 – 150 , 152 , 154 , 155 , 158 ], the female gender [ 2 , 34 – 36 , 41 , 48 , 50 – 52 , 68 , 133 , 139 , 141 , 150 , 151 , 158 ], body region of injury [ 29 – 31 , 34 – 39 , 42 – 44 , 46 , 48 , 53 – 55 , 60 , 63 – 76 , 86 , 131 – 133 , 136 , 138 , 140 – 143 , 149 , 155 , 156 , 159 ] (especially lower extremity injuries [ 29 – 31 , 35 , 39 , 42 , 44 , 70 , ...…”

Section: Discussionmentioning

confidence: 99%

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Parameters influencing health-related quality of life after severe trauma: a systematic review (part II)

Lotfalla

Halm

Schepers

et al. 2023

Eur J Trauma Emerg Surg

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Introduction It is increasingly recognized that health-related quality of life (HRQoL) is a relevant outcome to study in populations comprising severely injured patients. Although some studies have readily demonstrated a compromised HRQoL in those patients, evidence regarding factors that predict HRQoL is scarce. This hinders attempts to prepare patient-specific plans that may aid in revalidation and improved life satisfaction. In this review, we present identified predictors of HRQoL in patients that have suffered severe trauma. Methods The search strategy included a database search until the 1st of January 2022 in the Cochrane Library, EMBASE, PubMed, and Web of Science, and reference checking. Studies were eligible for inclusion when (HR)QoL was studied in patients with major, multiple, or severe injury and/or polytrauma, as defined by authors by means of an Injury Severity Score (ISS) cut-off value. The results will be discussed in a narrative manner. Results A total of 1583 articles were reviewed. Of those, 90 were included and used for analysis. In total, 23 possible predictors were identified. The following parameters predicted reduced HRQoL in severely injured patients and came forward in at least more than three studies: higher age, female gender, lower extremity injuries, higher rate of injury severity, lower achieved educational level, presence of (pre-existing) comorbidities and mental illness, longer duration of hospital stay, and high level of disability. Conclusion Age, gender, injured body region, and severity of injury were found to be good predictors of health-related quality of life in severely injured patients. A patient-centered approach, based on individual, demographic, and disease-specific predictors, is highly recommended.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Parameters influencing health-related quality of life after severe trauma: a systematic review (part II)

Lotfalla

Halm

Schepers

et al. 2023

Eur J Trauma Emerg Surg

View full text Add to dashboard Cite

show abstract

“…Interestingly, only paediatric patients (< 16 years) seem to have a similar HRQoL when compared to normative population values [85,167,192]. In a substantial number of studies [32,34,37,39,42,50,52,53,57,61,63,71,87,158,161,162,164,172,176,177,183,185,186,192,193,199] scores in the used HRQoL-instruments increased over time in some domains, suggesting improvement in HRQoL after severe trauma in the months or years to follow after the event leading to the injuries; HRQoL, however, remained generally reduced when compared to population norms or pre-injury status.…”

Section: Summary Of Main Resultsmentioning

confidence: 99%

“…QoL was reduced as a result of disability in approximately half of the patients sustaining multiple injuries. Significant improvement occurred over time [164].…”

Section: The Classification Of Disability By the International Classi...mentioning

confidence: 90%

Health-related quality of life after severe trauma and available PROMS: an updated review (part I)

Lotfalla

Halm

Schepers

et al. 2022

Eur J Trauma Emerg Surg

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Introduction Throughout the years, a decreasing trend in mortality rate has been demonstrated in patients suffering severe trauma. This increases the relevance of documentation of other outcomes for this population, including patient-reported outcome measures (PROMs), such as health-related quality of life (HRQoL). The aim of this review was to summarize the results of the studies that have been conducted regarding HRQoL in severely injured patients (as defined by the articles’ authors). Also, we present the instruments that are used most frequently to assess HRQoL in patients suffering severe trauma. Methods A literature search was conducted in the Cochrane Library, EMBASE, PubMed, and Web of Science for articles published from inception until the 1st of January 2022. Reference lists of included articles were reviewed as well. Studies were considered eligible when a population of patients with major, multiple or severe injury and/or polytrauma was included, well-defined by means of an ISS-threshold, and the outcome of interest was described in terms of (HR)QoL. A narrative design was chosen for this review. Results The search strategy identified 1583 articles, which were reduced to 113 after application of the eligibility criteria. In total, nineteen instruments were used to assess HRQoL. The SF-36 was used most frequently, followed by the EQ-5D and SF-12. HRQoL in patients with severe trauma was often compared to normative population norms or pre-injury status, and was found to be reduced in both cases, regardless of the tool used to assess this outcome. Some studies demonstrated higher scoring of the patients over time, suggesting improved HRQoL after considerable time after severe trauma. Conclusion HRQoL in severely injured patients is overall reduced, regardless of the instrument used to assess it. The instruments that were used most frequently to assess HRQoL were the SF-36 and EQ-5D. Future research is needed to shed light on the consequences of the reduced HRQoL in this population. We recommend routine assessment and documentation of HRQoL in severely injured patients.

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Quality of Life and Disability as a Result of Multiple Injuries

Cited by 2 publications

References 8 publications

Parameters influencing health-related quality of life after severe trauma: a systematic review (part II)

Parameters influencing health-related quality of life after severe trauma: a systematic review (part II)

Health-related quality of life after severe trauma and available PROMS: an updated review (part I)

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