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Implementation of health-related quality of life in the German TraumaRegister DGU® - first results of a pilot study.

التفاصيل البيبلوغرافية
العنوان: Implementation of health-related quality of life in the German TraumaRegister DGU® - first results of a pilot study.
المؤلفون: Jaekel C; Department of Orthopaedics and Traumatology, University Hospital and Medical Faculty, Heinrich-Heine-University Duesseldorf, Duesseldorf, Germany., Nienaber U; AUC-Academy for Trauma Surgery, Cologne, Germany., Neubert A; Department of Orthopaedics and Traumatology, University Hospital and Medical Faculty, Heinrich-Heine-University Duesseldorf, Duesseldorf, Germany. Anne.Neubert@med.uni-duesseldorf.de., Kamp O; Department of Trauma Surgery, Hand and Reconstructive Surgery, University Hospital Essen, Essen, Germany., Wienhöfer L; Department of Trauma Surgery, Hand and Reconstructive Surgery, University Hospital Essen, Essen, Germany., Nohl A; Department of Emergency Medicine, BG Klinikum Duisburg, Duisburg, 47249, Germany., Maegele M; Cologne-Merheim Medical Center (CMMC), Department of Trauma and Orthopedic Surgery, University Witten/Herdecke, Campus Cologne-Merheim, Cologne, Germany., Duesing H; Department of Trauma-, Hand- and Reconstructive Surgery, University Hospital Muenster, Muenster, Germany., Erichsen CJ; Department of Trauma Surgery, BG Trauma Center Murnau, Murnau Am Staffelsee, Murnau, 82418, Germany., Frenzel S; Department of Orthopedics and Trauma Surgery, Medical University of Vienna, Vienna, Austria., Lefering R; Institute for Research in Operative Medicine (IFOM), Universität Witten/Herdecke, Ostmerheimer Str.200, Haus 38, Cologne, 51109, Germany., Flohe S; Department of Trauma, Orthopaedics and Hand Surgery, Städt. Klinikum Solingen, Solingen, Germany., Bieler D; Department of Orthopaedics and Traumatology, University Hospital and Medical Faculty, Heinrich-Heine-University Duesseldorf, Duesseldorf, Germany.; Department of Orthopedics and Trauma Surgery, Reconstructive Surgery, Hand Surgery, Plastic Surgery and Burn Medicine, German Armed Forces Central Hospital, Koblenz, Germany.
مؤلفون مشاركون: Outcome Study Group of the Committee on Emergency Medicine, Intensive Care, Trauma Management (Sektion NIS) of the German Trauma Society (DGU)
المصدر: Health and quality of life outcomes [Health Qual Life Outcomes] 2024 Jun 05; Vol. 22 (1), pp. 46. Date of Electronic Publication: 2024 Jun 05.
نوع المنشور: Journal Article; Multicenter Study
اللغة: English
بيانات الدورية: Publisher: BioMed Central Country of Publication: England NLM ID: 101153626 Publication Model: Electronic Cited Medium: Internet ISSN: 1477-7525 (Electronic) Linking ISSN: 14777525 NLM ISO Abbreviation: Health Qual Life Outcomes Subsets: MEDLINE
أسماء مطبوعة: Original Publication: [London] : BioMed Central, c2003-
مواضيع طبية MeSH: Quality of Life*/psychology , Registries*, Humans ; Germany ; Male ; Female ; Middle Aged ; Pilot Projects ; Adult ; Aged ; Adolescent ; Young Adult ; Injury Severity Score ; Surveys and Questionnaires ; Multiple Trauma/psychology ; Multiple Trauma/therapy ; Wounds and Injuries/psychology ; Wounds and Injuries/therapy
مستخلص: Background: Approximately 30,000 people are affected by severe injuries in Germany each year. Continuous progress in prehospital and hospital care has significantly reduced the mortality of polytrauma patients. With increasing survival rates, the functional outcome, health-related quality (hrQoL) of life and ability to work are now gaining importance. Aim of the study is, the presentation of the response behavior of seriously injured patients on the one hand and the examination of the factors influencing the quality of life and ability to work 12 months after major trauma on the other hand. Building on these initial results, a standard outcome tool shall be integrated in the established TraumaRegister DGU® in the future.
Methods: In 2018, patients [Injury Severity Score (ISS) ≥ 16; age:18-75 years] underwent multicenter one-year posttraumatic follow-up in six study hospitals. In addition to assessing hrQoL by using the Short-Form Health Survey (SF-12), five additional questions (treatment satisfaction; ability to work; trauma-related medical treatment; relevant physical disability, hrQoL as compared with the prior to injury status) were applied.
Results: Of the 1,162 patients contacted, 594 responded and were included in the analysis. The post-injury hrQoL does not show statistically significant differences between the sexes. Regarding age, however, the younger the patient at injury, the better the SF-12 physical sum score. Furthermore, the physically perceived quality of life decreases statistically significantly in relation to the severity of the trauma as measured by the ISS, whereas the mentally perceived quality of life shows no differences in terms of injury severity. A large proportion of severely injured patients were very satisfied (42.2%) or satisfied (39.9%) with the treatment outcome. It should be emphasized that patients with a high injury severity (ISS > 50) were on average more often very satisfied with the treatment outcome (46.7%). A total of 429 patients provided information on their ability to work 12 months post-injury. Here, 194 (45.2%) patients had a full employment, and 58 (13.5%) patients were had a restricted employment.
Conclusion: The present results show the importance of a structured assessment of the postinjury hrQoL and the ability to work after polytrauma. Further studies on the detection of influenceable risk factors on hrQoL and ability to work in the intersectoral course of treatment should follow to enable the best possible outcome of polytrauma survivors.
(© 2024. The Author(s).)
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فهرسة مساهمة: Investigator: I Gnass; SM Heining; S Kaske; E Kollig; U Polak; S Simmel; J Sturm; S Thelen; R Volland
Keywords: Health-related quality of life; Outcome; Polytrauma; Trauma registry
تواريخ الأحداث: Date Created: 20240605 Date Completed: 20240606 Latest Revision: 20240820
رمز التحديث: 20240820
مُعرف محوري في PubMed: PMC11151558
DOI: 10.1186/s12955-024-02261-y
PMID: 38840184
قاعدة البيانات: MEDLINE
الوصف
تدمد:1477-7525
DOI:10.1186/s12955-024-02261-y