Kruithof N1, Polinder S2, de Munter L1, van de Ree CLP1, Lansink KWW1,3,4, de Jongh MAC1,4, Bios group -1
1ETZ Hospital (Elisabeth-TweeSteden Ziekenhuis), Trauma TopCare, Tilburg, Netherlands, 2Erasmus University Medical Center, Public Health, Rotterdam, Netherlands, 3ETZ Hospital (Elisabeth-TweeSteden Ziekenhuis), Department of Surgery, Tilburg, Netherlands, 4Brabant Trauma Registry, Network Emergency Care Brabant, Tilburg, Netherlands
Background: The number of patients that survive their trauma is rising and so, there is an increasing need for research focussing on non-fatal outcome.
Purpose: To present data on Health Status (HS), psychological outcome and return to work (RTW) during 1 year post-trauma.
Methods: Adult hospitalized trauma patients with all types of injuries were included. Data was collected at 1 week, 1, 3, 6 and 12 months post-trauma and includes a pre-injury assessment. The EuroQol-5D-3L (EQ-5D-3L) and the Health Utilities Index Mark 2 and 3 (HUI2/3) were used to assess HS. For the screening of symptoms of anxiety and depression and for post-traumatic stress disorder (PTSD), the Hospital Anxiety and Depression Scale and the Impact of Event Scale were used, respectively. To examine recovery patterns, linear mixed models analyses were used.
Results: A total of 4,883 (50% response rate) patients participated (median age 68 (IQR 53-80)). The mean EQ-5D-3L, HUI2 and HUI3 scores were 0.49, 0.55 and 0.34, respectively, at 1 week and significantly improved to 0.71, 0.76 and 0.60, respectively, at 1 year post-trauma. Females, higher age, low educational level, comorbidities, hip fracture, spinal cord injury or a plexus brachialis lesion revealed worse HS. Except in patients with an Injury Severity Score of 9-15, long-term HS did not differ by injury severity. The prevalence of symptoms of depression or PTSD showed a small decrease over time (12% to 8% and 14% to 10%, respectively). The rate of RTW was 32.8%, 55.2%, 64.6% and 69.1% between 0-1, 2-3, 4-6 and 7-12 months post-trauma, respectively.
Conclusion(s): Recovery patterns of trauma patients varied widely. It is vital to monitor recovery over a longer time period, e.g. by extending the standard aftercare.
Implications: Healthcare providers, including physiotherapists, should not solely focus on the physical disability after trauma, but should also take into account the psychosocial problems.
Keywords: Injury, health status, risk factors
Funding acknowledgements: This work was supported by The Netherlands Organisation for Health Research and Development (ZonMw) under grant number 80-84200-98-14225
Purpose: To present data on Health Status (HS), psychological outcome and return to work (RTW) during 1 year post-trauma.
Methods: Adult hospitalized trauma patients with all types of injuries were included. Data was collected at 1 week, 1, 3, 6 and 12 months post-trauma and includes a pre-injury assessment. The EuroQol-5D-3L (EQ-5D-3L) and the Health Utilities Index Mark 2 and 3 (HUI2/3) were used to assess HS. For the screening of symptoms of anxiety and depression and for post-traumatic stress disorder (PTSD), the Hospital Anxiety and Depression Scale and the Impact of Event Scale were used, respectively. To examine recovery patterns, linear mixed models analyses were used.
Results: A total of 4,883 (50% response rate) patients participated (median age 68 (IQR 53-80)). The mean EQ-5D-3L, HUI2 and HUI3 scores were 0.49, 0.55 and 0.34, respectively, at 1 week and significantly improved to 0.71, 0.76 and 0.60, respectively, at 1 year post-trauma. Females, higher age, low educational level, comorbidities, hip fracture, spinal cord injury or a plexus brachialis lesion revealed worse HS. Except in patients with an Injury Severity Score of 9-15, long-term HS did not differ by injury severity. The prevalence of symptoms of depression or PTSD showed a small decrease over time (12% to 8% and 14% to 10%, respectively). The rate of RTW was 32.8%, 55.2%, 64.6% and 69.1% between 0-1, 2-3, 4-6 and 7-12 months post-trauma, respectively.
Conclusion(s): Recovery patterns of trauma patients varied widely. It is vital to monitor recovery over a longer time period, e.g. by extending the standard aftercare.
Implications: Healthcare providers, including physiotherapists, should not solely focus on the physical disability after trauma, but should also take into account the psychosocial problems.
Keywords: Injury, health status, risk factors
Funding acknowledgements: This work was supported by The Netherlands Organisation for Health Research and Development (ZonMw) under grant number 80-84200-98-14225
Topic: Disability & rehabilitation; Primary health care; Mental health
Ethics approval required: Yes
Institution: Medical Ethics Committee Brabant
Ethics committee: -
Ethics number: NL50258.028.14
All authors, affiliations and abstracts have been published as submitted.
