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Journal Article

Citation

Ringburg AN, Polinder S, van Ierland MC, Steyerberg EW, van Lieshout EM, Patka P, van Beeck EF, Schipper IB. J. Trauma 2011; 70(4): 916-922.

Affiliation

From the Departments of Surgery-Traumatology (A.N.R., M.-C.P.v.I., E.M.M.v.L., P.P., I.B.S.) and Public Health (S.P., E.W.S., E.F.v.B.), Rotterdam, Erasmus MC, University Medical Center Rotterdam, Rotterdam, The Netherlands; and Department of Surgery-Traumatology (I.B.S.), Leiden University Medical Center, Leiden, The Netherlands.

Copyright

(Copyright © 2011, Lippincott Williams and Wilkins)

DOI

10.1097/TA.0b013e3181f6bce8

PMID

21045741

Abstract

BACKGROUND:: The primary aim of this study was to assess the health-related quality of life of survivors of severe trauma 1 year after injury, specified according to all the separate dimensions of the EuroQol-5D (EQ-5D) and the Health Utilities Index (HUI). METHODS:: A prospective cohort study was conducted in which all severely injured trauma patients presented at a Level I trauma center were included. After 12 months, the EQ-5D, HUI2 and HUI3 were used to analyze the health status. RESULTS:: Follow-up assessments were obtained from 246 patients (response rate, 68%). The overall population EQ-5D (median) utility score was 0.73 (EQ-5D Dutch general population norm, 0.88). HUI2, HUI3, and EQ-5D Visual Analog Scale scores were 0.81, 0.65, and 70, respectively. Eighteen percent had at least one functional limitation 1 year after trauma, and 60% reported functional limitations on two or more domains using the EQ-5D. The female gender and comorbidity were significant independent predictors of disability. CONCLUSION:: Functional outcome and quality of life of survivors of severe injury have not returned to normal 1 year after trauma. The prevalence of specific limitations in this population is very high (40-70%). Female gender and comorbidity are predictors of long-term disability.


Language: en

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