TY - JOUR PY - 2018// TI - Survival and health related quality of life after severe trauma - a 15 years follow up study JO - Injury A1 - Wad, Morten S. A1 - Laursen, Thomas A1 - Fruergaard, Sidsel A1 - Morgen, Søren Schmidt A1 - Dahl, Benny SP - 191 EP - 194 VL - 49 IS - 2 N2 - INTRODUCTION: As the primary treatment of patients with severe trauma continues to improve, increasing interest has been directed towards long-term survival and Health Related Quality of Life (HRQoL). In trauma patients, there are few studies describing long-term outcome using tools specifically directed at HRQoL. HYPOTHESIS: HRQoL measured with EQ-5D is significantly reduced compared to the Danish norm score 15 years after severe injury.

MATERIALS AND METHODS: All patients more than 18 years of age, admitted to a level 1 trauma center from March 1996 to September 1997 were prospectively included and scored with Injury Severity Score (ISS). Survival status was recorded in May 2012 and EQ-5D questionnaires were sent out.

RESULTS: 95 of the original 154 trauma patients were eligible for participation. The response rate was 66%. The average EQ-5D index score in the trauma population was significantly reduced compared to the index score in the Danish norm population (P=0.00, one-sample t-test). In addition, ISS is associated with HRQoL and ISS≥16 predicts poorer HRQoL.

CONCLUSION: EQ-5D is significantly reduced 15years after severe trauma High ISS was associated with low HRQoL. Knowledge of the distribution and predictors of long-term disability can be used to develop more efficient prevention policies and to improve trauma care in general.

Copyright © 2017 Elsevier Ltd. All rights reserved.

Language: en

LA - en SN - 0020-1383 UR - http://dx.doi.org/10.1016/j.injury.2017.10.001 ID - ref1 ER -