tailieunhanh - Báo cáo y học: "Health related quality of life in trauma patients. Data from a one-year follow up study compared with the general population"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học quốc tế cung cấp cho các bạn kiến thức về ngành y đề tài: "Health related quality of life in trauma patients. Data from a one-year follow up study compared with the general population | T0ien et al. Scandinavian Journal of Trauma Resuscitation and Emergency Medicine 2011 19 22 e http content 19 1 22 SCANDINAVIAN JOURNAL OF Et emergency medicine ORIGINAL RESEARCH Open Access Health related quality of life in trauma patients. Data from a one-year follow up study compared with the general population Kirsti T0ien1 Inger S Bredal2 3 Laila Skogstad4 Hilde Myhren5 and 0ivind Ekeberg6 7 Abstract Background Trauma patients have impaired health-related quality of life HRQOL after trauma. The aim of the study was to assess HRQOL during the first year after trauma and hospital stay in trauma patients admitted to an intensive-care unit ICU for 24 hours compared with non-ICU trauma patients and the general population and to identify predictors of HRQOL. Methods A prospective one-year follow-up study of 242 trauma patients received by the trauma team of a trauma referral centre in Norway was performed. HRQOL was measured using the Medical Outcomes Study Short Form 36 SF-36 at 3 and 12 months. Results The mean age of the cohort was years 95 CI years . The median Injury Severity Score ISS was 10 interquartile range 16. The HRQOL improved significantly from the 3 to the 12 months follow up in the trauma patients. However their scores were significantly lower for most subscales of SF-36 compared to the general population. Significant differences between ICU and non-ICU patients at 12 months were observed only for physical functioning and role physical subscales. Optimism was an independent predictor of good HRQOL at 12 months in all dimensions beta . A higher depression score at baseline predicted lower HRQOL in four of eight dimensions beta to . In addition better physical functioning was predicted by lower age beta and having head injury reference as the most severe injury vs. spine or extremity injuries beta and and better mental health by higher age beta and being employed or studying .