医学
损伤严重程度评分
严重创伤
前瞻性队列研究
生活质量(医疗保健)
简明伤害量表
伤害预防
毒物控制
急诊医学
外科
护理部
作者
Sara Nasirian,My Engström,Anna Forsberg,Monika Fagevik Olsén
标识
DOI:10.1097/jtn.0000000000000539
摘要
Background: Injuries were the most common cause of hospitalization in Sweden in 2017. There is a lack of knowledge about trauma recovery and its relation to health-related quality of life (HRQoL) after hospitalization due to minor trauma. This study aimed to prospectively evaluate recovery and HRQoL at discharge from hospital and 3 and 6 months after the trauma. Methods: This is a secondary analysis of data from a prospective follow-up study. Fifty-seven patients who sustained physical trauma were included. Recovery was measured with postoperative recovery profile and HRQoL 3 and 6 months after discharge. The association between the outcomes was analyzed, as well as the impact of gender, age, Injury Severity Score (ISS), and trauma mechanism using nonparametric statistics. Results: There was a significant improvement in recovery and HRQoL between discharge and 3 months after the trauma ( p < .001) as well as between 3 and 6 months after the trauma ( p < .001) except for EQ-5D VAS scale ( p = .222). However, only 14 (25%) patients viewed themselves as fully recovered 6 months after the incident. Correlation between recovery and HRQoL increased after discharge and was at its strongest 6 months after the trauma ( r s > .071). Conclusion: Trauma mechanism has an impact on recovery but not gender, age, or ISS score. Most patients did not consider themselves fully recovered even at 6 months postinjury, indicating that they require additional support to manage their recovery.
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