Abstract
Introduction: Major trauma often results in long-term disabilities. The aim of this study was to assess health-related quality of life, cognition, and return to work 1 year after major trauma from a trauma network perspective. Methods: All major trauma patients in 2016 (Injury Severity Score > 15, n = 536) were selected from trauma region Southwest Netherlands. Eligible patients (n = 365) were sent questionnaires with the EQ-5D-5L and questions on cognition, level of education, comorbidities, and resumption of paid work 1 year after trauma. Results: A 50% (n = 182) response rate was obtained. EQ-US and EQ-VAS scored a median (IQR) of 0.81 (0.62–0.89) and 70 (60–80), respectively. Limitations were prevalent in all health dimensions of the EQ-5D-5L; 90 (50%) responders reported problems with mobility, 36 (20%) responders reported problems with self-care, 108 (61%) responders reported problems during daily activities, 129 (73%) responders reported pain or discomfort, 70 (39%) responders reported problems with anxiety or depression, and 102 (61%) of the patients reported problems with cognition. Return to work rate was 68% (37% full, 31% partial). A median (IQR) EQ-US of 0.89 (0.82–1.00) and EQ-VAS of 80 (70–90) were scored for fully working responders; 0.77 (0.66–0.85, p < 0.001) and 70 (62–80, p = 0.001) for partial working respondents; and 0.49 (0.23–0.69, p < 0.001) and 55 (40–72, p < 0.001) for unemployed respondents. Conclusion: The majority experience problems in all health domains of the EQ-5D-5L and cognition. Return to work status was associated with all health domains of the EQ-5D-5L and cognition.
| Original language | English |
|---|---|
| Pages (from-to) | 2421-2431 |
| Number of pages | 11 |
| Journal | European Journal of Trauma and Emergency Surgery |
| Volume | 48 |
| Issue number | 3 |
| DOIs | |
| Publication status | Published - Jun 2022 |
Bibliographical note
Funding Information:Thanks to Trauma Center Southwest Netherlands, Erasmus MC, University Medical Center Rotterdam, Rotterdam, The Netherlands, especially data management, for making this study possible. N.M.R. Soesman, MD, Department of Surgery, Francisus Gasthuis & Vlietland, Rotterdam, The Netherlands. T.S.C. Jakma, MD, Department of Surgery, Albert Schweitzer Hospital, Dordrecht, The Netherlands. M. Waleboer, MD, Department of Surgery, Admiraal de Ruyter Hospital, Goes, The Netherlands. M. Staarink, MD, Department of Surgery, Het Van Weel-Bethesda Hospital, Dirksland, The Netherlands. M.M.M. Bruijninckx, MD, Department of Surgery, IJsselland Hospital, Capelle aan den IJssel, The Netherlands. A.Y.M.V.P. Cardon, MD, Department of Surgery, ZorgSaam Zeeuws-Vlaanderen Hospital, Terneuzen, The Netherlands. P.T. den Hoed, MD, PhD, Department of Surgery, Ikazia Hospital, Rotterdam, The Netherlands. G.R. Roukema, MD, Department of Surgery, Maasstad Hospital, Rotterdam, The Netherlands. C.H. van der Vlies, MD, PhD, Burn Center, Maasstad Hospital, Rotterdam, The Netherlands. N.W.L. Schep, MD, PhD, Department of Surgery, Spijkenisse Medisch Centrum Hospital, Rotterdam, The Netherlands. L. van de Schoot, MD, Department of Surgery, Beatrixhospital, Gorinchem, The Netherlands.
Publisher Copyright:
© 2021, The Author(s).