Prevalence and Prognostic Factors of Disability After Major Trauma

Akkie Ringburg, Suzanne Polinder, MCP (Marie Catherine) van Ierland, Ewout Steyerberg, Esther M.M. Van Lieshout, Petr Patka, Ed van Beeck, IB Schipper

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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.
Original languageUndefined/Unknown
Pages (from-to)916-922
Number of pages7
JournalJournal of Trauma-Injury Infection and Critical Care
Issue number4
Publication statusPublished - 2011

Research programs

  • EMC MUSC-01-47-01
  • EMC MUSC-01-48-01
  • EMC NIHES-02-65-01

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