The association of patient and trauma characteristics with the health-related quality of life in a Dutch trauma population
Abstract Background It is suggested in literature to use the Health Related Quality of Life (HRQoL) as an outcome indicator for evaluating trauma centre performances. In order to predict HRQoL, characteristics that could be of influence on a predictive model should be identified. This study identifi...
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| Format: | Article |
| Language: | English |
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BMC
2017-04-01
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| Series: | Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s13049-017-0375-z |
| _version_ | 1811226873654411264 |
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| author | Amy Gunning Mark van Heijl Karlijn van Wessem Luke Leenen |
| author_facet | Amy Gunning Mark van Heijl Karlijn van Wessem Luke Leenen |
| author_sort | Amy Gunning |
| collection | DOAJ |
| description | Abstract Background It is suggested in literature to use the Health Related Quality of Life (HRQoL) as an outcome indicator for evaluating trauma centre performances. In order to predict HRQoL, characteristics that could be of influence on a predictive model should be identified. This study identifies patient and injury characteristics associated with the HRQoL in a general trauma population. Methods Retrospective study of trauma patients admitted from 1st January 2007 through 31th December 2012. Patients were aged ≥18 years and discharged alive from the level I trauma centre. A combined health survey (SF-36 and EQ-5D) was sent to all traceable patients. The subdomain outcomes and EQ-5D index value (EQ-5Di) were compared with the reference population. A linear regression analysis was performed to identify parameters associated parameters with the HRQoL outcome. Results A total of 1870 patients were included for analyses. Compared to the eligible population, included patients were significantly older, more severely injured, more often admitted in the ICU and had a longer admission duration. The SF-36 and EQ-5Di were significantly lower compared to the Dutch reference population. The variables age, Injury Severity Score, hospital length of stay, ICU length of stay, Revised Trauma Score, probability of survival, and severe injury to the head and extremities were associated with the HRQoL in the majority of the subdomains. Discussion In order to use HRQoL as an indicator for trauma centre performances, there should be a consensus of the ideal timing for the measurement of HRQoL post-injury and the appropriate HRQoL instrument. Furthermore, standardised HRQoL outcomes must be developed. Conclusion This study revealed eight factors (described above) which could be used to predict the HRQoL in trauma patients. |
| first_indexed | 2024-04-12T09:32:08Z |
| format | Article |
| id | doaj.art-32fd47fd23814e86ab04942f9e4f1b21 |
| institution | Directory Open Access Journal |
| issn | 1757-7241 |
| language | English |
| last_indexed | 2024-04-12T09:32:08Z |
| publishDate | 2017-04-01 |
| publisher | BMC |
| record_format | Article |
| series | Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine |
| spelling | doaj.art-32fd47fd23814e86ab04942f9e4f1b212022-12-22T03:38:20ZengBMCScandinavian Journal of Trauma, Resuscitation and Emergency Medicine1757-72412017-04-012511810.1186/s13049-017-0375-zThe association of patient and trauma characteristics with the health-related quality of life in a Dutch trauma populationAmy Gunning0Mark van Heijl1Karlijn van Wessem2Luke Leenen3Department of Trauma Surgery, University Medical Center UtrechtDepartment of Trauma Surgery, University Medical Center UtrechtDepartment of Trauma Surgery, University Medical Center UtrechtDepartment of Trauma Surgery, University Medical Center UtrechtAbstract Background It is suggested in literature to use the Health Related Quality of Life (HRQoL) as an outcome indicator for evaluating trauma centre performances. In order to predict HRQoL, characteristics that could be of influence on a predictive model should be identified. This study identifies patient and injury characteristics associated with the HRQoL in a general trauma population. Methods Retrospective study of trauma patients admitted from 1st January 2007 through 31th December 2012. Patients were aged ≥18 years and discharged alive from the level I trauma centre. A combined health survey (SF-36 and EQ-5D) was sent to all traceable patients. The subdomain outcomes and EQ-5D index value (EQ-5Di) were compared with the reference population. A linear regression analysis was performed to identify parameters associated parameters with the HRQoL outcome. Results A total of 1870 patients were included for analyses. Compared to the eligible population, included patients were significantly older, more severely injured, more often admitted in the ICU and had a longer admission duration. The SF-36 and EQ-5Di were significantly lower compared to the Dutch reference population. The variables age, Injury Severity Score, hospital length of stay, ICU length of stay, Revised Trauma Score, probability of survival, and severe injury to the head and extremities were associated with the HRQoL in the majority of the subdomains. Discussion In order to use HRQoL as an indicator for trauma centre performances, there should be a consensus of the ideal timing for the measurement of HRQoL post-injury and the appropriate HRQoL instrument. Furthermore, standardised HRQoL outcomes must be developed. Conclusion This study revealed eight factors (described above) which could be used to predict the HRQoL in trauma patients.http://link.springer.com/article/10.1186/s13049-017-0375-zTrauma patientsQuality of lifeLevel I trauma populationTrauma patient outcomeFactors associated with functional outcomeNonfatal outcome |
| spellingShingle | Amy Gunning Mark van Heijl Karlijn van Wessem Luke Leenen The association of patient and trauma characteristics with the health-related quality of life in a Dutch trauma population Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine Trauma patients Quality of life Level I trauma population Trauma patient outcome Factors associated with functional outcome Nonfatal outcome |
| title | The association of patient and trauma characteristics with the health-related quality of life in a Dutch trauma population |
| title_full | The association of patient and trauma characteristics with the health-related quality of life in a Dutch trauma population |
| title_fullStr | The association of patient and trauma characteristics with the health-related quality of life in a Dutch trauma population |
| title_full_unstemmed | The association of patient and trauma characteristics with the health-related quality of life in a Dutch trauma population |
| title_short | The association of patient and trauma characteristics with the health-related quality of life in a Dutch trauma population |
| title_sort | association of patient and trauma characteristics with the health related quality of life in a dutch trauma population |
| topic | Trauma patients Quality of life Level I trauma population Trauma patient outcome Factors associated with functional outcome Nonfatal outcome |
| url | http://link.springer.com/article/10.1186/s13049-017-0375-z |
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