Analysis of quality of life after major trauma: a spanish follow-up cohort study

Bayo, Heura Llaquet; Montmany, Sandra; Rebasa, Pere; Secanella, Miriam; Alberich, Marta; Navarro, Salvador

doi:10.1007/s00068-018-0920-0

Cited by 14 publications

(19 citation statements)

References 21 publications

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“…For example, the relationship between illness perceptions and quality of life has been studied in patients with irritable bowel syndrome (Knowles et al, 2017) and patients with injury (Lee et al, 2008). In previous studies, patients with injury were found to have relatively poor quality of life (Bayo et al, 2019;Van Son et al, 2017) and to have developed negative illness perceptions at 3 months after their injury (Lee et al, 2010). In another study of Taiwanese patients, three components of illness perception, including identity, consequences, and timeline, were identified as significant predictors of the physical quality of life of patients with injury at 3 months after injury (Lee et al, 2008).…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of a Nurse-Delivered Intervention on Illness Perceptions and Quality of Life in Patients With Injury

Fann

Hung

Chaboyer

et al. 2021

Journal of Nursing Research

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Background Research has shown that nursing interventions are able to affect short-term outcomes in patients with injury. However, evidence based on a comprehensive nurse-led intervention may be beneficial for trauma care. Purpose This study was designed to assess the effect of a nursing intervention on the illness perceptions and quality of life of patients with injury. Methods A two-group experimental design and a follow-up period of 12 months were used. Ninety-four patients were randomly assigned to either the experimental group or the control group. A nurse-led cognitive behavioral therapy intervention was used to improve outcomes. Results The illness perception variables of “personal control” and “treatment control” were found to be significantly improved in the experimental group at 3 months after discharge, whereas “emotional perception” was significantly improved at 6 months after discharge. The intervention was also shown to improve “social quality of life” at 6 and 12 months after injury. Conclusions This study adds new knowledge related to nursing interventions for patients with injury in terms of the intervention achieving longer-term effects than the interventions examined in previous studies. The results highlight the importance of providing interprofessional collaborative care. However, the intervention protocol should be tested further in future studies.

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Section: Introductionmentioning

confidence: 99%

Effectiveness of a Nurse-Delivered Intervention on Illness Perceptions and Quality of Life in Patients With Injury

Fann

Hung

Chaboyer

et al. 2021

Journal of Nursing Research

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“…The current study combined injury coding and inclusion on the basis of AIS08 with the EQ-5D-5L. Only one MT study [ 13 ] with AIS08 injury coding that reported QoL and had general inclusion criteria used the 5L version (median EQ-US ≈ 0.80, taken from graph). MT patients have higher mortality rates and more frequently need intensive care and urgent surgery when the ISS is derived from AIS08 compared to older AIS revisions [ 31 ].…”

Section: Discussionmentioning

confidence: 99%

“…AIS revisions better reflect contemporary state of the art of trauma care. A few QoL studies focusing on MT have used more recent AIS revisions for calculating ISS in their cohort [ 10 , 13 , 14 ].…”

Section: Introductionmentioning

confidence: 99%

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Health-related quality of life and return to work 1 year after major trauma from a network perspective

Ditshuizen

Lieshout

Beeck

et al. 2021

Eur J Trauma Emerg Surg

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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.

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“…Horackova et al 2019 presented the prevalence of late-life depression ranging from 17 to 35% across European regions and reported a “gap in mental health service use” in those countries [ 35 ]. Llaquet Bayo et al 2019 analysed in their Spanish follow-up study parameters associated with a worse health-related quality of life assessed by the EQ-5D-5L™ in 200 major trauma patients [ 38 ]. They reported an age greater or equal 55, female gender and unskilled employment found to be risk factors for a lower EQ VAS; female gender was most importantly associated with pain and – consistent with our analysis with depression/anxiety.…”

Section: Discussionmentioning

confidence: 99%

Prognostic factors associated with quality of life in heart failure patients considering the use of the generic EQ-5D-5L™ in primary care: new follow-up results of the observational RECODE-HF study

Boczor

Adam²,

Behrens³

et al. 2021

BMC Fam Pract

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Background The implementation of care concepts fitting the needs of patients with chronic heart failure (HF) remains challenging. In this context, psycho-emotional well-being is not routinely assessed, and under-researched despite indications that it is of great relevance for, e.g., acceptance, adherence, and prognosis. The aim of this study was to observe clinical characteristics for their prognostic utility in HF patients, and to compare the patients’ health-related quality of life (QoL) with German population norm values. Methods The current post-hoc analysis was performed on data collected amongst participants of the RECODE-HF study who had fully answered the EQ-5D-5L™ items at both baseline and 12 months (n = 2354). The status in the patients’ self-assessment items, EQ-5D visual analog scale (VAS) and EQ-5D index was categorized into worse/unchanged/improved. General linear mixed models (GLMM) with logit link were applied. Subgroups included 630 patients (26.8%) screened positive and 1724 patients (73.2%) screened negative for psychosocial distress (PSD). Results The 12-months change in EQ-5D index, generally resulting from change in individual EQ-5D items, additionally associated not only with high NYHA class but sociodemographics (employment/living alone/GP practice years) (96.2% correctly classified in GLMM). The 12- months change in individual QoL aspects showed associations with age*NYHA, gender, body-mass index, and comorbidities dyslipidemia, myocardial infarction, asthma/chronic pulmonary disease. Important social roles were reflected in particular when HF patients lived alone or the doctor mentioned to the patient that the patient had HF. Patients with/without PSD differed in some sociodemographic and clinical parameters. However, no influence of PSD could be demonstrated in the 12-month follow-up of the EQ-5D-5L™. Nonetheless, comparison of the 12-months QoL with general German population norm values by age groups < 75 years and 75+ showed markedly health restrictions in HF patients in all EQ-5D-5L™ aspects. Conclusion Our analysis revealed different prognostic factors primarily associated with change of burden in different QoL aspects in HF patients. In GP practice it is important to consider in addition to the overall day-related VAS all the individual health-related QoL aspects to take a holistic view of the patient, as well as to pay particular attention to the interrelation of individual characteristics.

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Analysis of quality of life after major trauma: a spanish follow-up cohort study

Abstract: The quality of life score improves during the first year after major trauma. However, it does not return to the reference levels for the normal population. Female gender and age ≥ 55 years are statistically significant determinants of poorer EQvas and EQus.

Cited by 14 publications

References 21 publications

Effectiveness of a Nurse-Delivered Intervention on Illness Perceptions and Quality of Life in Patients With Injury

Effectiveness of a Nurse-Delivered Intervention on Illness Perceptions and Quality of Life in Patients With Injury

Health-related quality of life and return to work 1 year after major trauma from a network perspective

Prognostic factors associated with quality of life in heart failure patients considering the use of the generic EQ-5D-5L™ in primary care: new follow-up results of the observational RECODE-HF study

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