Health-Related Quality of Life and Disability in Survivors of Multiple Trauma One Year After Intensive Care Unit Discharge

Dimopoulou, Ioanna; Anthi, Anastasia; Mastora, Zafiria; Θεοδωρακοπούλου, Μαρία; Konstandinidis, Alexandros; Εvangelou, Εvangelos; Mandragos, Konstantinos; Roussos, Charis

doi:10.1097/01.phm.0000107497.77487.c1

Cited by 80 publications

(62 citation statements)

References 24 publications

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“…In the present study 49 (45%) of the patients were on sick leave six months after the trauma, which declined to 18 (17%) at 24 months. Other studies have shown that 36%-47% of their patients were unable to work 12 months after the trauma, (34,35) and about 20% for up to five years after the trauma. (28,32), 30 These data support the fact that our trauma group does not seem to be significantly different in these aspects 18 in comparisons of HRQoL from other patients in ICU and control groups.…”

Section: Pre-existing Diseasementioning

confidence: 99%

Physical effects of trauma and the psychological consequences of preexisting diseases account for a significant portion of the health-related quality of life patterns of former trauma patients

Orwelius

Bergkvist

Nordlund

et al. 2012

Journal of Trauma and Acute Care Surgery

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Section: Pre-existing Diseasementioning

confidence: 99%

Physical effects of trauma and the psychological consequences of preexisting diseases account for a significant portion of the health-related quality of life patterns of former trauma patients

Orwelius

Bergkvist

Nordlund

et al. 2012

Journal of Trauma and Acute Care Surgery

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“…N eurological deficits are a common consequence of head trauma producing traumatic brain injury (TBI) (Annoni et al, 1992;Dimopoulou et al, 2004;Jennett et al, 1981), with hemiparesis, aphasia, and cranial nerve dysfunction contributing substantially to overall outcome of severe TBI. In fact, Jennett and Bond ( Jennett and Bond, 1975), the creators of the most commonly used measure of outcome in TBI, the Glasgow Outcome Scale (GOS), indicated that neurological status via a neurophysical assessment should be considered in grading the GOS, since neurophysical deficits contributed significantly to disability in about a third of patients sustaining severe TBI.…”

Section: Introductionmentioning

confidence: 99%

Feasibility of the Neurological Outcome Scale for Traumatic Brain Injury (NOS-TBI) in Adults

Wilde

McCauley

Kelly

et al. 2010

Journal of Neurotrauma

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This article describes the design and initial implementation of the Neurological Outcome Scale for Traumatic Brain Injury (NOS-TBI) as an adaptation of the National Institutes of Health Stroke Scale (NIHSS), specifically for clinical and research use in patients with TBI, including (1) the addition of items specific to TBI, (2) adjustment to the scoring algorithm to allow quantification of deficits in patients who are comatose=vegetative or agitated, and (3) the reassignment of items (i.e., limb ataxia) that are problematic in TBI as supplemental items. The feasibility of using the NOS-TBI is discussed and limitations of the scale are highlighted. This scale offers (1) a costeffective, brief, practicable, standardized, and quantifiable method of communicating and analyzing neurological deficits in a way that traditional neurological assessment alone cannot currently provide, and (2) a measure that non-physicians can administer. The NOS-TBI may serve a role in clinical practice in patients with TBI similar to the way the NIHSS has functioned for patients following stroke, by serving as a tool for initial stratification of injury severity, and as an outcome measure in clinical trials.

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“…The main injury severity factor was the ISS as it has previously been shown to be a good predictor of outcome after trauma [14,[18][19][20]. Other measures of injury severity were: presence of a neck injury (defined as a cervical spine fracture or dislocation/subluxation on presentation), presence of a significant head injury (an Abbreviated Injury Scale [21] of 3 or higher), admission to intensive care, and days spent in intensive care.…”

Section: Methodsmentioning

confidence: 99%

Physical and Psychosocial Factors Associated with Neck Pain after Major Accidental Trauma

Harris

Young

Rae

et al. 2007

Eur J Trauma Emerg Surg

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Neck pain after physical trauma is common; but previous research regarding the role of psychological and physical predictors for neck pain is inconsistent. A retrospective survey of consecutive patients presenting to a metropolitan trauma centre with major accidental trauma was performed between 1 and 6 years post injury. Possible predictor variables (demographic, injury severity, and psychosocial factors) were determined from the hospital trauma registry and the questionnaire. The main outcome was a combined score of neck pain severity and functional limitation. Multivariate logistic regression was performed to develop a predictive model for neck pain. A multivariate analysis of 355 patients showed that neck pain was not significantly associated with measures of injury severity. Neck pain was significantly more likely to be severe in patients with a cervical spine fracture, with pre-existing chronic illnesses, those with post-traumatic stress disorder (PTSD) at the time of follow up, those who had retained the services of a lawyer regarding the injury, and those with lower education levels. Psychosocial factors are important predictors of neck pain after major physical trauma. These findings do not support models for post-traumatic neck pain that are restricted to physical factors.

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Health-Related Quality of Life and Disability in Survivors of Multiple Trauma One Year After Intensive Care Unit Discharge

Cited by 80 publications

References 24 publications

Physical effects of trauma and the psychological consequences of preexisting diseases account for a significant portion of the health-related quality of life patterns of former trauma patients

Physical effects of trauma and the psychological consequences of preexisting diseases account for a significant portion of the health-related quality of life patterns of former trauma patients

Feasibility of the Neurological Outcome Scale for Traumatic Brain Injury (NOS-TBI) in Adults

Physical and Psychosocial Factors Associated with Neck Pain after Major Accidental Trauma

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