Predictors of 12 month functional outcomes and length of stay of severely injured children in NSW, Australia. A longitudinal multi-centre study

Curtis, Kate; Kennedy, Belinda; Lam, Mary; Mitchell, Robert J.; Black, Deborah; Jan, Stephen; Burns, Brian; Dinh, Michael; Holland, Andrew J. A.

doi:10.1016/j.injury.2021.12.057

Cited by 4 publications

(18 citation statements)

References 30 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…HRQoL of patients suffering severe trauma was below population norms [40,53,57,64,76,88,97,167,171,176,178,185,191,194,198] and lower than pre-injury HRQoL [44,47,55,56,185,186,[192][193][194] in most studies. Furthermore, patients with an ISS ≥ 16 reported a lower HRQoL than did patients with an ISS < 16 [53,55].…”

Section: Eq-5dmentioning

confidence: 81%

“…The Polytrauma Outcome (POLO) chart, which combines the Trauma Outcome Profile (TOP), Glasgow Outcome Scale (GOS), EQ-5D and SF-36, has been validated recently by multiple studies, and was used in 6 articles [49,58,74,75,78,189]. The remaining studies used the TOP (n = 11) [47,48,51,65,68,76,77,93,179,181,182], Hannover Score for Polytrauma Outcome (HASPOC, n = 10) [45,46,66,67,69,70,79,80,82,83], a subjective scale (n = 5) [33,36,38,59,61], the Sickness Impact Profile (SIP, n = 5) [38,54,87,159,161], the Quality-of-Wellbeing scale (QWB scale, n = 4) [34,158,162,163], the Paediatric Quality of Life Inventory (PedsQL) (n = 3) [167,192,199], the Nottingham Health Profile (NHP, n = 3) [35,…”

Section: Methods To Measure Qolmentioning

confidence: 99%

“…Sample sizes ranged between 8 [84] and 1482 [188], with the majority of patients being male (> 50% in 98 articles [32-52, 54-83, 86-97, 158, 159, 161, 163, 165-168, 170-183, 185-194, 197-199]). Age of the participants in the included studies ranged between 2 [192] and 92 [44,48] years. Five studies [85,163,167,192,199] assessed HRQoL in children and/or adolescents (≤ 18 years) only.…”

Section: General Study Characteristicsmentioning

confidence: 99%

“…Age of the participants in the included studies ranged between 2 [192] and 92 [44,48] years. Five studies [85,163,167,192,199] assessed HRQoL in children and/or adolescents (≤ 18 years) only.…”

Section: General Study Characteristicsmentioning

confidence: 99%

“…The majority of patients reports having problems regarding HRQoL up to several years after the traumatic incident [40, 44, 47, 53, 55-57, 59, 60, 64, 76, 77, 84, 91, 96, 177, 180-182, 190, 195, 199]. Some studies report an improvement in HRQoLscores over time [53,57,176,177,185,192,193]. Children and teenagers with major trauma reported both similar [167] and reduced [199] HRQoL compared to healthy peers in different studies.…”

Section: Eq-5dmentioning

confidence: 99%

See 4 more Smart Citations

Health-related quality of life after severe trauma and available PROMS: an updated review (part I)

Lotfalla

Halm

Schepers

et al. 2022

Eur J Trauma Emerg Surg

View full text Add to dashboard Cite

Introduction Throughout the years, a decreasing trend in mortality rate has been demonstrated in patients suffering severe trauma. This increases the relevance of documentation of other outcomes for this population, including patient-reported outcome measures (PROMs), such as health-related quality of life (HRQoL). The aim of this review was to summarize the results of the studies that have been conducted regarding HRQoL in severely injured patients (as defined by the articles’ authors). Also, we present the instruments that are used most frequently to assess HRQoL in patients suffering severe trauma. Methods A literature search was conducted in the Cochrane Library, EMBASE, PubMed, and Web of Science for articles published from inception until the 1st of January 2022. Reference lists of included articles were reviewed as well. Studies were considered eligible when a population of patients with major, multiple or severe injury and/or polytrauma was included, well-defined by means of an ISS-threshold, and the outcome of interest was described in terms of (HR)QoL. A narrative design was chosen for this review. Results The search strategy identified 1583 articles, which were reduced to 113 after application of the eligibility criteria. In total, nineteen instruments were used to assess HRQoL. The SF-36 was used most frequently, followed by the EQ-5D and SF-12. HRQoL in patients with severe trauma was often compared to normative population norms or pre-injury status, and was found to be reduced in both cases, regardless of the tool used to assess this outcome. Some studies demonstrated higher scoring of the patients over time, suggesting improved HRQoL after considerable time after severe trauma. Conclusion HRQoL in severely injured patients is overall reduced, regardless of the instrument used to assess it. The instruments that were used most frequently to assess HRQoL were the SF-36 and EQ-5D. Future research is needed to shed light on the consequences of the reduced HRQoL in this population. We recommend routine assessment and documentation of HRQoL in severely injured patients.

show abstract

Section: Eq-5dmentioning

confidence: 81%

Section: Methods To Measure Qolmentioning

confidence: 99%

Section: General Study Characteristicsmentioning

confidence: 99%

Section: General Study Characteristicsmentioning

confidence: 99%

Section: Eq-5dmentioning

confidence: 99%

See 3 more Smart Citations

Health-related quality of life after severe trauma and available PROMS: an updated review (part I)

Lotfalla

Halm

Schepers

et al. 2022

Eur J Trauma Emerg Surg

View full text Add to dashboard Cite

show abstract

Influence of psychiatric co-morbidity on health-related quality of life among major trauma patients

Meyer

Bosch

Haagsma

et al. 2022

Eur J Trauma Emerg Surg

View full text Add to dashboard Cite

Parameters influencing health-related quality of life after severe trauma: a systematic review (part II)

Lotfalla

Halm

Schepers

et al. 2023

Eur J Trauma Emerg Surg

View full text Add to dashboard Cite

Introduction It is increasingly recognized that health-related quality of life (HRQoL) is a relevant outcome to study in populations comprising severely injured patients. Although some studies have readily demonstrated a compromised HRQoL in those patients, evidence regarding factors that predict HRQoL is scarce. This hinders attempts to prepare patient-specific plans that may aid in revalidation and improved life satisfaction. In this review, we present identified predictors of HRQoL in patients that have suffered severe trauma. Methods The search strategy included a database search until the 1st of January 2022 in the Cochrane Library, EMBASE, PubMed, and Web of Science, and reference checking. Studies were eligible for inclusion when (HR)QoL was studied in patients with major, multiple, or severe injury and/or polytrauma, as defined by authors by means of an Injury Severity Score (ISS) cut-off value. The results will be discussed in a narrative manner. Results A total of 1583 articles were reviewed. Of those, 90 were included and used for analysis. In total, 23 possible predictors were identified. The following parameters predicted reduced HRQoL in severely injured patients and came forward in at least more than three studies: higher age, female gender, lower extremity injuries, higher rate of injury severity, lower achieved educational level, presence of (pre-existing) comorbidities and mental illness, longer duration of hospital stay, and high level of disability. Conclusion Age, gender, injured body region, and severity of injury were found to be good predictors of health-related quality of life in severely injured patients. A patient-centered approach, based on individual, demographic, and disease-specific predictors, is highly recommended.

show abstract

Predictors of 12 month functional outcomes and length of stay of severely injured children in NSW, Australia. A longitudinal multi-centre study

Cited by 4 publications

References 30 publications

Health-related quality of life after severe trauma and available PROMS: an updated review (part I)

Health-related quality of life after severe trauma and available PROMS: an updated review (part I)

Influence of psychiatric co-morbidity on health-related quality of life among major trauma patients

Parameters influencing health-related quality of life after severe trauma: a systematic review (part II)

Contact Info

Product

Resources

About