Psychometric properties of the world health organization disability assessment schedule II -12 Item (WHODAS II) in trauma patients

Abedzadeh-Kalahroudi, Masoumeh; Razi, Ebrahim; Sehat, Mojtaba; Asadi‐Lari, Mohsen

doi:10.1016/j.injury.2015.11.046

Cited by 23 publications

(25 citation statements)

References 21 publications

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“…In recent years, trauma has been one of the most important causes of disability and mortality worldwide [ 1 - 3 ]. This problem can be caused by several factors, the most important of which are motorcycle accidents, car accidents and falling down.…”

Section: Discussionmentioning

confidence: 99%

Prognostic Value of Arterial Blood Gas Indices Regarding the Severity of Traumatic Injury and Fractures of the Femur and Pelvis

Mohsenian

Khoramian

Mazloom

2018

BEAT

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Objective:To evaluate the prognostic value of arterial blood gas (ABG) indices, especially base excess (BE), regarding the severity of traumatic injury.Methods:A total number of 96 trauma patients with fractures of femur and pelvis were included in this study. Demographic characteristics and clinical information of samples were recorded. The results of ABG test and hemoglobin (Hb) were evaluated at two time intervals (on admission and 6 hours later). The outcome of the patients was evaluated at the end of the study (dead or alive). The ABG indices included O2 saturation (O2Sat), PH, PO2, PCO2, bicarbonate (HCO3) and base excess (BE). The mean of the hemodynamic and ABG indices were compared between those who were discharged and mortality cases. The confounders were compensated using a multivariate logistic regression model. Results:Overall 94 trauma patients with long and pelvic fractures were included. There were 69 (73.4%) men and 25 (26.6%) women among the patients with mean age of 37.43 ± 20.07 years. The mortality rate was 10 (10.6%). The most common mechanism of injury was motorcycle accident in 41 (43.6%) and car collision in 43 (45.7%) patients. We found that mortality was significantly associated with amount of FFP transfusion (p=0.005), but was not associated with amount of transfused packed cells (p=0.113). We also found that mortality was associated with lower BP after 6 hours of admission (p=0.001), higher HR on admission (p=0.036), lower HR after 6 hours (p=0.017), lower O2Sat on admission (p<0.001), higher PCO2 after 6 hours and lower BE on admission (p=0.025). Conclusion: The ABG indices including O2Sat, BE and PCO2 are considered prognostic determinants of outcome in trauma patients with long and pelvic fractures. These findings can be considered as fundamental studies to achieve new diagnostic methods.

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Section: Discussionmentioning

confidence: 99%

Prognostic Value of Arterial Blood Gas Indices Regarding the Severity of Traumatic Injury and Fractures of the Femur and Pelvis

Mohsenian

Khoramian

Mazloom

2018

BEAT

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“…WHODAS II is a valid and reliable tool among Iranian trauma patients, 27 and assesses disability in six domains of understanding and participation, getting around, self-care, getting along with others, life activities, and participation in society. It consists of twelve items which are scored on a five-point Likert scale from 1 (No disability) to five (Severe disability).…”

Section: Methodsmentioning

confidence: 99%

Return to work after trauma: A survival analysis

Abedzadeh-Kalahroudi

Razi

Sehat

et al. 2017

Chinese Journal of Traumatology

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PurposeTo evaluate the return to work (RTW) rate, time and predictors among trauma patients using survival analysis.MethodsThis cohort study was conducted with a three-month follow-up on 300 trauma patients hospitalized in Shahid Beheshti Hospital, Kashan, Iran in 2014. The data were collected through conducting interviews and referring to patients' medical records during their hospital stay and follow-up information at one & three months after discharge from hospital. Final analysis was conducted on the data retrieved from 273 patients. Data were analyzed by chi-square test, Mann–Whitney U test and survival analysis method.ResultsThe rate of RTW at the end of the first and the third follow-up months was respectively 21.6% and 61.2%. Survival analysis showed that the RTW time (Time between admission to first return to work) was significantly longer among patients with illiteracy, drug abuse, hospitalization history in the intensive care unit, low socioeconomic status, non-insurance coverage, longer hospital stay, multiple and severe injuries as well as severe disability.ConclusionOur findings indicated that trauma has profound effects on the rate and time of RTW. Besides disability, many personal and clinical factors can affect the outcome of RTW.

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“…Research examining the psychometric properties of the 12‐item WHODAS 2.0 has been conducted in primary care patients with a first major depressive episode (Luciano et al, , ), patients with myocardial infarction (Kirchberger, Braitmayer, Coenen, Oberhauser, & Meisinger, ), neurosurgical patients (Schiavolin et al, ), trauma patients (Abedzadeh‐Kalahroudi, Razi, Sehat, & Asadi‐Lari, ), patients with chronic musculoskeletal pain (Saltychev et al, ), and older adults from low‐ and middle‐income countries (Sousa et al, ). This research has demonstrated high internal consistency, construct validity, convergent and discriminant validity, and no bias in the way participants respond to items based on gender, age, education, marital status, presence of comorbidities, overall health status, and smoking status.…”

Section: Introductionmentioning

confidence: 99%

Psychometric properties and a latent class analysis of the 12-item World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0) in a pooled dataset of community samples

MacLeod

Tremblay

Graham

et al. 2016

Int J Methods Psychiatr Res

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The 12-item World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0) is a brief measurement tool used cross-culturally to capture the multi-dimensional nature of disablement through six domains, including: understanding and interacting with the world; moving and getting around; self-care; getting on with people; life activities; and participation in society. Previous psychometric research supports that the WHODAS 2.0 functions as a general factor of disablement. In a pooled dataset from community samples of adults (N = 447) we used confirmatory factor analysis to confirm a one-factor structure. Latent class analysis was used to identify subgroups of individuals based on their patterns of responses. We identified four distinct classes, or patterns of disablement: (1) pervasive disability; (2) physical disability; (3) emotional, cognitive, or interpersonal disability; (4) no/low disability. Convergent validity of the latent class subgroups was found with respect to socio-demographic characteristics, number of days affected by disabilities, stress, mental health, and substance use. These classes offer a simple and meaningful way to classify people with disabilities based on the 12-item WHODAS 2.0. Focusing on individuals with a high probability of being in the first three classes may help guide interventions.

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Psychometric properties of the world health organization disability assessment schedule II -12 Item (WHODAS II) in trauma patients

Cited by 23 publications

References 21 publications

Prognostic Value of Arterial Blood Gas Indices Regarding the Severity of Traumatic Injury and Fractures of the Femur and Pelvis

Prognostic Value of Arterial Blood Gas Indices Regarding the Severity of Traumatic Injury and Fractures of the Femur and Pelvis

Return to work after trauma: A survival analysis

Psychometric properties and a latent class analysis of the 12-item World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0) in a pooled dataset of community samples

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