Reduced Quality of Life, Fatigue, and Societal Participation After Polytrauma

Leijdesdorff, Henry Alexander; Krijnen, Pieta; Rooyen, Lisette van; Mheen, Perla Marang–van de; Rhemrev, Steven J.; Schipper, Inger B.

doi:10.9738/intsurg-d-17-00104.1

Cited by 2 publications

(2 citation statements)

References 41 publications

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“…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%

“…Furthermore, lower HRQoL in patients with severe trauma results in reported fatigue, reduced activity, reduced motivation, less frequent participation in and satisfaction with social activities, and the feeling of being more restricted in daily activities [42,97]. The number of patients with depression and/or anxiety after polytrauma decreased after at least 6 months in patients receiving cognitive behavioural therapy shortly after the event leading to injury [41].…”

Section: Sf-36mentioning

confidence: 99%

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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

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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.

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Section: Eq-5dmentioning

confidence: 81%

Section: Sf-36mentioning

confidence: 99%

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

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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

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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.

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Reduced Quality of Life, Fatigue, and Societal Participation After Polytrauma

Cited by 2 publications

References 41 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)

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

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