Lower Health-Related Quality of Life in Polytrauma Patients: Long-Term Follow-Up After Over 5 Years

Jörn Zwingmann, Paul Hagelschuer, Elia Langenmair, Gerrit Bode, Georg Herget, Norbert P Südkamp, Thorsten Hammer, Jörn Zwingmann, Paul Hagelschuer, Elia Langenmair, Gerrit Bode, Georg Herget, Norbert P Südkamp, Thorsten Hammer

Abstract

Although trauma-associated mortality has fallen in recent decades, and medical care has continued to improve in many fields, the quality of life after experiencing polytrauma has attracted little attention in the literature. This group of patients suffer from persisting physical disabilities. Moreover, they experience long-term social, emotional, and psychological effects that limit/lower considerably their quality of life.We analyzed retrospective data on 147 polytraumatized patients by administering written questionnaires and conducting face-to-face interviews 6 ± 0.8 years after the trauma in consideration of the following validated scores: Glasgow Outcome Scale, European Quality of Life Score, Short Form-36, Trauma Outcome Profile, and Beck Depressions Inventory II.Our analysis of these results reveals that polytraumatized patients suffer from persistent pain and functional disabilities after >5 years. We also observed changes in their socioeconomic situation, as well as psychological after-effects.The rehabilitation of this particular group of patients should not only address their physical disabilities. The psychological after-effects of trauma must be acknowledged and addressed for an even longer period of time.

Conflict of interest statement

The authors report no conflicts of interest.

Figures

FIGURE 1
FIGURE 1
Illustrates the Glasgow Outcome Scale of the men and women by percentage in our study cohort.
FIGURE 2
FIGURE 2
Health-related quality of life according to the EuroQol Score.
FIGURE 3
FIGURE 3
Our study patients’ average values in the Short Form-36 questionnaire's 8 domains in direct comparison with the norm population.
FIGURE 4
FIGURE 4
The threshold value of trauma-specific quality of life as reflected in the Trauma Outcome Profile scores of healthy individuals is defined as ≥80 for each domain.
FIGURE 5
FIGURE 5
Illustrates the Beck Depressions Inventory II-measured severity of depressive symptoms.

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Source: PubMed

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