Abstract | BACKGROUND:
Trauma care systems aim to reduce both death and disability, yet there is little data on post- trauma health status and functional outcome. OBJECTIVES: To evaluate baseline, discharge, six month and 12 month post- trauma quality of life, functional outcome and predictors of quality of life in Hong Kong. METHODS: Multicentre, prospective cohort study using data from the trauma registries of three regional trauma centres in Hong Kong. Trauma patients with an ISS≥9 and aged≥18 years were included. The main outcome measures were the physical component summary (PCS) score and mental component summary (MCS) scores of the Short-Form 36 (SF36) for health status, and the extended Glasgow Outcome Scale (GOSE) for functional outcome. RESULTS: Between 1 January 2010 and 31 September 2010, 400 patients (mean age 53.3 years; range 18-106; 69.5% male) were recruited to the study. There were no statistically significant differences in baseline characteristics between responders (N=177) and surviving non-responders (N=163). However, there were significant differences between these groups and the group of patients who died (N=60). Only 16/400 (4%) cases reported a GOSE≥7. 62/400 (15.5%) responders reached the HK population norm for PCS. 125/400 (31%) responders reached the HK population norm for MCS. If non-responders had similar outcomes to responders, then the percentages for GOSE≥7 would rise from 4% to 8%, for PCS from 15.5% to 30%, and for MCS from 31% to 60%. Univariate analysis showed that 12-month poor quality of life was significantly associated with age>65 years (OR 4.77), male gender (OR 0.44), pre-injury health problems (OR 2.30), admission to ICU (OR 2.15), ISS score 26-40 (OR 3.72), baseline PCS (OR 0.89), one-month PCS (OR 0.89), one-month MCS (OR 0.97), 6-month PCS (OR 0.76) and 6-month MCS (OR 0.97). CONCLUSION: For patients sustaining moderate or major trauma in Hong Kong at 12 months after injury<1 in 10 patients had an excellent recovery, ≤3 in 10 reached a physical health status score≥Hong Kong norm, although as many as 6 in 10 patients had a mental health status score which is≥Hong Kong norm.
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Authors | T H Rainer, J H H Yeung, S K C Cheung, Y K Y Yuen, W S Poon, H F Ho, C W Kam, G N Cattermole, A Chang, F L So, C A Graham |
Journal | Injury
(Injury)
Vol. 45
Issue 5
Pg. 902-9
(May 2014)
ISSN: 1879-0267 [Electronic] Netherlands |
PMID | 24314871
(Publication Type: Journal Article, Multicenter Study, Research Support, Non-U.S. Gov't)
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Copyright | Copyright © 2013 Elsevier Ltd. All rights reserved. |
Topics |
- Activities of Daily Living
(psychology)
- Adolescent
- Adult
- Aged
- Aged, 80 and over
- Disabled Persons
(psychology, statistics & numerical data)
- Female
- Follow-Up Studies
- Glasgow Outcome Scale
- Hong Kong
(epidemiology)
- Humans
- Injury Severity Score
- Length of Stay
(statistics & numerical data)
- Male
- Middle Aged
- Multiple Trauma
(epidemiology, physiopathology, psychology)
- Patient Discharge
(statistics & numerical data)
- Prospective Studies
- Quality of Life
- Recovery of Function
- Social Support
- Stress Disorders, Post-Traumatic
(epidemiology, etiology, psychology)
- Treatment Outcome
- Wounds and Injuries
(epidemiology, physiopathology, psychology)
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