ArticlePloS one2014
Health outcome after major trauma: what are we measuring?
Article in PloS one, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
33 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Assessment of patient-reported outcomes after polytrauma - instruments and methods: a systematic review.BMJ open · 2021Pooled it
- Trial
- Trial
- Chronic pain despite anatomical restoration: a prospective cohort study on one-year outcomes and pain predictors following spinopelvic fixation for trauma.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2026Article
- Article
- Delirium after major trauma critical care and the association with recovery at 12 months.Trauma (London, England) · 2025Article
- Co-design of an outcome measure for hand burn injuries.The British journal of occupational therapy · 2025Article
- Long-term functional outcomes in polytrauma: a fundamentally new approach is needed in prediction.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024Article
- Completeness and Mismatch of Patient-Important Outcomes After Trauma.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2022Article
- A call for patient-centred textbook outcomes for emergency surgery and trauma.The British journal of surgery · 2022Article
- Patients views on which return-to-work outcomes should be prioritised: A nominal group technique focus group.The British journal of occupational therapy · 2022Article
- Monitoring and Measurement in Child and Adolescent Mental Health: It's about More than Just Symptoms.International journal of environmental research and public health · 2022Article
- Seven-year excess mortality, functional outcome and health status after trauma in Hong Kong.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022Article
- Regional anaesthesia research - where to now?British journal of pain · 2022Article
- Monitoring independence in daily life activities after trauma in humanitarian settings: Item reduction and assessment of content validity of the Activity Independence Measure-Trauma (AIM-T).PLOS global public health · 2022Article
- Article
- Observational
- Effectiveness and cost-effectiveness of the Transmural Trauma Care Model investigated in a multicenter trial with a controlled before-and-after design: A study protocol.Physiotherapy research international : the journal for researchers and clinicians in physical therapy · 2021Article
- Patient Perspectives on Key Outcomes for Vocational Rehabilitation Interventions Following Traumatic Injury.International journal of environmental research and public health · 2021Article
- Successful recovery following musculoskeletal trauma: protocol for a qualitative study of patients' and physiotherapists' perceptions.BMC musculoskeletal disorders · 2021Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
importanceTrauma is a global disease and is among the leading causes of disability in the world. The importance of outcome beyond trauma survival has been recognised over the last decade. Despite this there is no internationally agreed approach for assessment of health outcome and rehabilitation of trauma patients.
objectiveTo systematically examine to what extent outcomes measures evaluate health outcomes in patients with major trauma. DATA SOURCES: MEDLINE, EMBASE, and CINAHL (from 2006-2012) were searched for studies evaluating health outcome after traumatic injuries. STUDY SELECTION AND DATA EXTRACTION: Studies of adult patients with injuries involving at least two body areas or organ systems were included. Information on study design, outcome measures used, sample size and outcomes were extracted. The World Health Organisation International Classification of Function, Disability and Health (ICF) were used to evaluate to what extent outcome measures captured health impacts.
results34 studies from 755 studies were included in the review. 38 outcome measures were identified. 21 outcome measures were used only once and only five were used in three or more studies. Only 6% of all possible health impacts were captured. Concepts related to activity and participation were the most represented but still only captured 12% of all possible concepts in this domain. Measures performed very poorly in capturing concepts related to body function (5%), functional activities (11%) and environmental factors (2%).
conclusionOutcome measures used in major trauma capture only a small proportion of health impacts. There is no inclusive classification for measuring disability or health outcome following trauma. The ICF may provide a useful framework for the development of a comprehensive health outcome measure for trauma care.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.