Evidence map›Paper›PMID 29084612›Full record

ArticleEuropean journal of medical research2017

Long-term outcome in 324 polytrauma patients: what factors are associated with posttraumatic stress disorder and depressive disorder symptoms?

Lisa Falkenberg, Christian Zeckey, Philipp Mommsen, Marcel Winkelmann, Boris A Zelle, Martin Panzica, Hans-Christoph Pape, Christian Krettek, Christian Probst

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in European journal of medical research, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04074382 (Functional Outcomes In Trauma Study - A Combined Retrospective and Prospective Cohort Study to Investigate Functional Outcomes Following Major Trauma.), which is not on this map. Cited by 14 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 3 pooled it
1.6field-weighted citation impact, top 15% of its field
1 · What the graph read from 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.

2 · The registry

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.

NCT04074382 active not recruitingnot on this mapstarted 2020, after this paper: background citation

Functional Outcomes In Trauma Study - A Combined Retrospective and Prospective Cohort Study to Investigate Functional Outcomes Following Major Trauma.

Typeobservational_patient_registrySponsorThe Leeds Teaching Hospitals NHS TrustRan2020 to 2032Enrolled440ConditionsPatient Reported Outcome Measures, Recovery of Function, Rehabilitation, Disability EvaluationArmsOnline Questionnaires, Qualitative Interviews
3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 3 syntheses or guidelines pooled it, 25 citations in OpenAlex.

  1. Patient-reported outcome measures within European cohorts of severely injured patients: a systematic review and meta-analysis.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026
    Pooled it
  2. Parameters influencing health-related quality of life after severe trauma: a systematic review (part II).European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024
    Pooled it
  3. Health-related quality of life after severe trauma and available PROMS: an updated review (part I).European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2023
    Pooled it
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Post-traumatic growth in polytraumatized patients after 20+ years: a long-term follow-up study of 337 patients treated at a level 1 trauma center.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2023
    Article
  10. Review
  11. Survivors of avalanche accidents: posttraumatic stress disorder symptoms and quality of life: a multicentre study.Scandinavian journal of trauma, resuscitation and emergency medicine · 2021
    Observational
  12. Article
  13. Review
  14. Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 4 institutions in 3 countries.

Lisa FalkenbergTrauma Department, Hannover Medical School, Hannover, Germany.
Christian ZeckeyTrauma Department, Hannover Medical School, Hannover, Germany. christian.zeckey@med.unimuenchen.de.ORCID http://orcid.org/0000-0001-6876-4937
Philipp MommsenTrauma Department, Hannover Medical School, Hannover, Germany.
Marcel WinkelmannTrauma Department, Hannover Medical School, Hannover, Germany.
Boris A ZelleDivision of Orthopaedic Traumatology, Department of Orthopaedic Surgery, University of Texas Health Science Center at San Antonio, San Antonio, TX, USA.
Martin PanzicaTrauma Department, Hannover Medical School, Hannover, Germany.
Hans-Christoph PapeDepartment of Trauma Surgery, University Hospital Zurich, Zurich, Switzerland.
Christian KrettekTrauma Department, Hannover Medical School, Hannover, Germany.
Christian ProbstDepartment of Trauma and Orthopaedic Surgery, Cologne-Merheim Medical Center, University of Witten/Herdecke, Cologne, Germany.
Medizinische Hochschule Hannover · DEThe University of Texas Health Science Center at San Antonio · USUniversity Hospital of Zurich · CHWitten/Herdecke University · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPhysical impairment is well-known to last for many years after a severe injury, and there is a high impact on the quality of the survivor's life. The purpose of this study was to examine if this is also true for psychological impairment with symptoms of posttraumatic stress disorder or depression after polytrauma.

designRetrospective cohort outcome study.

settingLevel I trauma centre. POPULATION: 637 polytrauma trauma patients who were treated at our Level I trauma centre between 1973 and 1990. Minimum follow-up was 10 years after the injury.

methodsPatients were asked to fill in a questionnaire, including parts of the Posttraumatic Stress Diagnostic Scale, the Impact of Event Scale-Revised and the German Hospital Anxiety and Depression Scale, to evaluate mental health. Clinical outcome was assessed before by standardised scores.

resultsThree hundred and twenty-four questionnaires were evaluated. One hundred and forty-nine (45.9%) patients presented with symptoms of mental impairment. Quality of life was significantly higher in the mentally healthy group, while the impaired group achieved a lower rehabilitation status.

conclusionsMental impairment can be found in multiple trauma victims, even after 10 years or more. Treating physicians should not only focus on early physical rehabilitation but also focus on early mental rehabilitation to prevent long-term problems in both physical and mental disability.

Indexed as

AdolescentAdultChildChild, PreschoolCohort StudiesDepressive DisorderFemaleFollow-Up StudiesHumansMaleMiddle AgedMultiple TraumaRetrospective StudiesStress Disorders, Post-TraumaticSurveys and QuestionnairesYoung Adult

Identifiers

PMID29084612
PMCPMC5663112
OpenAlexW2766959335

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.