Observational studyScandinavian journal of trauma, resuscitation and emergency medicine2020
Longitudinal analysis of health status the first year after trauma in severely injured patients.
Observational study in Scandinavian journal of trauma, resuscitation and emergency medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.
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Who cites it
10 citing papers in PubMed, 1 synthesis or guideline pooled it.
- 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 · 2026Pooled it
- From Injury to Recovery: A Six-Month Longitudinal Analysis of Quality of Life After Adult Trauma.Journal of clinical medicine · 2026Article
- Predictors of health-related quality of life among major trauma patients discharged from hospitals. A systematic review and meta-analysis.Journal of clinical orthopaedics and trauma · 2025Article
- Health care costs and service utilization in the first year following moderate to severe traumatic injury.BMC health services research · 2024Article
- 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
- Implementation of health-related quality of life in the German TraumaRegister DGU® - first results of a pilot study.Health and quality of life outcomes · 2024Article
- Factors associated with discharge destination from acute care after moderate-to-severe traumatic injuries in Norway: a prospective population-based study.Injury epidemiology · 2023Article
- Frailty in mid-life predicts outcome following trauma.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2023Article
- Psychological risk factors that characterize the trajectories of quality of life after a physical trauma: a longitudinal study using latent class analysis.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2021Article
- Long-term medical and productivity costs of severe trauma: Results from a prospective cohort study.PloS one · 2021Article
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
purposeWhile survival rates after a trauma are increasing a considerable part of the trauma population are still at risk for both short and long term disabilities. Little is known about prognostic factors over time after a severe trauma. The aim of the present prospective cohort study was to examine trauma and patient related prognostic factors for a lower health status over time after a severe trauma.
methodsA multicentre prospective observational cohort study was conducted. Adult trauma patients with severe injuries (ISS ≥ 16) were included from August 2015 until November 2016 if admitted to one of the hospitals in Noord-Brabant (the Netherlands). Outcome measure was health status, measured by the EuroQol-5D (EQ-5D utility and EQ-Visual analogue scale) and the Health Utilities Index (HUI2 and HUI3) one week and one, three, six, and twelve months after injury. Patient and trauma characteristics were analysed as prognostic factors with linear mixed models. The effect of each prognostic factor over time was analysed by adding the interaction term between the prognostic factor and time point in a multivariable linear mixed model, adjusted for confounders. Additionally, the risk factors for problems in the EQ-5 dimensions of HS and cognition were analysed.
resultsIn total 239 severely injured patients participated. Pre-injury health status, hospital length of stay, ISS and comorbidities were significant prognostic factors for a lower health status. A younger age and extremity injury were prognostic factors for a lower health status until one month after trauma and unemployment before trauma and comorbidities six until twelve months after trauma. In the EQ-5 dimensions 44.1% remained problems in mobility, 15.3% in self-care, 46.4% in activity, 53.3% in pain, 32.5% in anxiety and 35.7% in cognition.
conclusionsLower pre-injury health status, longer hospital length of stay, higher ISS, and comorbidities were significant prognostic factors for a lower health status during one year after a severe injury. A younger age and an extremity injury were short-term prognostic factors and unemployment before trauma and comorbidities were long-term prognostic factors. Even after twelve months patients in our population reported more problems in all EQ-5D dimensions when compared to the Dutch reference population.
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