Evidence map›Paper›PMID 36152068›Full record

ArticleEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2023

Influence of psychiatric co-morbidity on health-related quality of life among major trauma patients.

Maximilian A Meyer, Tijmen van den Bosch, Juanita A Haagsma, Marilyn Heng, Loek P H Leenen, Falco Hietbrink, Roderick Marijn Houwert, Marjan Kromkamp, Stijn D Nelen

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Article in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing papers in PubMed
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1 · What the graph read from it

What it found

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3 · Its place in the literature

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2 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Maximilian A MeyerDepartment of Surgery, University Medical Center Utrecht, Utrecht, The Netherlands. maxameyer@gmail.com.ORCID http://orcid.org/0000-0003-2915-1825
Tijmen van den BoschDepartment of Surgery, University Medical Center Utrecht, Utrecht, The Netherlands.
Juanita A HaagsmaDepartment of Public Health, Erasmus MC, University Medical Center Rotterdam, Rotterdam, The Netherlands.
Marilyn HengDepartment of Orthopedic Surgery, Massachusetts General Hospital, 55 Fruit Street, White Building 535, Boston, MA, 02114, USA.
Loek P H LeenenDepartment of Surgery, University Medical Center Utrecht, Utrecht, The Netherlands.
Falco HietbrinkDepartment of Surgery, University Medical Center Utrecht, Utrecht, The Netherlands.
Roderick Marijn HouwertDepartment of Surgery, University Medical Center Utrecht, Utrecht, The Netherlands.
Marjan KromkampDepartment of Psychiatry, University Medical Center Utrecht, Utrecht, The Netherlands.
Stijn D NelenDepartment of Surgery, University Medical Center Utrecht, Utrecht, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe purpose of this study was to compare 1-year post-discharge health-related quality of life (HRQL) between trauma patients with and without psychiatric co-comorbidity.

methodsA retrospective single-center cohort study identified all severely injured adult trauma patients admitted to a Level 1 trauma center between 2018 and 2019. Bivariate analysis compared patients with and without psychiatric co-morbidity, which was defined as prior diagnosis by a healthcare provider or acute psychiatric consultation for new or chronic mental illness. HRQL metrics included the EuroQol-5D-5L (EQ-5D) questionnaire, visual analogue scale (EQ-VAS), and overall index score. A multiple linear regression model was utilized to identify predictors of EQ-5D index scores.

resultsAnalysis of baseline characteristics revealed significantly greater rates of substance abuse, severe extremity injuries, inpatient morbidity, and hospital length-of-stay among patients with psychiatric illness. At 1-year follow-up, patients with psychiatric co-morbidity had lower median EQ-5D index scores compared to the control group (0.71, interquartile range [IQR] 0.32 vs. 0.79, IQR 0.22, p = 0.03). There were no differences between groups in individual EQ-5D dimensions, nor in EQ-VAS scores. Presence of psychiatric co-morbidity was not found to independently predict EQ-5D index scores in the linear regression model. Instead, Injury Severity Score (standardized regression coefficient [SRC] - 0.15, 95% confidence interval [CI] - 0.010 to - 0.001) and American Society of Anesthesiologists Physical Status score (SRC - 0.13, 95% CI - 0.08 to - 0.004) predicted poor HRQL 1-year after injury.

conclusionsPsychiatric co-morbidity does not independently predict low HRQL 1 year after injury. Instead, lower HRQL scores among patients with psychiatric co-morbidity appear to be mediated by baseline health status and injury severity.

Indexed as

AftercareQuality of LifeAdultCohort StudiesComorbidityHealth StatusHumansPatient DischargeRetrospective StudiesSurveys and QuestionnairesFunctional outcomesPsychiatric co-morbidityTrauma

Identifiers

PMID36152068

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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.