Evidence map›Paper›PMID 38840184›Full record

ArticleHealth and quality of life outcomes2024

Implementation of health-related quality of life in the German TraumaRegister DGU® - first results of a pilot study.

Carina Jaekel, Ulrike Nienaber, Anne Neubert, Oliver Kamp, Lisa Wienhöfer, Andre Nohl, Marc Maegele, Helena Duesing, Christoph J Erichsen, Stephan Frenzel and 4 more

Abstract readMulticenter Study
PubMed Full text at PMC Publisher
In one paragraph

Article in Health and quality of life outcomes, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. The utilisation of international consensus definitions of the disease polytrauma: a systematic review.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026
    Pooled it
  2. Article
  3. Article
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

14 authors.

Carina JaekelDepartment of Orthopaedics and Traumatology, University Hospital and Medical Faculty, Heinrich-Heine-University Duesseldorf, Duesseldorf, Germany.
Ulrike NienaberAUC-Academy for Trauma Surgery, Cologne, Germany.
Anne NeubertDepartment of Orthopaedics and Traumatology, University Hospital and Medical Faculty, Heinrich-Heine-University Duesseldorf, Duesseldorf, Germany. Anne.Neubert@med.uni-duesseldorf.de.
Oliver KampDepartment of Trauma Surgery, Hand and Reconstructive Surgery, University Hospital Essen, Essen, Germany.
Lisa WienhöferDepartment of Trauma Surgery, Hand and Reconstructive Surgery, University Hospital Essen, Essen, Germany.
Andre NohlDepartment of Emergency Medicine, BG Klinikum Duisburg, Duisburg, 47249, Germany.
Marc MaegeleCologne-Merheim Medical Center (CMMC), Department of Trauma and Orthopedic Surgery, University Witten/Herdecke, Campus Cologne-Merheim, Cologne, Germany.
Helena DuesingDepartment of Trauma-, Hand- and Reconstructive Surgery, University Hospital Muenster, Muenster, Germany.
Christoph J ErichsenDepartment of Trauma Surgery, BG Trauma Center Murnau, Murnau Am Staffelsee, Murnau, 82418, Germany.
Stephan FrenzelDepartment of Orthopedics and Trauma Surgery, Medical University of Vienna, Vienna, Austria.
Rolf LeferingInstitute for Research in Operative Medicine (IFOM), Universität Witten/Herdecke, Ostmerheimer Str.200, Haus 38, Cologne, 51109, Germany.
Sascha FloheDepartment of Trauma, Orthopaedics and Hand Surgery, Städt. Klinikum Solingen, Solingen, Germany.
Dan BielerDepartment of Orthopaedics and Traumatology, University Hospital and Medical Faculty, Heinrich-Heine-University Duesseldorf, Duesseldorf, Germany.
Outcome Study Group of the Committee on Emergency Medicine, Intensive Care, Trauma Management (Sektion NIS) of the German Trauma Society (DGU)

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundApproximately 30,000 people are affected by severe injuries in Germany each year. Continuous progress in prehospital and hospital care has significantly reduced the mortality of polytrauma patients. With increasing survival rates, the functional outcome, health-related quality (hrQoL) of life and ability to work are now gaining importance. Aim of the study is, the presentation of the response behavior of seriously injured patients on the one hand and the examination of the factors influencing the quality of life and ability to work 12 months after major trauma on the other hand. Building on these initial results, a standard outcome tool shall be integrated in the established TraumaRegister DGU® in the future.

methodsIn 2018, patients [Injury Severity Score (ISS) ≥ 16; age:18-75 years] underwent multicenter one-year posttraumatic follow-up in six study hospitals. In addition to assessing hrQoL by using the Short-Form Health Survey (SF-12), five additional questions (treatment satisfaction; ability to work; trauma-related medical treatment; relevant physical disability, hrQoL as compared with the prior to injury status) were applied.

resultsOf the 1,162 patients contacted, 594 responded and were included in the analysis. The post-injury hrQoL does not show statistically significant differences between the sexes. Regarding age, however, the younger the patient at injury, the better the SF-12 physical sum score. Furthermore, the physically perceived quality of life decreases statistically significantly in relation to the severity of the trauma as measured by the ISS, whereas the mentally perceived quality of life shows no differences in terms of injury severity. A large proportion of severely injured patients were very satisfied (42.2%) or satisfied (39.9%) with the treatment outcome. It should be emphasized that patients with a high injury severity (ISS > 50) were on average more often very satisfied with the treatment outcome (46.7%). A total of 429 patients provided information on their ability to work 12 months post-injury. Here, 194 (45.2%) patients had a full employment, and 58 (13.5%) patients were had a restricted employment.

conclusionThe present results show the importance of a structured assessment of the postinjury hrQoL and the ability to work after polytrauma. Further studies on the detection of influenceable risk factors on hrQoL and ability to work in the intersectoral course of treatment should follow to enable the best possible outcome of polytrauma survivors.

Indexed as

Quality of LifeRegistriesAdolescentAdultAgedFemaleGermanyHumansInjury Severity ScoreMaleMiddle AgedMultiple TraumaPilot ProjectsSurveys and QuestionnairesWounds and InjuriesYoung AdultHealth-related quality of lifeOutcomePolytraumaTrauma registry

Identifiers

PMID38840184
PMCPMC11151558

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.