Voorspellende factoren van functionele beperkingen na ernstig letsel
Prognostic factors of disability after major trauma
OBJECTIVE: To assess the health-related quality of life and prognostic factors of disability in survivors of severe trauma one year after injury. DESIGN:Prospective cohort study. METHOD: All severely-injured trauma patients presenting at a level I trauma centre during a 30-month period and surviving 30 days after admission were included. The EuroQol-5D (EQ-5D) and Health Utilities Index (HUI) were used to determine the health status 12 months after injury. RESULTS: 362 patients were included during the study period, 246 of whom returned the follow-up assessments (response rate: 68%). The median EQ-5D utility score was 0.73 (EQ-5D Dutch general population norm: 0.88). The HUI2, HUI3 and EQ-5D Visual Analogue Scale scores were 0.81, 0.65 and 70, respectively. One year after trauma only 22% of the patients reported no functional limitation in the 5 domains of the EQ-D5. Females and patients with co-morbidity at the time of the injury had a higher risk of low scores after 1 year. CONCLUSION: One year after severe injury, the functional outcome and quality of life of trauma patients were far from normalized. Female gender and comorbidity were predictors of poorer functional outcome.
Ringburg, A.N., Steyerberg, E.W., Polinder, S., van Lieshout, E.M.M., Patka, P., van Beeck, E.F., & Schipper, I.B.. (2011). Voorspellende factoren van functionele beperkingen na ernstig letsel. Nederlands Tijdschrift voor Geneeskunde, 2011(155:A3245), 1–7. Retrieved from http://hdl.handle.net/1765/25566