학술논문
Health-related quality of life and return to work 1 year after major trauma from a network perspective.
Document Type
Academic Journal
Author
van Ditshuizen, Jan C.; van Lieshout, Esther M. M.; van Beeck, Ed F.; Verhofstad, Michiel H. J.; den Hartog, Dennis; Dutch Trauma Registry Southwest; Soesman, N. M. R.; Jakma, T. S. C.; Waleboer, M.; Staarink, M.; Bruijninckx, M. M. M.; Cardon, A. Y. M. V. P.; den Hoed, P. T.; Roukema, G. R.; van der Vlies, C. H.; Schep, N. W. L.; van de Schoot, L.
Source
Subject
Language
English
ISSN
1863-9933
Abstract
Introduction: Major trauma often results in long-term disabilities. The aim of this study was to assess health-related quality of life, cognition, and return to work 1 year after major trauma from a trauma network perspective. Methods: All major trauma patients in 2016 (Injury Severity Score > 15, n = 536) were selected from trauma region Southwest Netherlands. Eligible patients (n = 365) were sent questionnaires with the EQ-5D-5L and questions on cognition, level of education, comorbidities, and resumption of paid work 1 year after trauma. Results: A 50% (n = 182) response rate was obtained. EQ-US and EQ-VAS scored a median (IQR) of 0.81 (0.62–0.89) and 70 (60–80), respectively. Limitations were prevalent in all health dimensions of the EQ-5D-5L; 90 (50%) responders reported problems with mobility, 36 (20%) responders reported problems with self-care, 108 (61%) responders reported problems during daily activities, 129 (73%) responders reported pain or discomfort, 70 (39%) responders reported problems with anxiety or depression, and 102 (61%) of the patients reported problems with cognition. Return to work rate was 68% (37% full, 31% partial). A median (IQR) EQ-US of 0.89 (0.82–1.00) and EQ-VAS of 80 (70–90) were scored for fully working responders; 0.77 (0.66–0.85, p < 0.001) and 70 (62–80, p = 0.001) for partial working respondents; and 0.49 (0.23–0.69, p < 0.001) and 55 (40–72, p < 0.001) for unemployed respondents. Conclusion: The majority experience problems in all health domains of the EQ-5D-5L and cognition. Return to work status was associated with all health domains of the EQ-5D-5L and cognition.