Τίτλος:
Health-related quality of life and rehabilitation cost following intensive care unit stay in multiple trauma patients
Γλώσσες Τεκμηρίου:
Αγγλικά
Περίληψη:
OBJECTIVES: The objective of this study was to assess changes in health-related quality of life (HRQOL) in multiple trauma patients due to motor vehicle crashes during a follow-up period of 2 years after discharge from an intensive care unit (ICU) and the effect of income and financial cost of rehabilitation in HRQOL.
METHODS: The study was a prospective observational study of multiple trauma patients from January 2009 to January 2011 who were hospitalized in a general, medical, and surgical ICU of a district hospital in Athens, Greece. Eighty-five patients with multiple traumas due to motor vehicle crashes and with an ICU stay of more than 24 hours were included in the study. HRQOL was assessed by a general questionnaire, the EuroQol 5D.
RESULTS: Increased monthly household income and absence of traumatic brain injuries were associated with an improved EQ-VAS score. The frequency of severe problems in mobility, self-care, usual activities, pain/discomfort, and anxiety/depression decreased over time. The financial cost of rehabilitation was initially high but decreased over time.
CONCLUSIONS: Severely injured victims of motor vehicle crashes suffer from serious problems in terms of HRQOL which is gradually improved even 2 years after hospital discharge. In addition, HRQOL is significantly related to income. Resources used for rehabilitation decrease over time, but even at 24 months, the patients still use half of the amount as compared with the cost of the first 6 months after trauma.
Συγγραφείς:
Stergiannis, P.
Katsoulas, T.
Fildissis, G.
Intas, G.
Galanis, P.
Kosta, N.
Zidianakis, V.
Baltopoulos, G.
Περιοδικό:
Journal of trauma nursing : the official journal of the Society of Trauma Nurses
Λέξεις-κλειδιά:
adult; aged; analysis of variance; cohort analysis; economics; female; Greece; health care cost; hospital discharge; human; intensive care unit; length of stay; male; middle aged; multiple trauma; multivariate analysis; patient care; physiotherapy; prospective study; quality of life; risk assessment; statistical model; statistics and numerical data; traffic accident; Wounds and Injuries; young adult, Accidents, Traffic; Adult; Aged; Analysis of Variance; Cohort Studies; Continuity of Patient Care; Female; Greece; Health Care Costs; Humans; Intensive Care Units; Length of Stay; Linear Models; Male; Middle Aged; Multiple Trauma; Multivariate Analysis; Patient Discharge; Physical Therapy Modalities; Prospective Studies; Quality of Life; Risk Assessment; Wounds and Injuries; Young Adult
DOI:
10.1097/JTN.0000000000000042
