Quality of life and level of post-traumatic stress disorder among trauma patients: A comparative study between a regional and a university hospital

The aim of this study was to assess outcome in long-term quality of life (QoL) and post-traumatic stress disorder (PTSD) among adult survivors of trauma. Secondary aim was to compare levels of the outcome with injury severity and specialization level of two trauma centres. A retrospective study incl...

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Bibliographic Details
Published in:Scandinavian journal of trauma, resuscitation and emergency medicine resuscitation and emergency medicine, 2018-06, Vol.26 (1), p.44-44, Article 44
Main Authors: Danielsson, F B, Schultz Larsen, M, Nørgaard, B, Lauritsen, J M
Format: Article
Language:English
Subjects:
Adolescent
Adult
Aged
Analysis
EQ-5D
Female
Health Status
Hospitals, Community
Hospitals, University
Humans
Injuries
Male
Medical research
Middle Aged
Original Research
Patient outcomes
Patients
Population
Post traumatic stress disorder
PTSD
Quality of Life
Questionnaires
Retrospective Studies
Severe injuries
Stress Disorders, Post-Traumatic - epidemiology
Stress Disorders, Post-Traumatic - psychology
Surveys and Questionnaires
Teams
Trauma
Trauma care
Trauma Centers
Trauma outcome
Variables
Young Adult
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Summary:The aim of this study was to assess outcome in long-term quality of life (QoL) and post-traumatic stress disorder (PTSD) among adult survivors of trauma. Secondary aim was to compare levels of the outcome with injury severity and specialization level of two trauma centres. A retrospective study included patients received by the trauma response teams at two hospitals in 2013 aged 18 or more at follow-up. We assessed QoL and PTSD with one mailed questionnaire to each patient at either 12 or 24 months of follow-up. Health status was measured by EuroQol EQ-5D and the Glasgow Outcome Scale. PTSD symptoms were classified according to the Post-Traumatic Stress Disorder Checklist (PCL) and Diagnostic and Statistical Manual of Mental Disorders, 4th Edition (DSM-IV). A questionnaire was mailed to 774 patients at end of 2014 or early 2015, 455 were included for analysis; median age 44 (IQR 25-57; 68% male); median NISS 9 (IQR 2-17); At follow-up 24% (95% CI 20-28) reported a EQ index score value equivalent to the lowest 2.3% in the Danish population norm. Probable PTSD was present in 19% (95% CI 13-27) of patients with severe injuries (NISS> 15), and 23% (95% CI 19-28) of those with NISS
ISSN:1757-7241
1757-7241
DOI:10.1186/s13049-018-0507-0