Predicting health status in the first year after trauma

Background Although mortality rates following major trauma are continuing to decline, a growing number of patients are experiencing long‐term disability. The aim of this study was to identify factors associated with health status in the first year following trauma and develop prediction models based...

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Bibliographic Details
Published in:British journal of surgery 2019-05, Vol.106 (6), p.701-710
Main Authors: de Munter, L., Polinder, S., van de Ree, C. L. P., Kruithof, N., Lansink, K. W. W., Steyerberg, E. W., de Jongh, M. A. C.
Format: Article
Language:English
Subjects:
Frailty
Trauma
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Summary:Background Although mortality rates following major trauma are continuing to decline, a growing number of patients are experiencing long‐term disability. The aim of this study was to identify factors associated with health status in the first year following trauma and develop prediction models based on a defined trauma population. Methods The Brabant Injury Outcome Surveillance (BIOS) study was a multicentre prospective observational cohort study. Adult patients with traumatic injury were included from August 2015 to November 2016 if admitted to one of the hospitals of the Noord‐Brabant region in the Netherlands. Outcome measures were EuroQol Five Dimensions 5D‐3L (EQ‐5D™ utility and visual analogue scale (VAS)) and Health Utilities Index (HUI) 2 and 3 scores 1 week and 1, 3, 6 and 12 months after injury. Prediction models were developed using linear mixed models, with patient characteristics, preinjury health status, injury severity and frailty as possible predictors. Predictors that were significant (P 
ISSN:0007-1323
1365-2168
DOI:10.1002/bjs.11132