Home > Journals > Italian Journal of Emergency Medicine > Past Issues > Italian Journal of Emergency Medicine 2020 December;9(3) > Italian Journal of Emergency Medicine 2020 December;9(3):188-94

CURRENT ISSUE
 

JOURNAL TOOLS

eTOC
To subscribe
Recommend to your librarian
 

ARTICLE TOOLS

Publication history
Reprints
Permissions
Cite this article as
Share

 

ORIGINAL ARTICLE   Openopen access

Italian Journal of Emergency Medicine 2020 December;9(3):188-94

DOI: 10.23736/S2532-1285.20.00054-3

Copyright © 2020 THE AUTHORS

This is an open access article under the CC BY-NC-ND license

language: English

Quality of life 1-7 years after a mild to moderate trauma

Francesca INNOCENTI , Federica TRAUSI, Chiara GIGLI, Alessandro COPPA, Rita AUDISIO, Stefano CALCAGNO, Irene TASSINARI, Riccardo PINI

High-Dependency Observation Unit, Department of Clinical and Experimental Medicine, Careggi University Hospital, Florence, Italy



BACKGROUND: Few data are available about the impact of a mild to moderate trauma on the health-related quality of life (HRQOL). Aims of the present study were: 1) to evaluate HRQOL 1-7 years after a mild to moderate trauma; and 2) to study possible determinants of the HRQOL reduction.
METHODS: We performed a follow-up (FU) observational study of a cohort of 416 trauma patients admitted to the ED-HDU of the University Hospital of Florence from July 2008 to December 2014. A follow-up based on telephone interviews using the physical (PCS) and mental (MCS) health composite score (SF12) was conducted between October 2015 and February 2016.
RESULTS: The study population included 351 patients; mean PCS was 43±12 and mean MCS 49±13. About one third of the population showed an abnormal PCS (36%) or MCS (23%) score; 19%, 21% and 16% of patients reported a mild, moderate or severe disability in the physical dimension; and 17%, 14% and 11% in the mental dimension. In a stepwise multivariable analysis, in the first step, we included demographic and anamnestic parameters: an advanced age (HR: 1.03, 95% CI: 1.01-1.04), presence of comorbidities (HR: 2.31, 95% CI: 1.30-4.11) and female gender (HR: 1.91, 95% CI: 1.14-3.19) were significantly associated with an abnormal PCS. In the second step, we added the variables related to trauma severity: a longer LOS (HR: 1.04, 95% CI: 1.01-1.07) entered in the model, alongside the aforementioned variables. An advanced age (HR: 1.03, 95% CI: 1.01-1.05) predicted an abnormal MCS score in both steps.
CONCLUSIONS: After a mild to moderate trauma, a significant proportion of patients reported a reduced HRQOL; the condition before trauma played a pivotal role in determining an abnormal HRQOL.


KEY WORDS: Wounds and injuries; Prognosis; Quality of life

top of page