Freigang, Viola and Mueller, Karolina and Ernstberger, Antonio and Kaltenstadler, Marlene and Bode, Lisa and Pfeifer, Christian and Alt, Volker and Baumann, Florian (2020) Reduced Recovery Capacity After Major Trauma in the Elderly: Results of a Prospective Multicenter Registry-Based Cohort Study. JOURNAL OF CLINICAL MEDICINE, 9 (8): 2356. ISSN , 2077-0383
Full text not available from this repository. (Request a copy)Abstract
Aims: Considering the worldwide trend of an increased lifetime, geriatric trauma is moving into focus. Trauma is a leading cause of hospitalization, leading to disability and mortality. The purpose of this study was to compare the global health-related quality of life (HRQoL) of geriatric patients with adult patients after major trauma. Methods: This multicenter prospective registry-based observational study compares HRQoL of patients aged >= 65 years who sustained major trauma (Injury Severity Score (ISS) >= 16) with patients <65 years of age within the trauma registry of the German Trauma Society (DGU). The global HRQoL was measured at 6, 12, and 24 months post trauma using the EQ-5D-3L score. Results: We identified 405 patients meeting the inclusion criteria with a mean ISS of 25.6. Even though the geriatric patients group (>= 65 years,n= 77) had a lower ISS (m = 24, SD = 8) than patients aged <65 years (n= 328), they reported more difficulties in each EQ dimension compared to patients <65 years. Contrary to patients < 65, the EQ-5D Index of the geriatric patients did not improve at 12 and 24 months after trauma. Conclusions: We found a limited HRQoL in both groups after major trauma. The group of patients >= 65 showed no improvement in HRQoL from 6 to 24 months after trauma.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | QUALITY-OF-LIFE; INJURY SEVERITY; PAIN MANAGEMENT; MORTALITY; HEALTH; CLASSIFICATION; MOBILITY; PEOPLE; EQ-5D; FALL; health service research; management of major trauma; geriatric major trauma; outcome research; patient-reported outcome |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Lehrstuhl für Chirurgie Medicine > Lehrstuhl für Unfallchirurgie Medicine > Zentren des Universitätsklinikums Regensburg > Zentrum für Klinische Studien |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 17 Mar 2021 09:53 |
| Last Modified: | 17 Mar 2021 09:53 |
| URI: | https://pred.uni-regensburg.de/id/eprint/44086 |
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