[Long-term outcome after multiple organ failure following severe trauma].
OBJECTIVE
The aim of this follow-up study was to find out if severely injured patients with multiple organ failure (MOF) show any organotopic sequelae in the late course. Additionally the occupational rehabilitation result as well as the reasons for a poor occupational result were investigated.


METHODS
A total of 50 MOF patients with an injury severity of 45.3 +/- 2.1 PTS points were followed up 4.9 +/- 0.3 years after trauma. In order to show any organotopic sequelae, patients were examined and laboratory tests for the function of the lungs (function test, Horovitz-quotient), liver (bilirubin, GOT, bleeding time), and kidnies (creatinine, urea) were performed. The functional (locomotion and neurological system) and occupational rehabilitation results as well as the reasons for a poor occupational result were analysed.


RESULTS
The clinical examination as well the functional and laboratory tests showed mainly normal results but in in 25% of the patients a significantly decreased range of motion of the elbow, hip, knee and ankle joint was found. The "return to work rate" was 64%. Reasons for a poor occupational result were the severity of head injury, a decreased range of motion of the hip joint and general physical fitness.


CONCLUSIONS
Severely injured patients who survive MOF during their intensive care treatment, show no sequelae of organ failure. The occupational rehabilitation results were excellent with a "return to work rate" of 64% which was dependent on the severity of head injury, a decreased range of motion of the hip joint and general physical fitness.
Grotz
M
M
Unfallchirurgische Klinik, Medizinische Hochschule Hannover, 30623 Hannover. grotz@t-online.de
Pape
H C
HC
Stalp
M
M
von Griensven
M
M
Schreiber
T
T
Krettek
C
C
D000293:Adolescent; D000328:Adult; D000368:Aged; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D009102:Multiple Organ Failure / Q000209:etiology / Q000534:rehabilitation / Q000628:therapy*; D009788:Occupational Therapy; D011379:Prognosis; D016896:Treatment Outcome; D014947:Wounds and Injuries / Q000150:complications* / Q000534:rehabilitation