Quality of Well-being profiles followed paths of health status change at micro- and meso-levels in trauma patients.
OBJECTIVE
The objective of this study is to analyze Quality of Well-being Scale scores and profiles tracing Trauma Recovery Project (TRP) patient scores over time.


METHODS
A total of 787 TRP patients had complete preinjury and injury day data. Of these 787, 574 patients were followed up 6 months after hospital release. Analyses include persons with head injury vs. long bone and pelvic injury.


RESULTS
Paired t-tests found significant differences for scores between each measurement point. Means analyses found significant variation on first day of hospitalization vs. 6-month recovery scores by injury site--head worse off than long bone and pelvic injury at first, but becoming better off 6 months after release from hospital. These effects were traced to specific symptom/problem complexes and functional limitations.


CONCLUSIONS
Examination of such profiles can add significant information about health implications not obvious from overall scores. The size and direction of such contributions to overall scores may be reliably traced over time.
Anderson
John P
JP
Health Measurement and Policy Project 0622, Division of Health Care Sciences, Department of Family and Preventive Medicine, School of Medicine, University of California, San Diego, 9500 Gilman Drive, La Jolla, CA 92093-0622, USA. jpa@ucsd.edu
Holbrook
Troy L
TL
D000328:Adult; D001842:Bone and Bones / Q000293:injuries; D003362:Cost-Benefit Analysis; D006259:Craniocerebral Trauma / Q000503:physiopathology / Q000523:psychology / Q000534:rehabilitation; D005260:Female; D006304:Health Status; D006760:Hospitalization; D006801:Humans; D008297:Male; D008603:Mental Health; D010388:Pelvis / Q000293:injuries; D011446:Prospective Studies; D011788:Quality of Life; D016896:Treatment Outcome; D014947:Wounds and Injuries / Q000503:physiopathology / Q000523:psychology / Q000534:rehabilitation*