title: Quality of life as a result of multiple injury in the aspect of limitations of handicaps--social roles.
abstract: Aim of the study was the comparison of quality of life after multiple injury using limitations of handicaps--social roles, ICIDH (World Health Organization). The study group comprised 1259 patients in the years 1989-2003 whose degree of injuries amounted to at least 18 scores in the Injury Severity Scores. Patients were evaluated during a 5 year period. The prospective study in the period to three years (to the end of 2006 year) included 827 (65.9%) patients. The results were compared and statistically analyzed. In the first 5 years--72.5% persons presented limitations on handicaps. In the second 5-years period--48.8% were found to have limitation on social roles and in the third 5-years period 50.3% of people. The most common limitations referred to physical activity--50.5% patients, economic self dependence--49.3% and carrying out of everyday routine--45.7% patients. The highest quality of life improvement and the decrease in the amount of people with limitations on social roles was noted in the second 5-year period and was statistically significant related to the first 5 years. The improvement of quality of life was not significant in the third 5-year period related to second 5-year period. The increase of injuries severity and age was one of the reasons of reduction of positive changes in the last 5-year period.
authors.affiliation: Department of Emergency Medicine and Multiple Injures, Jagiellonian University College of Medicine, Cracow. whladki@interia.pl
authors.forename: Waldemar
authors.initials: W
authors.lastname: Hładki
authors.forename: Jacek
authors.initials: J
authors.lastname: Lorkowski
authors.forename: Marek
authors.initials: M
authors.lastname: Trybus
authors.forename: Leszek
authors.initials: L
authors.lastname: Brongel
authors.forename: Ireneusz
authors.initials: I
authors.lastname: Kotela
authors.forename: Edward
authors.initials: E
authors.lastname: Golec
mesh_terms: D000203:Activities of Daily Living; D000328:Adult; D005260:Female; D006801:Humans; D007398:Interpersonal Relations; D008297:Male; D008875:Middle Aged; D051346:Mobility Limitation; D009043:Motor Activity; D009104:Multiple Trauma / Q000145:classification / Q000534:rehabilitation*; D011788:Quality of Life; D015599:Trauma Severity Indices