Quality of life as a result of multiple injury in the aspect of limitations of handicaps--social roles.
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.
Hładki
Waldemar
W
Department of Emergency Medicine and Multiple Injures, Jagiellonian University College of Medicine, Cracow. whladki@interia.pl
Lorkowski
Jacek
J
Trybus
Marek
M
Brongel
Leszek
L
Kotela
Ireneusz
I
Golec
Edward
E
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