title: Lower Health-Related Quality of Life in Polytrauma Patients: Long-Term Follow-Up After Over 5 Years.
abstract: Although trauma-associated mortality has fallen in recent decades, and medical care has continued to improve in many fields, the quality of life after experiencing polytrauma has attracted little attention in the literature. This group of patients suffer from persisting physical disabilities. Moreover, they experience long-term social, emotional, and psychological effects that limit/lower considerably their quality of life.We analyzed retrospective data on 147 polytraumatized patients by administering written questionnaires and conducting face-to-face interviews 6 ± 0.8 years after the trauma in consideration of the following validated scores: Glasgow Outcome Scale, European Quality of Life Score, Short Form-36, Trauma Outcome Profile, and Beck Depressions Inventory II.Our analysis of these results reveals that polytraumatized patients suffer from persistent pain and functional disabilities after >5 years. We also observed changes in their socioeconomic situation, as well as psychological after-effects.The rehabilitation of this particular group of patients should not only address their physical disabilities. The psychological after-effects of trauma must be acknowledged and addressed for an even longer period of time.
authors.affiliation: From the Department of Orthopaedic and Trauma Surgery, University of Freiburg Medical Center, Freiburg, Germany.
authors.forename: Jörn
authors.initials: J
authors.lastname: Zwingmann
authors.forename: Paul
authors.initials: P
authors.lastname: Hagelschuer
authors.forename: Elia
authors.initials: E
authors.lastname: Langenmair
authors.forename: Gerrit
authors.initials: G
authors.lastname: Bode
authors.forename: Georg
authors.initials: G
authors.lastname: Herget
authors.forename: Norbert P
authors.initials: NP
authors.lastname: Südkamp
authors.forename: Thorsten
authors.initials: T
authors.lastname: Hammer
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002648:Child; D059350:Chronic Pain / Q000523:psychology; D003863:Depression / Q000523:psychology; D005260:Female; D005500:Follow-Up Studies; D023261:Glasgow Outcome Scale; D006801:Humans; D015601:Injury Severity Score; D008297:Male; D008875:Middle Aged; D009104:Multiple Trauma / Q000523:psychology*; D063868:Patient Outcome Assessment; D011788:Quality of Life; D012189:Retrospective Studies; D011795:Surveys and Questionnaires; D017741:Survivors / Q000523:psychology*; D013995:Time; D055815:Young Adult