Health status after traumatic injury

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Title Health status after traumatic injury
Author Aitken, Leanne Maree; Chaboyer, Wendy; Kendall, Elizabeth; Burmeister, Elizabeth
Journal Name Journal of Trauma and Acute Care Surgery
Year Published 2012
Place of publication United States
Publisher Lippincott Williams and Wilkins
Abstract BACKGROUND: This study explored the relationships between health-related quality of life and postacute factors such as patients’ perceived access to information and support, perceptions of illness and ability to provide self-care after traumatic injury. METHODS: Adults (18 years or older) admitted to hospital for Q24 hours for the acute treatment of trauma in two hospitals in Queensland, Australia, were enrolled in a prospective cohort study. Questionnaires completed at hospital discharge and 3 months and 6 months incorporated the following: demographic data; psychological factors (Revised Illness Perception Questionnaire, Information, Autonomy and Support Scale, and Therapeutic Self-Care Scale); and outcome data (medical short form-36). Data on injury and hospital stay were obtained from health care records and the Queensland Trauma Registry. RESULTS: One hundred ninety-four patients with a median Injury Severity Score 9 (interquartile range, 5Y14) were enrolled, with 125 (64%) completing questionnaires at 6 months. More than half the cohort reported symptoms of pain, fatigue, stiff joints, sleep difficulties, and loss of strength. All subscale scores on the short form-36 were below Australian norms 6 months after injury. Predictors of poor physical health included older age, lower extremity injury, and increased perceived consequences of their injuries, whereas predictors of poor mental health included younger age, female gender, and lower perceived control over their environment. CONCLUSIONS: Patients with minor to moderate injury based on anatomic injury scoring systems have ongoing challenges with recovery including problematic symptoms and low quality of life. Interventions aimed toward assisting recovery should not be limited to trauma patients with major injury.
Peer Reviewed Yes
Published Yes
Alternative URI http://dx.doi.org/10.1097/TA.0b013e318246bfe9
Copyright Statement Copyright 2012 LWW. This is a non-final version of an article published in final form in Journal of Trauma, June 2012 - Volume 72 - Issue 6 - p 1702–1708. Reproduced in accordance with the copyright policy of the publisher. Please refer to the journal link for access to the definitive, published version.
Volume 72
Issue Number 6
Page from 1702
Page to 1708
ISSN 0022-5282
Date Accessioned 2012-07-04
Language en_US
Research Centre Centre for Health Practice Innovation; Griffith Health Institute; Population and Social Health Research Program
Faculty Griffith Health Faculty
Subject Clinical Nursing: Secondary (Acute Care); Clinical Sciences
URI http://hdl.handle.net/10072/47172
Publication Type Journal Articles (Refereed Article)
Publication Type Code c1

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