Health-related quality of life in patients with multiple injuries and traumatic brain injury 10+ years postinjury

Jennifer Steel, Michael Youssef, Roman Pfeifer, Juliana M. Ramirez, Christian Probst, Richard Sellei, Boris A Zelle, Nicola Alexander Sittaro, Farah Khalifa, Hans Christoph Pape

Research output: Contribution to journalArticle

28 Citations (Scopus)

Abstract

Background: The aim of this study was to examine the long-term physical and psychological consequences of multiple blunt forced trauma at ≥10-year follow-up for patients with and without traumatic brain injury (Tbi). Methods: A total of 620 patients with multiple injuries were assessed with the Medical Outcomes Study-Short Form-12 and a physical reexamination at ≥10-year follow-up. Injury-related characteristics were collected from patients' medical record. Chi-square analysis, Analysis of Variance, and linear and logistic regression were performed to test differences between groups and examine predictors of physical and psychological functioning at ≥10-year follow-up. Results: Patients with multiple injuries who sustained a TBI (n = 398) were more likely to be female (p = 0.001), younger in age at the time of injury (p = 0.02), have higher Injury Severity Scores (p = 0.001), shorter ward stays (p = 0.001), and a greater number of upper extremity injuries (p = 0.02) when compared with those without TBI (n = 222). Patients with TBI reported poorer psychological functioning (p = 0.02) and more frequently reported chronic pain (p = 0.01). Patients with TBI used medical aids (p = 0.002) less frequently at follow-up when compared with patients without TBI. Significant predictors of health-related quality of life at ≥10-year follow-up included age at the time of injury (physical; p = 0.001), gender (p = 0.05), number of ventilation days (p = 0.02), satisfaction with rehabilitation (p = 0.001), disability caused by the injury (p = 0.001), and use of medical aids (physical p = 0.02). Conclusions: Prospective studies are needed with a broader range of measures that may be sensitive to the consequences of TBI. Evidence-based interventions to facilitate physical and psychological rehabilitation, designed to target at risk patients, are warranted.

Original languageEnglish (US)
Pages (from-to)523-530
Number of pages8
JournalJournal of Trauma - Injury, Infection and Critical Care
Volume69
Issue number3
DOIs
StatePublished - Sep 2010
Externally publishedYes

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Multiple Trauma
Quality of Life
Wounds and Injuries
Psychology
Rehabilitation
Injury Severity Score
Traumatic Brain Injury
Upper Extremity
Chronic Pain
Medical Records
Ventilation
Linear Models
Analysis of Variance
Logistic Models
Outcome Assessment (Health Care)
Prospective Studies

ASJC Scopus subject areas

  • Surgery
  • Critical Care and Intensive Care Medicine

Cite this

Health-related quality of life in patients with multiple injuries and traumatic brain injury 10+ years postinjury. / Steel, Jennifer; Youssef, Michael; Pfeifer, Roman; Ramirez, Juliana M.; Probst, Christian; Sellei, Richard; Zelle, Boris A; Sittaro, Nicola Alexander; Khalifa, Farah; Pape, Hans Christoph.

In: Journal of Trauma - Injury, Infection and Critical Care, Vol. 69, No. 3, 09.2010, p. 523-530.

Research output: Contribution to journalArticle

Steel, Jennifer ; Youssef, Michael ; Pfeifer, Roman ; Ramirez, Juliana M. ; Probst, Christian ; Sellei, Richard ; Zelle, Boris A ; Sittaro, Nicola Alexander ; Khalifa, Farah ; Pape, Hans Christoph. / Health-related quality of life in patients with multiple injuries and traumatic brain injury 10+ years postinjury. In: Journal of Trauma - Injury, Infection and Critical Care. 2010 ; Vol. 69, No. 3. pp. 523-530.
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T1 - Health-related quality of life in patients with multiple injuries and traumatic brain injury 10+ years postinjury

AU - Steel, Jennifer

AU - Youssef, Michael

AU - Pfeifer, Roman

AU - Ramirez, Juliana M.

AU - Probst, Christian

AU - Sellei, Richard

AU - Zelle, Boris A

AU - Sittaro, Nicola Alexander

AU - Khalifa, Farah

AU - Pape, Hans Christoph

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