Original Research
Health related quality of life of survivors of trauma six months after discharge
South African Journal of Physiotherapy | Vol 69, No 1 | a366 |
DOI: https://doi.org/10.4102/sajp.v69i1.366
| © 2013 J. Schneiderman, H. van Aswegen, P. Becker
| This work is licensed under CC Attribution 4.0
Submitted: 11 November 2013 | Published: 11 November 2013
Submitted: 11 November 2013 | Published: 11 November 2013
About the author(s)
J. Schneiderman, Department of Physiotherapy, University of the Witwatersrand, South AfricaH. van Aswegen, Department of Physiotherapy, University of the Witwatersrand, South Africa
P. Becker, Biostatistics Unit, Medical Research council, South Africa
Full Text:
PDF (245KB)Abstract
To investigate the health-related quality of life (HRQOL) of survivors of major trauma at six months following discharge, using two popular HRQOL tools. A cross-sectional study was done on adult trauma survivors in Johannesburg. Subjects completed the EQ-5D and SF-36 HRQOL questionnaires. Additional demographic and clinical data were collected. The majority of subjects reported some problems in usual activities and pain/discomfort as measured with the EQ-5D at six months. The mean EQ-5D VAS was 68 (±26.1). lowest scores were reported in the role physical (44.6 ± 41.6) and role emotional (44.1 ± 45.4) domains of the SF-36. mean SF-36 physical component summary (PCS) score (62.1 ± 27.8) was higher than mental component summary score (58.7 ±20.1). EQ-5D VAS was found to be moderately correlated with age (r=-0.4; p=0.05). A negative correlation was found between SF-36 physical function score and ICU length of stay (LOS), hospital LOS and age (r=-0.4 (p=0.03), -0.4 (p=0.03) and -0.6 (p=0.00) respectively). Statistical significance was observed in the correlation between age and SF-36 general health domain (r=-0.4; p=0.02) as well as age and PCS score (r=-0.5; p=0.01). Trauma survivors in Johannesburg experience limitations in specific emotional and physical domains of HRQOL at six months after discharge. Age was associated with the level of self-rated health as well as limitations in general health and physical function. ICU and hospital LOS were associated with limitations in physical function. There is a need for physical and psychological rehabilitation after discharge from trauma intensive care.
Keywords
Health-related quality of life; EQ-ED; SF-36; Trauma; Intensive care
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