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  1. Article ; Online: Injury severity and quality of life: whose perspective is important?

    Brasel, Karen J / Deroon-Cassini, Terri / Bradley, Ciarán T

    The Journal of trauma

    2010  Volume 68, Issue 2, Page(s) 263–268

    Abstract: Background: Ambiguity exists regarding factors that predict postinjury quality of life (QOL). We hypothesized that patient-perceived injury severity, not Injury Severity Score (ISS), would be correlated with QOL in a model that included severity of post- ...

    Abstract Background: Ambiguity exists regarding factors that predict postinjury quality of life (QOL). We hypothesized that patient-perceived injury severity, not Injury Severity Score (ISS), would be correlated with QOL in a model that included severity of post-traumatic stress disorder (PTSD) symptoms.
    Methods: Four hundred twenty-six trauma patients admitted to a Level I trauma center completed a questionnaire during inpatient stay and 6 months after injury. The questionnaire assessed physical component score and mental component score QOL with the SF-36, PTSD severity using the PTSD checklist, and used a four-point rating of perceived injury severity. ISS and demographic information were obtained from the trauma registry. Statistical analysis was done with Pearson's correlation and multiple regressions.
    Results: ISS was not significantly correlated with perceived injury severity, PTSD symptom severity, physical component score, or mental component score. The majority of patients overestimated injury severity when compared with ISS. An increase in PTSD symptom severity and perceived injury severity significantly predicted both decreased physical and mental QOL at 6 months.
    Conclusions: ISS does not give the full picture of the severity of injury. Surgeons should consider early screening of patients for perception of injury severity and PTSD symptoms to determine which patients may need psychologic intervention to improve long-term QOL.
    MeSH term(s) Accidents, Traffic ; Adult ; Aged ; Female ; Glasgow Coma Scale ; Health Status Indicators ; Humans ; Injury Severity Score ; Male ; Middle Aged ; Quality of Life ; Stress Disorders, Post-Traumatic
    Language English
    Publishing date 2010-02
    Publishing country United States
    Document type Journal Article
    ZDB-ID 219302-4
    ISSN 1529-8809 ; 0022-5282 ; 1079-6061
    ISSN (online) 1529-8809
    ISSN 0022-5282 ; 1079-6061
    DOI 10.1097/TA.0b013e3181caa58f
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 127: Show issues Location:
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    ab Jg. 2022: Lesesaal (EG)

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  2. Article ; Online: Staged abdominal repairs reduce long-term quality of life.

    Codner, Panna A / Brasel, Karen J / Deroon-Cassini, Terri A

    Injury

    2012  Volume 43, Issue 9, Page(s) 1513–1516

    Abstract: Introduction: Damage control surgery increasingly requires serial operations and a staged abdominal repair (STAR) for ultimate abdominal closure. The effects of multiple operations on quality of life are unknown. We hypothesized that this population of ... ...

    Abstract Introduction: Damage control surgery increasingly requires serial operations and a staged abdominal repair (STAR) for ultimate abdominal closure. The effects of multiple operations on quality of life are unknown. We hypothesized that this population of patients had a lower quality of life than the general U.S. population.
    Methods: Patients requiring STAR for general surgical and trauma diagnoses during a 5-year period from January 2002 to December 2006 were identified from the operative database of a single institution. Demographic, illness, and injury information were obtained from record review. Survivors were 3-7 years from their hospitalization for STAR when they were contacted and the SF-12v2 was administered by phone. The physical (PCS) and mental component (MCS) scores were calculated and compared to US population norms and a population of trauma patients. The non-STAR trauma population completed the SF-12v2 six months after injury.
    Results: A total of 27 patients with a mean age of 46.5 years (SD = 15.9) participated in the survey. The participants were interviewed a median of 4.7 years after injury. The mechanism of injury included 8 (29.6%) general surgical causes including 4 perforated viscus, 3 intra-abdominal infections, and 1 wound dehiscence from a urological procedure. The remaining 19 (70.4%) were trauma-related, including 13 blunt and 6 penetrating injuries. Patients who had undergone a STAR procedure reported lower levels of physical quality of life [z = -15.42, p<0.001] and mental quality of life [z = -6.79, p<0.001] compared to population norms for healthy adults. Also, STAR patients reported lower physical [z = -2.22, p<0.05] and mental [z = -2.59, p<0.05] quality of life as the non-STAR trauma group.
    Discussion: The number of patients undergoing STAR for a variety of reasons is increasing. Measurements of quality of life of STAR patients show that quality of life is reduced compared to a healthy U.S. adult population and to non-STAR trauma patients.
    Conclusions: The significant impact of severe abdominal injuries continues to affect the physical and mental health of patients years later. Injuries of this type are associated with lower quality of life than those observed in patients experiencing non-STAR trauma.
    MeSH term(s) Abdominal Injuries/epidemiology ; Abdominal Injuries/psychology ; Abdominal Injuries/surgery ; Adult ; Female ; Health Status Indicators ; Health Surveys ; Hospitalization/statistics & numerical data ; Humans ; Laparotomy/psychology ; Laparotomy/statistics & numerical data ; Male ; Mental Health/statistics & numerical data ; Middle Aged ; Quality of Life ; Surveys and Questionnaires ; Time Factors ; United States/epidemiology
    Language English
    Publishing date 2012-09
    Publishing country Netherlands
    Document type Comparative Study ; Journal Article
    ZDB-ID 218778-4
    ISSN 1879-0267 ; 0020-1383
    ISSN (online) 1879-0267
    ISSN 0020-1383
    DOI 10.1016/j.injury.2011.01.013
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 778: Show issues Location:
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    Jg. 1995 - 2021: Lesesall (1.OG)
    ab Jg. 2022: Lesesaal (EG)
    Zs.MO 10: Show issues

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  3. Article: Predictors of chronic pain in traumatically injured hospitalized adult patients.

    Trevino, Colleen / Harl, Felicity / Deroon-Cassini, Terri / Brasel, Karen / Litwack, Kim

    Journal of trauma nursing : the official journal of the Society of Trauma Nurses

    2014  Volume 21, Issue 2, Page(s) 50–56

    Abstract: It is unclear what causes chronic pain in traumatically injured hospitalized adults. A total of 101 patients admitted to a level 1 trauma center completed interviews during their inpatient stay and at 4 months, and data on biologic, psychologic, and ... ...

    Abstract It is unclear what causes chronic pain in traumatically injured hospitalized adults. A total of 101 patients admitted to a level 1 trauma center completed interviews during their inpatient stay and at 4 months, and data on biologic, psychologic, and sociologic variables were collected. Statistical analysis used hierarchical logistical regression,χ, and independent-samples t tests. Prevalence of chronic pain at 4 months was 79.2%. Those with chronic pain at 4 months had more posttraumatic stress disorder, anxiety, and depression. High initial pain score was the only significant predictor of chronic pain. Initial pain intensity predicts chronic pain.
    MeSH term(s) Adult ; Age Distribution ; Anxiety/diagnosis ; Anxiety/epidemiology ; Chronic Pain/diagnosis ; Chronic Pain/epidemiology ; Chronic Pain/therapy ; Comorbidity ; Depression/diagnosis ; Depression/epidemiology ; Female ; Follow-Up Studies ; Hospitalization/statistics & numerical data ; Humans ; Length of Stay ; Logistic Models ; Longitudinal Studies ; Male ; Middle Aged ; Multiple Trauma/diagnosis ; Multiple Trauma/epidemiology ; Multiple Trauma/therapy ; Multivariate Analysis ; Pain Measurement ; Predictive Value of Tests ; Prospective Studies ; Registries ; Risk Assessment ; Sex Distribution ; Surveys and Questionnaires ; Time Factors ; Trauma Centers ; Wounds and Injuries/diagnosis ; Wounds and Injuries/epidemiology ; Wounds and Injuries/therapy
    Language English
    Publishing date 2014-03
    Publishing country United States
    Document type Comparative Study ; Journal Article
    ZDB-ID 1281159-2
    ISSN 1078-7496
    ISSN 1078-7496
    DOI 10.1097/JTN.0000000000000032
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

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