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Titre : | « PreviousNext »Archives of Physical Medicine and Rehabilitation Volume 93, Issue 5 , Pages 765-774, May 2012 The Trajectory of Physical and Mental Health From Injury to 5 Years After Multiple Trauma: A Prospective, Longitudinal Cohort Study (2012) |
Auteurs : | Hélène Soberg ; Arnstein Finset ; Olav Roise ; et al. |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (2012/5, 2012) |
Article en page(s) : | pp. 765-774 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Évaluation de résultat (soins) ; Polytraumatisme ; Rééducation et réadaptation |
Mots-clés: | Follow-up studies ; Multiple trauma ; Outcomes assessment (health care) ; Études de suivi |
Résumé : |
Objectives To describe the trajectory of physical and mental health from injury to 5 years postinjury for patients with multiple trauma, and to examine predictors of recovery of physical and mental health. Design A prospective, longitudinal cohort study with data from injury (baseline), the return home (t1), and 1 (t2), 2 (t3), and 5 (t4) years. Setting Hospital and community setting. Participants Patients (N=105; mean age + SD, 35.3+14.0y; age range, 18−67y; 83% men) with multiple trauma and a New Injury Severity Score (NISS) ≥16 treated at a regional trauma referral center. Mean NISS + SD was 34.6+12.6, and mean Glasgow Coma Scale (GCS) score + SD was 12.2+3.9. Interventions Not applicable. Main Outcome Measures Medical Outcomes Study 36-Item Short-Form Health Survey physical component summary (PCS) and mental component summary (MCS), injury severity parameters, and World Health Organization Disability Assessment Schedule II (WHODAS II) for activities and participation. Results The proportion with poor physical health ( Conclusions Physical and mental health over the 5 years improved with time, but was still significantly below population means. The physical and mental health status stabilized, but the recovery trajectories differed for physical and mental health. Predictors of health were personal and injury-related factors and function in a biopsychosocial perspective. |
Disponible en ligne : | Oui |
En ligne : | http://www.archives-pmr.org/article/S0003-9993%2812%2900070-6/abstract |