Measuring post-discharge socioeconomic and quality of life outcomes in trauma patients: a scoping review

Journal of Patient-Reported Outcomes

Harris Solomon¹  Cecilia Stålsby Lundborg²  Siddarth Daniels David³  Martin Gerdin Wärnberg⁴  Nobhojit Roy⁵ 

[1] Department of Cultural Anthropology and the Duke Global Health Institute, Duke University, Durham, USA;Health Systems and Policy, Department of Global Public Health Karolinska Institutet, Stockholm, Sweden;Health Systems and Policy, Department of Global Public Health Karolinska Institutet, Stockholm, Sweden;Doctors For You, Mumbai, India;Health Systems and Policy, Department of Global Public Health Karolinska Institutet, Stockholm, Sweden;Function, Perioperative Medicine and Intensive Care, Karolinska University Hospital, Solna, Sweden;Health Systems and Policy, Department of Global Public Health Karolinska Institutet, Stockholm, Sweden;WHO Collaborating Centre for Research in Surgical care delivery in LMICs, BARC Hospital, Mumbai, India;

关键词: Post-discharge;    Socioeconomic outcomes;    Trauma;    Injury;    Scoping review;   

DOI  :  10.1186/s41687-021-00346-6

来源: Springer

【 摘 要 】

PurposeTrauma is a global public health challenge. Measuring post-discharge socioeconomic and quality-of-life outcomes can help better understand and reduce the consequences of trauma.MethodsWe performed a scoping review to map the existing research on post-discharge outcomes for trauma patients, irrespective of the country or setting in which the study was performed. The scoping review was conducted by searching six databases – MEDLINE, EMBASE, the Cochrane Library, Global Index Medicus, BASE, and Web of Science – to identify all articles that report post-discharge socioeconomic or quality of life outcomes in trauma patients from 2009 to 2018.ResultsSeven hundred fifty-eight articles were included in this study, extracting 958 outcomes. Most studies (82%) were from high-income countries (HICs). More studies from low- and middle-income countries (LMICs) were cross-sectional (71%) compared with HIC settings (46%). There was a wide variety of different definitions, interpretations, and measurements used by various articles for similar outcomes. Quality of life, return to work, social support, cost, and participation were the main outcomes studied in post-discharge trauma patients.ConclusionsThe wide range of outcomes and outcome measures reported across different types of injuries and settings. This variability can be a barrier when comparing across different types of injuries and settings. Post-discharge trauma studies should move towards building evidence based on standardized measurement of outcomes.

【 授权许可】

CC BY