Reduced Recovery Capacity after Major Trauma in the Elderly: Results of a Prospective Multicenter Registry-Based Cohort Study

Journal of Clinical Medicine

Karolina Müller¹  Lisa Bode²  Marlene Kaltenstadler³  Antonio Ernstberger⁴  Florian Baumann⁴  Viola Freigang⁴  Volker Alt⁴  Christian Pfeifer⁴ 

[1]Center for Clinical Studies, Regensburg University Medical Center, 93053 Regensburg, Germany

[2]Department of Orthopaedics and Trauma Surgery, Faculty of Medicine, Medical Center—Albert-Ludwigs-University of Freiburg, 79085 Freiburg im Breisgau, Germany

[3]Department of Surgery, Regensburg University Medical Center, 93053 Regensburg, Germany

[4]Department of Trauma, Regensburg University Medical Center, 93053 Regensburg, Germany

关键词: health service research;    management of major trauma;    geriatric major trauma;    outcome research;    patient-reported outcome;   

DOI  :  10.3390/jcm9082356

来源: DOAJ

【 摘 要 】

Aims: Considering the worldwide trend of an increased lifetime, geriatric trauma is moving into focus. Trauma is a leading cause of hospitalization, leading to disability and mortality. The purpose of this study was to compare the global health-related quality of life (HRQoL) of geriatric patients with adult patients after major trauma. Methods: This multicenter prospective registry-based observational study compares HRQoL of patients aged ≥ 65 years who sustained major trauma (Injury Severity Score (ISS) ≥ 16) with patients < 65 years of age within the trauma registry of the German Trauma Society (DGU). The global HRQoL was measured at 6, 12, and 24 months post trauma using the EQ-5D-3L score. Results: We identified 405 patients meeting the inclusion criteria with a mean ISS of 25.6. Even though the geriatric patients group (≥65 years, n = 77) had a lower ISS (m = 24, SD = 8) than patients aged < 65 years (n = 328), they reported more difficulties in each EQ dimension compared to patients <65 years. Contrary to patients < 65, the EQ-5D Index of the geriatric patients did not improve at 12 and 24 months after trauma. Conclusions: We found a limited HRQoL in both groups after major trauma. The group of patients ≥65 showed no improvement in HRQoL from 6 to 24 months after trauma.

【 授权许可】

Unknown