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The effect of age on resilience of health-related quality of life among polytrauma patients: a cross-sectional multicenter study
PURPOSE: The aim of this study was to determine the impact of age on patient-reported health-related quality of life (HRQoL) and the capacity to show resilience—i.e., the ability to adapt to stressful adverse events—after sustaining a polytrauma. METHODS: A cross-sectional multicenter cohort was con...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Springer Berlin Heidelberg
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10175333/ https://www.ncbi.nlm.nih.gov/pubmed/36416946 http://dx.doi.org/10.1007/s00068-022-02135-2 |
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author | de Vries, Rob Reininga, Inge de Graaf, Max Banierink, Hester Bosma, Eelke Munzebrock, Arvid Heineman, Erik Moumni, Mostafa El Wendt, Klaus |
author_facet | de Vries, Rob Reininga, Inge de Graaf, Max Banierink, Hester Bosma, Eelke Munzebrock, Arvid Heineman, Erik Moumni, Mostafa El Wendt, Klaus |
author_sort | de Vries, Rob |
collection | PubMed |
description | PURPOSE: The aim of this study was to determine the impact of age on patient-reported health-related quality of life (HRQoL) and the capacity to show resilience—i.e., the ability to adapt to stressful adverse events—after sustaining a polytrauma. METHODS: A cross-sectional multicenter cohort was conducted between 2013 and 2016 that included surviving polytrauma patients (ISS ≥ 16). HRQoL was obtained by the Short Musculoskeletal Function assessment and EuroQol (SMFA and EQ-5D-5L). The effect of age on HRQoL was tested with linear regression analysis. Next, the individual scores were compared with age- and sex-matched normative data to determine whether they showed resilience. Multivariate binary logistic regression was used to assess the effect of age on reaching the normative threshold of the surveys, correcting for several confounders. RESULTS: A total of 363 patients responded (57%). Overall, patients had a mean EQ-5D-5L score of 0.73. With higher age, scores on the SMFA subscales “upper extremity dysfunction,” “lower extremity dysfunction” and “daily activities” significantly dropped. Only 42% of patients were classified as being resilient, based on the EQ-5D-5L score. Patients aged 60–69 showed the highest resilience (56%), and those aged 80 + showed the lowest resilience (0%). CONCLUSION: Sustaining a polytrauma leads to a serious decline in HRQoL. Aging is associated with a decline in the physical components of HRQoL. No clear relationship with age was seen on the non-physical components of quality of life. Octogenarians, and to a lesser extent septuagenarians and tricenarians, showed to be very vulnerable groups, with low rates of resilience after surviving a polytrauma. |
format | Online Article Text |
id | pubmed-10175333 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Springer Berlin Heidelberg |
record_format | MEDLINE/PubMed |
spelling | pubmed-101753332023-05-13 The effect of age on resilience of health-related quality of life among polytrauma patients: a cross-sectional multicenter study de Vries, Rob Reininga, Inge de Graaf, Max Banierink, Hester Bosma, Eelke Munzebrock, Arvid Heineman, Erik Moumni, Mostafa El Wendt, Klaus Eur J Trauma Emerg Surg Original Article PURPOSE: The aim of this study was to determine the impact of age on patient-reported health-related quality of life (HRQoL) and the capacity to show resilience—i.e., the ability to adapt to stressful adverse events—after sustaining a polytrauma. METHODS: A cross-sectional multicenter cohort was conducted between 2013 and 2016 that included surviving polytrauma patients (ISS ≥ 16). HRQoL was obtained by the Short Musculoskeletal Function assessment and EuroQol (SMFA and EQ-5D-5L). The effect of age on HRQoL was tested with linear regression analysis. Next, the individual scores were compared with age- and sex-matched normative data to determine whether they showed resilience. Multivariate binary logistic regression was used to assess the effect of age on reaching the normative threshold of the surveys, correcting for several confounders. RESULTS: A total of 363 patients responded (57%). Overall, patients had a mean EQ-5D-5L score of 0.73. With higher age, scores on the SMFA subscales “upper extremity dysfunction,” “lower extremity dysfunction” and “daily activities” significantly dropped. Only 42% of patients were classified as being resilient, based on the EQ-5D-5L score. Patients aged 60–69 showed the highest resilience (56%), and those aged 80 + showed the lowest resilience (0%). CONCLUSION: Sustaining a polytrauma leads to a serious decline in HRQoL. Aging is associated with a decline in the physical components of HRQoL. No clear relationship with age was seen on the non-physical components of quality of life. Octogenarians, and to a lesser extent septuagenarians and tricenarians, showed to be very vulnerable groups, with low rates of resilience after surviving a polytrauma. Springer Berlin Heidelberg 2022-11-22 2023 /pmc/articles/PMC10175333/ /pubmed/36416946 http://dx.doi.org/10.1007/s00068-022-02135-2 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . |
spellingShingle | Original Article de Vries, Rob Reininga, Inge de Graaf, Max Banierink, Hester Bosma, Eelke Munzebrock, Arvid Heineman, Erik Moumni, Mostafa El Wendt, Klaus The effect of age on resilience of health-related quality of life among polytrauma patients: a cross-sectional multicenter study |
title | The effect of age on resilience of health-related quality of life among polytrauma patients: a cross-sectional multicenter study |
title_full | The effect of age on resilience of health-related quality of life among polytrauma patients: a cross-sectional multicenter study |
title_fullStr | The effect of age on resilience of health-related quality of life among polytrauma patients: a cross-sectional multicenter study |
title_full_unstemmed | The effect of age on resilience of health-related quality of life among polytrauma patients: a cross-sectional multicenter study |
title_short | The effect of age on resilience of health-related quality of life among polytrauma patients: a cross-sectional multicenter study |
title_sort | effect of age on resilience of health-related quality of life among polytrauma patients: a cross-sectional multicenter study |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10175333/ https://www.ncbi.nlm.nih.gov/pubmed/36416946 http://dx.doi.org/10.1007/s00068-022-02135-2 |
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