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

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 w...

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Autores principales: Freigang, Viola, Müller, Karolina, Ernstberger, Antonio, Kaltenstadler, Marlene, Bode, Lisa, Pfeifer, Christian, Alt, Volker, Baumann, Florian
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7464491/
https://www.ncbi.nlm.nih.gov/pubmed/32717963
http://dx.doi.org/10.3390/jcm9082356
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author Freigang, Viola
Müller, Karolina
Ernstberger, Antonio
Kaltenstadler, Marlene
Bode, Lisa
Pfeifer, Christian
Alt, Volker
Baumann, Florian
author_facet Freigang, Viola
Müller, Karolina
Ernstberger, Antonio
Kaltenstadler, Marlene
Bode, Lisa
Pfeifer, Christian
Alt, Volker
Baumann, Florian
author_sort Freigang, Viola
collection PubMed
description 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.
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spelling pubmed-74644912020-09-04 Reduced Recovery Capacity After Major Trauma in the Elderly: Results of a Prospective Multicenter Registry-Based Cohort Study Freigang, Viola Müller, Karolina Ernstberger, Antonio Kaltenstadler, Marlene Bode, Lisa Pfeifer, Christian Alt, Volker Baumann, Florian J Clin Med Article 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. MDPI 2020-07-23 /pmc/articles/PMC7464491/ /pubmed/32717963 http://dx.doi.org/10.3390/jcm9082356 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Freigang, Viola
Müller, Karolina
Ernstberger, Antonio
Kaltenstadler, Marlene
Bode, Lisa
Pfeifer, Christian
Alt, Volker
Baumann, Florian
Reduced Recovery Capacity After Major Trauma in the Elderly: Results of a Prospective Multicenter Registry-Based Cohort Study
title Reduced Recovery Capacity After Major Trauma in the Elderly: Results of a Prospective Multicenter Registry-Based Cohort Study
title_full Reduced Recovery Capacity After Major Trauma in the Elderly: Results of a Prospective Multicenter Registry-Based Cohort Study
title_fullStr Reduced Recovery Capacity After Major Trauma in the Elderly: Results of a Prospective Multicenter Registry-Based Cohort Study
title_full_unstemmed Reduced Recovery Capacity After Major Trauma in the Elderly: Results of a Prospective Multicenter Registry-Based Cohort Study
title_short Reduced Recovery Capacity After Major Trauma in the Elderly: Results of a Prospective Multicenter Registry-Based Cohort Study
title_sort reduced recovery capacity after major trauma in the elderly: results of a prospective multicenter registry-based cohort study
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7464491/
https://www.ncbi.nlm.nih.gov/pubmed/32717963
http://dx.doi.org/10.3390/jcm9082356
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