Health-Related Quality Of Life (HRQOL) in patients with moderate and severe trauma in Hong Kong: 4 year prospective multicentre cohort study
Refereed conference paper presented and published in conference proceedings

Trauma care systems aim to reduce death and to improve quality of life and functional outcome in trauma patients. The long term quality of life has not been well documented in Chinese patients with moderate to severe trauma. The aim of this study was to evaluate post-injury health-related quality of life (HRQOL) in patients with moderate and major trauma over four years in Hong Kong.

Participants and methods
This was a multicentre, prospective cohort study using data from the trauma registries of three regional trauma centres in Hong Kong. Trauma patients with an ISS≥9 and aged≥18 years were included. Main outcome measures included the number of patients with physical component summary (PCS) score and mental component summary (MCS) scores of the Short-Form 36 (SF36) for health status. Good outcomes were defined as patients reaching the Hong Kong norm for PCS, namely >52.83.

From 1st January 2010 to 30th September 2010, 400 patients were recruited to the study (mean age 53.3 years; range 18-106; 70% male; ISS 9-5, N=139; ISS≥16, N=261). The proportion of surviving responders (66/143) reaching a PCS equivalent to the Hong Kong population norm was 46.2%, and 16.5% (66/400) of the total original patients. As there were no statistically significant differences between surviving responders and non-responders at baseline, it is reasonable to assume that 46.2% of the 179 surviving non-responders (N=83) also reached the HK population norm. If so, then the total number of cases reaching the HK population norm for PCS is 66+83=149, i.e. 37.2% of the original 400 patients.

Four years after injury, patients with moderate and major trauma have a 17 to 37% chance of reaching the Hong Kong normal PCS (52.83).

This study was supported by Health and Health Services Research Grant 07080261 and Health and Medical Research Fund Grant 10110251.
著者Colin A GRAHAM, Kevin Kc HUNG, Janice Hh YEUNG, Wai S POON, Hiu F HO, Chak W KAM, Timothy H RAINER
會議名稱10th European Congress on Emergency Medicine 2016
會議論文集題名10th European Congress on Emergency Medicine 2016

上次更新時間 2018-22-01 於 05:58