Outcome and quality of life 5 years after major trauma

J Trauma. 2005 Jul;59(1):223-32. doi: 10.1097/01.ta.0000173832.01547.cb.


Background: This study aimed to determine quality of life after injury and identify factors potentially associated with outcome.

Methods: Five years after injury from blunt or penetrating trauma, patients received a questionnaire based on the SF-36 Health Survey.

Results: Two hundred five patients (83%) replied. Most were men, median age 39 years, 93% injured by blunt energy, median Injury Severity Score 14 (range 9-57). Mean SF-36 scores were significantly lower than in a matched reference group. Poor outcome was associated with: in-hospital days, intensive care days, surgical procedures, in-hospital major complications, age, recurrent injury, and inadequate information. Subjects reported considerable physical (68%) and psychologic (41%) disabilities. Near half reported need of improved follow-up care. Injury severity did not predict poor health-related quality of life 5 years later.

Conclusion: Adequate information, sufficient pain management and follow-up by trauma specialist teams are needed. Certain factors can help identify patients in need of additional help and support.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Female
  • Health Status Indicators
  • Humans
  • Injury Severity Score
  • Male
  • Middle Aged
  • Outcome Assessment, Health Care*
  • Quality of Life*
  • Risk Factors
  • Statistics, Nonparametric
  • Wounds and Injuries / complications
  • Wounds and Injuries / therapy*