Prevalence and prognostic factors of disability after major trauma

J Trauma. 2011 Apr;70(4):916-22. doi: 10.1097/TA.0b013e3181f6bce8.


Background: The primary aim of this study was to assess the health-related quality of life of survivors of severe trauma 1 year after injury, specified according to all the separate dimensions of the EuroQol-5D (EQ-5D) and the Health Utilities Index (HUI).

Methods: A prospective cohort study was conducted in which all severely injured trauma patients presented at a Level I trauma center were included. After 12 months, the EQ-5D, HUI2 and HUI3 were used to analyze the health status.

Results: Follow-up assessments were obtained from 246 patients (response rate, 68%). The overall population EQ-5D (median) utility score was 0.73 (EQ-5D Dutch general population norm, 0.88). HUI2, HUI3, and EQ-5D Visual Analog Scale scores were 0.81, 0.65, and 70, respectively. Eighteen percent had at least one functional limitation 1 year after trauma, and 60% reported functional limitations on two or more domains using the EQ-5D. The female gender and comorbidity were significant independent predictors of disability.

Conclusion: Functional outcome and quality of life of survivors of severe injury have not returned to normal 1 year after trauma. The prevalence of specific limitations in this population is very high (40-70%). Female gender and comorbidity are predictors of long-term disability.

Publication types

  • Comparative Study

MeSH terms

  • Adult
  • Disability Evaluation*
  • Disabled Persons / statistics & numerical data*
  • Female
  • Humans
  • Male
  • Middle Aged
  • Multiple Trauma / epidemiology
  • Multiple Trauma / rehabilitation*
  • Netherlands / epidemiology
  • Prevalence
  • Prognosis
  • Prospective Studies
  • Trauma Centers
  • Trauma Severity Indices
  • Young Adult