Outcome after major trauma : Discharge and 6-month follow-up results from the Trauma Recovery Project. Discussion.
Annual meeting of the American Association for the Surgery of Trauma. Waikoloa, HI, USA, 1997/09/24.
The study of both short-term and long-term outcomes after major trauma has become an increasingly important focus of injury research because of the improved survival rates attributable to the evolution of sophisticated trauma care systems.
The Trauma Recovery Project (TRP) is a large prospective epidemiologic study designed to examine multiple outcomes after major trauma in adults aged 18 years and older, including quality of life, functional outcome, and psychologic sequelae such as depression and posttraumatic stress disorder (PTSD).
Patient outcomes were assessed at discharge and at 6,12, and 18 months after discharge.
The specific objectives of the present report are to describe functional outcomes at the discharge and 6-month follow-up time points in the TRP population and to examine the association of putative risk factors with functional outcome.
Between December 1,1993, and September 1,1996,1,048 eligible trauma patients triaged to four participating trauma center hospitals in the San Diego Regionalized Trauma System were enrolled in the TRP study.
The admission criteria for patients were as follows : (1) age 18 years or older, (2) Glasgow Coma Scale score on admission of 12 or greater, and (3) length of stay greater than 24 hours.
Functional outcome after trauma was measured before and after injury using the Quality of Well-Being (QWB) scale, a more sensitive index to the well end of the functioning continuum.
(range, 0=death to 1. (...)
Mots-clés Pascal : Traumatisme, Indice gravité, Pronostic, Epidémiologie, Etude longitudinale, Qualité vie, Difficulté psychologique, Complication, Court terme, Long terme, Homme, Etats Unis, Amérique du Nord, Amérique
Mots-clés Pascal anglais : Trauma, Severity score, Prognosis, Epidemiology, Follow up study, Quality of life, Psychological difficulty, Complication, Short term, Long term, Human, United States, North America, America
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Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0419129
Code Inist : 002B16N. Création : 25/01/1999.