Injury severity and quality of life: Whose perspective is important?

Karen Brasel, Terri Deroon-Cassini, Ciarán T. Bradley

Research output: Contribution to journalArticle

29 Citations (Scopus)

Abstract

Background: Ambiguity exists regarding factors that predict postinjury quality of life (QOL). We hypothesized that patient-perceived injury severity, not Injury Severity Score (ISS), would be correlated with QOL in a model that included severity of post-traumatic stress disorder (PTSD) symptoms. Methods: Four hundred twenty-six trauma patients admitted to a Level I trauma center completed a questionnaire during inpatient stay and 6 months after injury. The questionnaire assessed physical component score and mental component score QOL with the SF-36, PTSD severity using the PTSD checklist, and used a four-point rating of perceived injury severity. ISS and demographic information were obtained from the trauma registry. Statistical analysis was done with Pearson's correlation and multiple regressions. Results: ISS was not significantly correlated with perceived injury severity, PTSD symptom severity, physical component score, or mental component score. The majority of patients overestimated injury severity when compared with ISS. An increase in PTSD symptom severity and perceived injury severity significantly predicted both decreased physical and mental QOL at 6 months. Conclusions: ISS does not give the full picture of the severity of injury. Surgeons should consider early screening of patients for perception of injury severity and PTSD symptoms to determine which patients may need psychologic intervention to improve long-term QOL.

Original languageEnglish (US)
Pages (from-to)263-267
Number of pages5
JournalJournal of Trauma - Injury, Infection and Critical Care
Volume68
Issue number2
DOIs
StatePublished - Feb 2010
Externally publishedYes

Fingerprint

Quality of Life
Post-Traumatic Stress Disorders
Injury Severity Score
Wounds and Injuries
Trauma Centers
Checklist
Registries
Inpatients
Demography

Keywords

  • Brain death
  • Consent
  • Medical ethics
  • Organ donation
  • Organ donor

ASJC Scopus subject areas

  • Surgery
  • Critical Care and Intensive Care Medicine

Cite this

Injury severity and quality of life : Whose perspective is important? / Brasel, Karen; Deroon-Cassini, Terri; Bradley, Ciarán T.

In: Journal of Trauma - Injury, Infection and Critical Care, Vol. 68, No. 2, 02.2010, p. 263-267.

Research output: Contribution to journalArticle

Brasel, Karen ; Deroon-Cassini, Terri ; Bradley, Ciarán T. / Injury severity and quality of life : Whose perspective is important?. In: Journal of Trauma - Injury, Infection and Critical Care. 2010 ; Vol. 68, No. 2. pp. 263-267.
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