• J Trauma Nurs · May 2014

    Observational Study

    Health-related quality of life and rehabilitation cost following intensive care unit stay in multiple trauma patients.

    • Pantelis Stergiannis, Theodoros Katsoulas, George Fildissis, George Intas, Peter Galanis, Natalia Kosta, Vasilios Zidianakis, and George Baltopoulos.
    • National and Kapodistrian University of Athens, Intensive Care Unit, GONK Agioi Anargyroi Hospital, School of Nursing, Kalyftaki, N. Kifisia, Greece (Drs Stergiannis, Katsoulas, Fildissis, Kosta, Zidianakis, and Baltopoulos); National and Kapodistrian University of Athens, School of Nursing, Papadiamantopoulou, Goudi, Athens, Greece (Dr Intas); and National and Kapodistrian University of Athens, School of Nursing, Center for Health Services Management and Evaluation, Papadiamantopoulou, Goudi, Athens, Greece (Dr Galanis).
    • J Trauma Nurs. 2014 May 1;21(3):115-21.

    ObjectivesThe objective of this study was to assess changes in health-related quality of life (HRQOL) in multiple trauma patients due to motor vehicle crashes during a follow-up period of 2 years after discharge from an intensive care unit (ICU) and the effect of income and financial cost of rehabilitation in HRQOL.MethodsThe study was a prospective observational study of multiple trauma patients from January 2009 to January 2011 who were hospitalized in a general, medical, and surgical ICU of a district hospital in Athens, Greece. Eighty-five patients with multiple traumas due to motor vehicle crashes and with an ICU stay of more than 24 hours were included in the study. HRQOL was assessed by a general questionnaire, the EuroQol 5D.ResultsIncreased monthly household income and absence of traumatic brain injuries were associated with an improved EQ-VAS score. The frequency of severe problems in mobility, self-care, usual activities, pain/discomfort, and anxiety/depression decreased over time. The financial cost of rehabilitation was initially high but decreased over time.ConclusionsSeverely injured victims of motor vehicle crashes suffer from serious problems in terms of HRQOL which is gradually improved even 2 years after hospital discharge. In addition, HRQOL is significantly related to income. Resources used for rehabilitation decrease over time, but even at 24 months, the patients still use half of the amount as compared with the cost of the first 6 months after trauma.

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