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European Journal of Trauma and Emergency Surgery

Erschienen in:

24.09.2022 | Original Article

Influence of psychiatric co-morbidity on health-related quality of life among major trauma patients

verfasst von: Maximilian A. Meyer, Tijmen van den Bosch, Juanita A. Haagsma, Marilyn Heng, Loek P. H. Leenen, Falco Hietbrink, Roderick Marijn Houwert, Marjan Kromkamp, Stijn D. Nelen

Erschienen in: European Journal of Trauma and Emergency Surgery | Ausgabe 2/2023

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Abstract

Purpose

The purpose of this study was to compare 1-year post-discharge health-related quality of life (HRQL) between trauma patients with and without psychiatric co-comorbidity.

Methods

A retrospective single-center cohort study identified all severely injured adult trauma patients admitted to a Level 1 trauma center between 2018 and 2019. Bivariate analysis compared patients with and without psychiatric co-morbidity, which was defined as prior diagnosis by a healthcare provider or acute psychiatric consultation for new or chronic mental illness. HRQL metrics included the EuroQol-5D-5L (EQ-5D) questionnaire, visual analogue scale (EQ-VAS), and overall index score. A multiple linear regression model was utilized to identify predictors of EQ-5D index scores.

Results

Analysis of baseline characteristics revealed significantly greater rates of substance abuse, severe extremity injuries, inpatient morbidity, and hospital length-of-stay among patients with psychiatric illness. At 1-year follow-up, patients with psychiatric co-morbidity had lower median EQ-5D index scores compared to the control group (0.71, interquartile range [IQR] 0.32 vs. 0.79, IQR 0.22, p = 0.03). There were no differences between groups in individual EQ-5D dimensions, nor in EQ-VAS scores. Presence of psychiatric co-morbidity was not found to independently predict EQ-5D index scores in the linear regression model. Instead, Injury Severity Score (standardized regression coefficient [SRC] − 0.15, 95% confidence interval [CI] − 0.010 to − 0.001) and American Society of Anesthesiologists Physical Status score (SRC − 0.13, 95% CI − 0.08 to − 0.004) predicted poor HRQL 1-year after injury.

Conclusions

Psychiatric co-morbidity does not independently predict low HRQL 1 year after injury. Instead, lower HRQL scores among patients with psychiatric co-morbidity appear to be mediated by baseline health status and injury severity.

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Titel: Influence of psychiatric co-morbidity on health-related quality of life among major trauma patients
verfasst von: Maximilian A. Meyer
Tijmen van den Bosch
Juanita A. Haagsma
Marilyn Heng
Loek P. H. Leenen
Falco Hietbrink
Roderick Marijn Houwert
Marjan Kromkamp
Stijn D. Nelen
Publikationsdatum: 24.09.2022
Verlag: Springer Berlin Heidelberg
Erschienen in: European Journal of Trauma and Emergency Surgery / Ausgabe 2/2023
Print ISSN: 1863-9933
Elektronische ISSN: 1863-9941
DOI: https://doi.org/10.1007/s00068-022-02114-7

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Influence of psychiatric co-morbidity on health-related quality of life among major trauma patients