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European Journal of Trauma and Emergency Surgery

Erschienen in:

01.08.2012 | Original Article

Quality of life after multiple trauma: validation and population norm of the Polytrauma Outcome (POLO) chart

verfasst von: R. Lefering, T. Tecic, Y. Schmidt, N. Pirente, B. Bouillon, E. Neugebauer, The POLO Chart Study Group

Erschienen in: European Journal of Trauma and Emergency Surgery | Ausgabe 4/2012

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Abstract

Purpose

Due to an increasing number of survivors after multiple injuries in Western countries, the health-related quality of life (QoL) is considered to be an important outcome parameter. Up to now, measuring instruments used in this field lacked validity and comparability. Within 6 years, our working group developed a new modular instrument, called the Polytrauma Outcome (POLO) chart. This study documents the validation of the trauma-specific module specifically designed for trauma patients, the Trauma Outcome Profile (TOP).

Methods

A total of 172 multiply injured patients (mean Injury Severity Score [ISS] 26.7) recruited from eight trauma centres participating in the German Trauma Registry were compared with 166 marginally injured patients (mean ISS 3.9). The mean follow-up was 24.2 and 26.4 months, respectively. The validation questionnaires used were the Beck Depression Inventory (BDI), the State-Trait Anxiety Inventory (STAI), Impact of Event Scale—Revised (IES-R), Social Support Questionnaire (F-SOZU-K-22), Barthel Index of Activities of Daily Living (ADL) and the Short Form Health Survey (SF-36).

Results

The internal consistency of the different dimensions of QoL assessed with the TOP was good. Factor analysis provides evidence of the construct validity of the questionnaire. Correlation with external measures gives evidence of criterion validity for the various dimensions of QoL and similar exceedance of proposed cut-off points within TOP and external measures is verified.

Conclusion

The TOP module is a reliable and valid instrument to assess health-related QoL in patients with multiple injuries. It can be used stand-alone or as part of the POLO chart together with the Glasgow Outcome Scale (GOS), the EuroQoL and the SF-36 as a regular systematic follow-up instrument.

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Titel: Quality of life after multiple trauma: validation and population norm of the Polytrauma Outcome (POLO) chart
verfasst von: R. Lefering
T. Tecic
Y. Schmidt
N. Pirente
B. Bouillon
E. Neugebauer
The POLO Chart Study Group
Publikationsdatum: 01.08.2012
Verlag: Springer-Verlag
Erschienen in: European Journal of Trauma and Emergency Surgery / Ausgabe 4/2012
Print ISSN: 1863-9933
Elektronische ISSN: 1863-9941
DOI: https://doi.org/10.1007/s00068-011-0149-7

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