Sampalis John S, Liberman Moishe, Davis Laura, Angelopoulos John, Longo Nadia, Joch Monica, Sampalis Fotini, Nikolis Andreas, Lavoie Andre, Denis Ronald, Mulder David S
Department of Surgery, McGill University Health Center, Montreal General Hospital, Quebec, Canada.
J Trauma. 2006 Apr;60(4):806-13. doi: 10.1097/01.ta.0000215103.62783.4d.
The purpose of this study was to describe the functional status and quality of life (QOL) of patients at 12 months after injury.
Retrospective study consisting of patients treated at three tertiary trauma centers for injuries. Functional capacity (FC) was measured using the Sickness Impact Profile and QOL was measured using the Medical Outcomes Study Short Form (MOS SF-36) at approximately 12 months after the date of injury.
There were 144 patients that fulfilled the study inclusion and exclusion criteria. The mean duration of follow-up was 1.3 years, with a range of 0.8 to 1.5 years. Age and gender were not associated with the FC or QOL. The mean(standard deviation) Injury Severity Score (ISS) was 18.9(9.4), whereas ISS category distribution was 1 to 11 (22.9%), 12 to 24 (50.0%), and 25 to 49 (27.1%). Patients with an ISS of 25 to 49 had significantly worse physical (p = 0.008) and total (p = 0.023) Sickness Impact Profile scores and had more physical functioning (p = 0.096), emotional role functioning (p = 0.080), and energy (p = 0.017) impairments when compared with those with an ISS less than 24. Patients injured in motor vehicle collisions had significantly impaired psychosocial function (p = 0.031), whereas those injured in falls had reduced quality of life scores for physical function (p = 0.089), physical role (p = 0.066), and mental health (p = 0.081).
Patients who survive injuries experience residual impairments in FC and QOL for as long as 1 year after injury. Changes to the long-term management of these patients should be considered.
本研究旨在描述受伤后12个月患者的功能状态和生活质量（QOL）。
这是一项回顾性研究，研究对象为在三个三级创伤中心接受治疗的受伤患者。在受伤日期约12个月后，使用疾病影响量表测量功能能力（FC），并使用医学结局研究简表（MOS SF - 36）测量生活质量。
有144名患者符合研究纳入和排除标准。平均随访时间为1.3年，范围为0.8至1.5年。年龄和性别与功能能力或生活质量无关。平均（标准差）损伤严重程度评分（ISS）为18.9（9.4），而ISS类别分布为1至11（22.9%）、12至24（50.0%）和25至49（27.1%）。与ISS小于24的患者相比，ISS为25至49的患者在身体（p = 0.008）和总体（p = 0.023）疾病影响量表评分方面明显更差，并且在身体功能（p = 0.096）。情感角色功能（p = 0.080）和精力（p = 0.017）方面有更多损伤。机动车碰撞受伤的患者心理社会功能明显受损（p = 0.031），而跌倒受伤的患者在身体功能（p = 0.089）、身体角色（p = 0.066）和心理健康（p = 0.081）方面的生活质量得分降低。
受伤存活的患者在受伤后长达1年的时间里，功能能力和生活质量会有残留损伤。应考虑对这些患者的长期管理进行调整。
