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. 2020 Jul 23;9(8):2356.
doi: 10.3390/jcm9082356.

Reduced Recovery Capacity After Major Trauma in the Elderly: Results of a Prospective Multicenter Registry-Based Cohort Study

Viola Freigang  1 , Karolina Müller  2 , Antonio Ernstberger  1 , Marlene Kaltenstadler  3 , Lisa Bode  4 , Christian Pfeifer  1 , Volker Alt  1 , Florian Baumann  1
Affiliations

Reduced Recovery Capacity After Major Trauma in the Elderly: Results of a Prospective Multicenter Registry-Based Cohort Study

Viola Freigang et al. J Clin Med. .

Abstract

Aims: Considering the worldwide trend of an increased lifetime, geriatric trauma is moving into focus. Trauma is a leading cause of hospitalization, leading to disability and mortality. The purpose of this study was to compare the global health-related quality of life (HRQoL) of geriatric patients with adult patients after major trauma.

Methods: This multicenter prospective registry-based observational study compares HRQoL of patients aged ≥65 years who sustained major trauma (Injury Severity Score (ISS) ≥ 16) with patients <65 years of age within the trauma registry of the German Trauma Society (DGU). The global HRQoL was measured at 6, 12, and 24 months post trauma using the EQ-5D-3L score.

Results: We identified 405 patients meeting the inclusion criteria with a mean ISS of 25.6. Even though the geriatric patients group (≥65 years, n = 77) had a lower ISS (m = 24, SD = 8) than patients aged <65 years (n = 328), they reported more difficulties in each EQ dimension compared to patients <65 years. Contrary to patients < 65, the EQ-5D Index of the geriatric patients did not improve at 12 and 24 months after trauma.

Conclusions: We found a limited HRQoL in both groups after major trauma. The group of patients ≥65 showed no improvement in HRQoL from 6 to 24 months after trauma.

Keywords: geriatric major trauma; health service research; management of major trauma; outcome research; patient-reported outcome.

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Conflict of interest statement

The authors declare that they have no conflict of interest.

Figures

Figure 1
Figure 1
Selection procedure of the study population.
Figure 2
Figure 2
Reported problems in EQ-5D-3L dimension 6 months after trauma (European Quality of Life 5 Dimensions 3 Level Version).
Figure 3
Figure 3
Reported problems in EQ-5D-3L dimensions 12 months after trauma (European Quality of Life 5 Dimensions 3 Level Version).
Figure 4
Figure 4
Reported problems in EQ-5D-3L dimension 24 months after trauma (European Quality of Life 5 Dimensions 3 Level Version).
Figure 5
Figure 5
EQ index, adjusted for RISC II and FCI, of patients <65 years and ≥65 years of age 6, 12, and 24 months after trauma.
Figure 6
Figure 6
EQ VAS of patients <65 years and ≥65 years of age 6, 12, and 24 months after trauma.
See this image and copyright information in PMC

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