Pre-injury functional status of trauma patients - A comparison with the general Dutch population.

Graaf, M.W. de (Max) (2014) Pre-injury functional status of trauma patients - A comparison with the general Dutch population. thesis, Medicine.

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Abstract

Background: In healthcare, patient-reported outcome measures (PROMs) are increasingly used. In trauma surgery, PROMs can be used to assess physical functioning and recovery. The Short Musculoskeletal Function Assessment (SMFA) questionnaire has been recommended to measure physical functioning of injured patients. The EQ-5D questionnaire has been recommended for measuring general health status of trauma patients. The normative data of the general population have been established for both the Dutch version of the Short Musculoskeletal Function Assessment (SMFA-NL) and the Dutch EQ-5D questionnaire. However, it is unknown whether pre-injury scores of trauma patients are comparable to the normative data of the general Dutch population. If differences in scores between the trauma population and general population exist, trauma patients can be a specific subsmaple of the general population and general population normative data may not serve as normative data for trauma patients. Hence, aim of this study was to assess differences in pre-injury scores of trauma patients and the normative data of the general Dutch population for SMFA-NL and EQ-5D questionnaires. Normative data for pre-injury scores of trauma patients will be presented for the SMFA-NL and EQ-5D questionnaireswhen signigficant differences are found. Methods: Patients who visited the emergency department of the University Medical Center of Groningen (The Netherlands) were invited to fill in the SMFA-NL and EQ-5D. Patients that were admitted to the hospital received the questionnaire on the ward. Patients that were not admitted, received their questionnaire at the emergency department or by mail. Patients were asked to answer the questions regarding their physical functioning in the week before their injury. Aim was to include at least 400 patients. T-tests were used to assess differences between the pre-injury scores on the SMFA-NL and EQ-5D of trauma patients and normative data of the general population for different age-groups (18-24, 25-34, 45-54, 55-64 and 65+), men and women and the total populations. The data of the SMFA-NL and EQ-5D of trauma patients were analyzed to assess differences between men and women and between different age-groups. Results: Of all recruited patients, 514 patients participated. Of these patients, 174 were admitted to the hospital, 109 filled in the questionnaires at the emergency department and 231 returned the questionnaires by mail. Compared to the general population, pre-injury scores on the SMFA-NL and EQ-5D of trauma patients were significantly higher compared to the general population. This was measured for the total population, scores per age-group and gender. The pre-injury scores showed differences in scores between men and women for the bother index, upper extremity dysfunction subscale, mental and emotional problems subscale and the EQ-5D index. For both the EQ-5D and SMFA-NL, patients with higher age had significantly lower scores. Conclusion: Compared to general population norms, pre-injury SMFA-NL and EQ-5D scores were higher for trauma patients, indicating that trauma patients had a better physical functioning before their injury than the general population. These findings suggest that the trauma patient population is a specific subsample of the general population and that general population norm values may not serve as a baseline for trauma patients. Due to the significant differences between the trauma population and the general Dutch population, new normative data for pre-injury scores of trauma patients were presented.

Item Type:	Thesis (Thesis)
Supervisor name:	Moumni, Drs. Mostafa el and Reininga, Dr. Inge
Faculty:	Medical Sciences
Date Deposited:	25 Jun 2020 11:07
Last Modified:	25 Jun 2020 11:07
URI:	https://umcg.studenttheses.ub.rug.nl/id/eprint/2706

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