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Quality of life after trauma

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https://www.readbyqxmd.com/read/29773075/does-multidisciplinary-rehabilitation-of-tortured-refugees-represent-value-for-money-a-follow-up-of-a-danish-case-study
#1
Line Bager, Kristian Schultz Hansen, Carit Jacques Andersen, Shr-Jie Sharlenna Wang
BACKGROUND: The recent surge of asylum seekers in the European Union (EU) is raising questions about the EU's ability to integrate newcomers into the economy and into society; particularly those who need specialized services for the treatment of severe trauma. This study investigated whether rehabilitating traumatised refugees represents 'value-for-money' (VfM) in terms of intervention cost per health gain and in a long-term and societal perspective. METHODS: The economic evaluation comprised a cost-utility analysis (CUA) and a partial cost-benefit analysis (CBA)...
May 18, 2018: BMC Health Services Research
https://www.readbyqxmd.com/read/29761354/stress-and-health-of-internally-displaced-female-yezidis-in-northern-iraq
#2
Pia Jäger
Burden and vulnerability factors after the genocide by ISIS accumulate to a high risk of health for displaced Yezidi women having survived or escaped the "ISIS" persecutions and massacres 2014. In May 2017, standardized interviews, including tests for the acquisition of healthrelated quality of life (SF12), stress (PSS10) and experienced trauma were performed with 29 and a medical anamnesis with 10 displaced female Yezidi in camps for internally displaced people (IDP) and unofficial settlements in Northern Iraq...
May 15, 2018: Journal of Immigrant and Minority Health
https://www.readbyqxmd.com/read/29750022/longer-term-quality-of-life-following-major-trauma-age-only-significantly-affects-outcome-after-the-age-of-80-years
#3
Thomas Gross, Sabrina Morell, Felix Amsler
Aim: Against the background of conflicting data on the topic, this study aimed to determine the differences in longer-term patient outcomes following major trauma with regard to age. Materials and methods: A prospective trauma center survey of survivors of trauma (≥16 years) was carried out employing a New Injury Severity Score (NISS) ≥8 to investigate the influence of age on working capacity and several outcome scores, such as the trauma medical outcomes study Short Form-36 (physical component [PCS] and mental component [MCS]), the Euro Quality of Life (EuroQoL), or the Trauma Outcome Profile (TOP) at least 1 year following injury...
2018: Clinical Interventions in Aging
https://www.readbyqxmd.com/read/29742630/perceived-changes-in-quality-of-life-in-trauma-patients-a-focus-group-study
#4
Nena Kruithof, Marjan Johanna Traa, Maria Karabatzakis, Suzanne Polinder, Jolanda de Vries, Mariska Adriana Cornelia de Jongh
Quality of life (QoL) following a physical trauma is still insufficiently known from a patient perspective. The aim of this study was to qualitatively report perceived changes in QoL after trauma. Focus groups were conducted. Patients admitted to the hospital were eligible for inclusion if they had a lower extremity trauma, severe injuries, or severe traumatic brain injury (TBI). Patients 75 years or older were invited. To analyze the perceived changes in QoL, open coding was used. Patients (n = 20, M = 55 years) reported comparable consequences...
May 2018: Journal of Trauma Nursing: the Official Journal of the Society of Trauma Nurses
https://www.readbyqxmd.com/read/29736858/clinical-trials-in-traumatic-spinal-cord-injury
#5
REVIEW
Jayne Donovan, Steven Kirshblum
Traumatic spinal cord injury (SCI) results in impaired neurologic function that for many individuals is permanent and significantly impacts health, function, quality of life, and life expectancy. Many efforts have been taken to develop effective treatments for SCI; nevertheless, proven therapies targeting neurologic regeneration and functional recovery have been limited. Existing therapeutic approaches, including early surgery, strict blood pressure control, and consideration of treatment with steroids, remain debated and largely focus on mitigating secondary injury after the primary trauma has occurred...
May 7, 2018: Neurotherapeutics: the Journal of the American Society for Experimental NeuroTherapeutics
https://www.readbyqxmd.com/read/29736219/dsm-5-posttraumatic-stress-symptom-dimensions-and-health-related-quality-of-life-among-chinese-earthquake-survivors
#6
Gen Li, Li Wang, Chengqi Cao, Ruojiao Fang, Ping Liu, Shu Luo, Jianxin Zhang, Brain J Hall, Jon D Elhai
It has been well-documented that posttraumatic stress symptoms cause impairments in health-related quality of life (HRQoL). Until now we have little data on how DSM-5 PTSD symptom dimensions relate to different aspects of HRQoL. Clarifying this question would be informative to improve the quality of life of PTSD patients. This study aimed to investigate the effects of dimensions of a well-supported seven-factor model of DSM-5 PTSD symptoms on physical and psychosocial HRQoL. A total of 1063 adult survivors of the 2008 Wenchuan earthquake took part in this study nine years after the disaster...
2018: European Journal of Psychotraumatology
https://www.readbyqxmd.com/read/29730999/skin-picking-disorder-prevalence-correlates-and-associations-with-quality-of-life-in-a-large-sample
#7
Myrela O Machado, Cristiano A Köhler, Brendon Stubbs, Paulo R Nunes-Neto, Ai Koyanagi, João Quevedo, Jair C Soares, Thomas N Hyphantis, Donatella Marazziti, Michael Maes, Dan J Stein, André F Carvalho
OBJECTIVE: Evidence suggests that skin picking disorder (SPD) could be a prevalent condition associated with comorbidity and psychosocial dysfunction. However, just a few studies have assessed the prevalence and correlates of SPD in samples from low- and middle-income countries. In addition, the impact of SPD on quality of life (QoL) dimension after multivariable adjustment to potential confounders remains unclear. METHODS: Data were obtained from a Brazilian anonymous Web-based research platform...
May 7, 2018: CNS Spectrums
https://www.readbyqxmd.com/read/29714701/delayed-tooth-reimplantation-with-4-year-follow-up-the-management-of-ankylosis-during-facial-growth
#8
Franciny Querobim Ionta, Priscilla Santana Pinto Gonçalves, Heitor Marques Honório, Gabriela Cristina de Oliveira, Catarina Ribeiro Barros de Alencar, Natália Mello Santos, Thais Marchini de Oliveira, Daniela Rios
This case report describes the consequences of delayed (24 hours) reimplantation of an avulsed maxillary central incisor, findings over a 4-year follow-up period, and the management of ankylosis during facial growth. After a traumatic event, a 10-year-old boy was taken to a hospital emergency department due to injuries to his face, including avulsion of the maxillary left central incisor. Despite the short amount of time before arriving at the hospital (10 minutes) and use of the correct storage medium (milk), the tooth was not reimplanted, and the parents did not receive instructions to seek dental treatment...
May 2018: General Dentistry
https://www.readbyqxmd.com/read/29704027/implementation-of-the-western-australian-osteoporosis-model-of-care-a-fracture-liaison-service-utilising-emergency-department-information-systems-to-identify-patients-with-fragility-fracture-to-improve-current-practice-and-reduce-re-fracture-rates-a-12-month
#9
C A Inderjeeth, W D Raymond, A M Briggs, E Geelhoed, D Oldham, D Mountain
Fracture liaison service linked to an emergency department database effectively identifies patients with OP, improves best practice care, reduces recurrent fractures, and improves quality of life (QoL). The next step is to establish cost-effectiveness. This should be seen as the standard model of care. INTRODUCTION: The Western Australian Osteoporosis Model of Care recommends implementation of a fracture liaison service (FLS) to manage patients with minimal trauma fractures (MTFs). This study evaluates the efficacy of a FLS linked to a tertiary hospital emergency department information system (EDIS) in reducing recurrent fractures...
April 27, 2018: Osteoporosis International
https://www.readbyqxmd.com/read/29701900/single-s1-dorsal-root-ganglia-stimulation-for-intractable-complex-regional-pain-syndrome-foot-pain-after-lumbar-spine-surgery-a-case-series
#10
Ioannis M Skaribas, Christian Peccora, Elena Skaribas
INTRODUCTION: Intractable complex regional pain syndrome (CRPS)-related chronic foot pain, is a common therapeutic challenge for interventional pain management physicians and patients alike. Dorsal root ganglia (DRG) stimulation is a very target specific dorsal column stimulation technique with very promising clinical outcomes. Patients with CRPS foot pain and previous back surgery can benefit from DRG stimulation but also run a significant risk of epidural trauma from the DRG sheath advancement...
April 27, 2018: Neuromodulation: Journal of the International Neuromodulation Society
https://www.readbyqxmd.com/read/29685369/quality-through-coopetition-an-empiric-approach-to-measure-population-outcomes-for-emergency-care-sensitive-conditions
#11
Brendan G Carr, Austin S Kilaru, David N Karp, M Kit Delgado, Douglas J Wiebe
STUDY OBJECTIVE: We develop a novel approach for measuring regional outcomes for emergency care-sensitive conditions. METHODS: We used statewide inpatient hospital discharge data from the Pennsylvania Healthcare Cost Containment Council. This cross-sectional, retrospective, population-based analysis used International Classification of Diseases, Ninth Revision, Clinical Modification diagnosis codes to identify admissions for emergency care-sensitive conditions (ischemic stroke, ST-segment elevation myocardial infarction, out-of-hospital cardiac arrest, severe sepsis, and trauma)...
April 20, 2018: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/29670613/innate-immunity-in-the-persistent-inflammation-immunosuppression-and-catabolism-syndrome-and-its-implications-for-therapy
#12
REVIEW
Hiroyuki Horiguchi, Tyler J Loftus, Russell B Hawkins, Steven L Raymond, Julie A Stortz, McKenzie K Hollen, Brett P Weiss, Elizabeth S Miller, Azra Bihorac, Shawn D Larson, Alicia M Mohr, Scott C Brakenridge, Hironori Tsujimoto, Hideki Ueno, Frederick A Moore, Lyle L Moldawer, Philip A Efron
Clinical and technological advances promoting early hemorrhage control and physiologic resuscitation as well as early diagnosis and optimal treatment of sepsis have significantly decreased in-hospital mortality for many critically ill patient populations. However, a substantial proportion of severe trauma and sepsis survivors will develop protracted organ dysfunction termed chronic critical illness (CCI), defined as ≥14 days requiring intensive care unit (ICU) resources with ongoing organ dysfunction...
2018: Frontiers in Immunology
https://www.readbyqxmd.com/read/29665309/association-between-operative-technique-and-intrusive-thoughts-on-health-related-quality-of-life-3-years-after-ape-elape-for-rectal-cancer-results-from-a-national-swedish-cohort-with-comparison-with-normative-swedish-data
#13
Mattias Prytz, Anna Ledebo, Eva Angenete, David Bock, Eva Haglind
The aim of this prospective registry-based population study was to investigate the association between QoL 3 years after surgery for rectal cancer and intrusive thoughts and to assess the association with the type of surgery (i.e., APE or ELAPE) in a population-based national cohort. ELAPE has been proposed as a superior surgical technique for distal rectal cancer, but long-term effects on QoL are not known. There are also no studies on the association of negative intrusive thoughts on patients' self-reported Quality of Life following surgery for distal rectal cancer...
April 17, 2018: Cancer Medicine
https://www.readbyqxmd.com/read/29660743/-rehabilitation-after-multiple-trauma
#14
Stefan Simmel
Many polytrauma patients report significant long-term impairments to their physical and mental health, resulting in a reduction of their quality of life. In addition to the obvious physical accident sequences, psychological influences and the individual context factors pose special challenges to the rehabilitation team and the infrastructure of the facility. Professional reintegration and chronic pain are particularly common problems in the trauma rehabilitation. The central task of rehabilitation after accidents is the restoration or substantial improvement of the functional health and thus the reintegration into the social and professional environment...
April 2018: Die Rehabilitation
https://www.readbyqxmd.com/read/29644887/post-traumatic-stress-reactions-among-individuals-with-visual-impairments-a-systematic-review
#15
Audun Brunes, Marianne B Hansen, Trond Heir
PURPOSE: To conduct a systematic review of post-traumatic stress reactions among individuals with visual impairment (VI). MATERIALS AND METHODS: Qualitative and quantitative studies were identified through searches in MEDLINE, EMBASE, PsycINFO, CINAHL, Web of Science, and Cochrane Libraries. The literature search was limited to humans, of English and Scandinavian languages and publication year between 1980 and 2017. Study quality was assessed for all the included studies and extracted data were synthesized using narrative analysis...
April 12, 2018: Disability and Rehabilitation
https://www.readbyqxmd.com/read/29620390/yoga-as-an-intervention-for-psychological-symptoms-following-trauma-a-systematic-review-and-quantitative-synthesis
#16
Viann N Nguyen-Feng, Cari J Clark, Mary E Butler
Despite evidence of the physiologic impact of trauma, treatments are only beginning to focus on the impact of trauma on the body. Yoga may be a promising treatment for trauma sequelae, given research that supports yoga for general distress. The present study aims to systematically assess and quantitatively synthesize the effectiveness of yoga interventions for psychological symptoms (posttraumatic stress disorder [PTSD], depression, anxiety symptoms) following potentially traumatic life events. The following electronic databases were systematically searched: PsycINFO, Ovid Medline/PubMed, Cumulative Index to Nursing and Allied Health Literature, and Embase/Embase Classic...
April 5, 2018: Psychological Services
https://www.readbyqxmd.com/read/29616328/thoracoscopic-anterior-stabilization-for-thoracolumbar-fractures-in-patients-without-spinal-cord-injury-quality-of-life-and-long-term-results
#17
Arjen J Smits, Arwin Noor, Fred C Bakker, Jaap Deunk, Frank W Bloemers
PURPOSE: To determine the health-related quality of life (QOL), safety and radiologic parameters after thoracoscopic treatment of traumatic thoracolumbar fractures using a distractible cage in patients without spinal cord injury (SCI). METHODS: Retrospective cohort study of patients treated between 2004 and 2012 in a university level-one trauma center. Patient and treatment characteristics were collected from the hospital information system. All available radiographic material was assessed for fracture characteristics and Cobb angle at consecutive times...
April 3, 2018: European Spine Journal
https://www.readbyqxmd.com/read/29599104/physical-trauma-patients-with-symptoms-of-an-acute-and-posttraumatic-stress-disorder-protocol-for-an-observational-prospective-cohort-study
#18
Eva Visser, Taco Gosens, Brenda Den Oudsten, Jolanda De Vries
BACKGROUND: Injury, medical treatment, and rehabilitation can have major impacts on patients' wellbeing. About 25-33% of the patients experience an acute stress disorder (ASD) or a posttraumatic stress disorder (PTSD) after injury. ASD is a relatively new diagnosis. Therefore, knowledge about patients' experiences, the course of ASD and PTSD, and who is at risk for developing ASD or PTSD is lacking. OBJECTIVE: The aims of this multi-method study are to explore patients' experiences with injury (and their care) using a focus group study...
March 29, 2018: JMIR Research Protocols
https://www.readbyqxmd.com/read/29589503/treatment-and-functional-outcomes-of-complex-tibial-fractures-in-children-and-adolescents-using-the-ilizarov-method
#19
J Messner, L Johnson, D M Taylor, P Harwood, S Britten, P Foster
Aims The aim of this study was to report the clinical, functional and radiological outcomes of children and adolescents with tibial fractures treated using the Ilizarov method. Patients and Methods Between 2013 and 2016 a total of 74 children with 75 tibial fractures underwent treatment at our major trauma centre using an Ilizarov frame. Demographic and clinical information from a prospective database was supplemented by routine functional and psychological assessment and a retrospective review of the notes and radiographs...
March 1, 2018: Bone & Joint Journal
https://www.readbyqxmd.com/read/29578418/-transosseous-osteosynthesis-of-lower-extremities-bones-fractures-and-quality-of-life-of-patients-in-the-treatment-period
#20
A Dyusupov, A Dyusupov, E Manarbekov, A Bukatov, A Serikbaev
The aim of the study is a comparative analysis of the quality of life in the treatment of fractures of the bones of the lower extremities of various localizations using transosseous and submerged osteosynthesis. We examined 397 patients with injuries of the lower segment of the lower extremity (patellar fractures - 81, multiple bones fractures of the tibia - 84 and fractures of the ankles, accompanied by a dislocation of the foot - 232). Patients were distributed in the subgroups depending on the treatment...
February 2018: Georgian Medical News
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