scholarly journals Long-term physical functioning and quality of life after pelvic ring injuries

2019 ◽  
Vol 139 (9) ◽  
pp. 1225-1233 ◽  
Author(s):  
H. Banierink ◽  
I. H. F. Reininga ◽  
E. Heineman ◽  
K. W. Wendt ◽  
K. ten Duis ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Physical Functioning ◽  
Pelvic Ring ◽  
Pelvic Ring Injuries

scholarly journals A study of patients’ quality of life more than 5 years after trauma: a prospective follow-up

2021 ◽  
Vol 19 (1) ◽  
Author(s):  
Fanny Vardon-Bounes ◽  
Romain Gracia ◽  
Timothée Abaziou ◽  
Laure Crognier ◽  
Thierry Seguin ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Economic Impact ◽  
Physical Functioning ◽  
Major Trauma ◽  
Injury Severity ◽  
Number Of Patients ◽  
Sf 36 ◽  
Socio Economic Impact

Abstract Background The long-term fate of severely injured patients in terms of their quality of life is not well known. Our aim was to assess the quality of life of patients who have suffered moderate to severe trauma and to identify primary factors of long-term quality of life impairment. Methods A prospective monocentric study conducted on a number of patients who were victims of moderate to severe injuries during the year 2012. Patients were selected based on an Injury Severity Score (ISS) more than or equal to 9. Quality of life was assessed by the MOS SF-36 and NHP scores as a primary evaluation criterion. The secondary evaluation criteria were the determination of the socio-economic impact on quality of life and the identification of factors associated with disability. Results Two hundred and eight patients were contacted by e-mail or telephone. Fifty-five patients participated in this study (with a participation level of 26.4%), including 78.2% men, with a median age of 46. Significant alterations in quality of life were observed with the NHP and MOS SF-36 scale, including physical and psychological components. This resulted in a major socio-economic impact as 26% of the patients could not resume their professional activities (n = 10), 20% required retraining in other lines of work, and 36.4% had a disability status. The study showed that scores ≤ 85 on the physical functioning variable of the MOS SF 36 scale was associated with disability. Conclusion More than five years after a moderate to severe injury, patients’ quality of life was significantly impacted, resulting in significant socio-economic consequences. Disability secondary to major trauma seems to be associated with a score ≤ 85 on the physical functioning dimension of the MOS SF-36 scale. This study raises the question of whether or not early rehabilitation programs should be implemented in order to limit the long-term impact of major trauma.

612 Assessing the Impact of Burns on Children Aged 5–18 Years: A Narrative Review of Health Outcomes Literature

2020 ◽  
Vol 41 (Supplement_1) ◽  
pp. S150-S150
Author(s):  
Amelia Austen ◽  
Carina Hou ◽  
Khushbu Patel ◽  
Keri Brady ◽  
Gabrielle G Grant ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Health Outcomes ◽  
Social Functioning ◽  
Physical Functioning ◽  
Psychological Functioning ◽  
Burn Injury ◽  
Health Domains ◽  
The Impact

Abstract Introduction Burn injuries can have major long-term effects on the health and quality of life for children and adolescents. This study narratively reviewed the health outcomes literature focusing on the impact of burn injury for children aged 5–18. Methods Literature targeting pediatric outcomes was reviewed to identify the effects of burns on children aged 5–18 (n=16). Inclusion criteria included studies that focused on the impact of burns on health and quality of life and were age-appropriate for this population. Articles were identified via PubMed, Web of Science, and manual reference checks. Data collected included the outcomes and health domains assessed in each article and the findings of the effects of the burn injury on those specific outcomes. The Preschool LIBRE Conceptual Model served as a ‘domains framework’ to guide the identification of outcomes and health domains. Results Long-term burn-specific outcomes and broad health domains identified were physical functioning (n=9), psychological functioning (n=12), social functioning (n=4), symptoms (n=8), and family (n=7). Some studies exclusively focused on one domain whereas others assessed two domains or more. Subdomains such as upper extremity functioning and functional independence were addressed in the physical functioning domain. Psychological functioning outcomes included subdomains such as emotional health and behavioral problems. Social functioning outcomes evaluated subdomains such as problems with peers and social participation. The symptoms domain addressed post-burn pain and itch. Family outcomes subdomains such as parental satisfaction with appearance and general family functioning were identified. Conclusions Burn-specific outcomes and health domains assessing the effects of burns on children aged 5–18 were identified among 16 studies. There is a need for a comprehensive assessment tool that more precisely measures the impact of burn injury across these domains. This work will inform the development of the School-Aged Life Impact Burn Recovery Evaluation (LIBRE) Computer Adaptive Test (CAT) Profile – a new outcome metric for children and adolescents with burns. Applicability of Research to Practice This review is relevant to researchers and clinicians assessing health outcomes and measuring burn recovery in children aged 5–18.

scholarly journals Are Sarcopenia and Myosteatosis in Elderly Patients with Pelvic Ring Injury Related to Mortality, Physical Functioning and Quality of Life?

2021 ◽  
Vol 10 (21) ◽  
pp. 4874
Author(s):  
Hester Banierink ◽  
Julia J. C. Bombach ◽  
Kaj ten Duis ◽  
Frank F. A. IJpma ◽  
Erik Heineman ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Risk Factors ◽  
Elderly Patients ◽  
Physical Functioning ◽  
Pelvic Ring ◽  
Cox Proportional Hazards ◽  
Pelvic Ring Injury ◽  
Cross Sectional ◽  
Patient Reported

The purpose of this study was to evaluate the prevalence of sarcopenia and/or myosteatosis in elderly patients with pelvic ring injuries and their influence on mortality, patient-perceived physical functioning and quality of life (QoL). A multicenter retrospective cohort study was conducted including elderly patients aged ≥ 65 treated for a pelvic ring injury. Cross-sectional computed tomography (CT) muscle measurements were obtained to determine the presence of sarcopenia and/or myosteatosis. Kaplan–Meier analysis was used for survival analysis, and Cox proportional hazards regression analysis was used to determine risk factors for mortality. Patient-reported outcome measures for physical functioning (SMFA) and QoL (EQ-5D) were used. Multivariable linear regression analyses were used to determine the effect of sarcopenia and myosteatosis on patient-perceived physical functioning and QoL. Data to determine sarcopenia and myosteatosis were available for 199 patients, with a mean follow-up of 2.4 ± 2.2 years: 66 patients (33%) were diagnosed with sarcopenia and 65 (32%) with myosteatosis, while 30 of them (15%) had both. Mortality rates in patients at 1 and 3 years without sarcopenia and myosteatosis were 13% and 21%, compared to 11% and 36% in patients with sarcopenia, 17% and 31% in patients with myosteatosis and 27% and 43% in patients with both. Higher age at the time of injury and a higher Charlson Comorbidity Index (CCI) were independent risk factors for mortality. Patient-reported mental and emotional problems were significantly increased in patients with sarcopenia.

scholarly journals Lower Handgrip Strength is Associated with Worse Quality of Life and More Fatigue and Disability in Long-term Colorectal Cancer Survivors

2021 ◽  
Author(s):  
Maarten van Heinsbergen ◽  
ML Janssen-Heijnen ◽  
JL Konsten ◽  
ND Bouvy ◽  
MP Weijenberg ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Colorectal Cancer ◽  
Physical Functioning ◽  
Handgrip Strength ◽  
World Health ◽  
Muscle Area ◽  
Anthropometric Measures ◽  
Global Quality Of Life

Abstract Colorectal cancer (CRC) treatment negatively affects anthropometric measures, which in turn can result, either directly or indirectly, in fatigue and a lower health-related quality of life (HRQoL). Since anthropometric measures are modifiable, we examined which of these are associated with HRQoL, fatigue, and disability in long-term CRC survivors. In this cross-sectional study, body mass index (BMI), waist circumference, waist-to-hip ratio, body fat percentage, handgrip strength (HGS) and mid-upper arm muscle area of 155 stage I-III CRC survivors at 2–10 years after treatment were assessed during home visits (response rate 42%). HRQoL was measured by the EORTC QLQ-C30, fatigue by the Checklist Individual Strength (CIS), and disability by the World Health Organization Disability Assessment Schedule II (WHODAS-II). Associations between anthropometric measures and HRQoL, fatigue and disability were analyzed by confounder-adjusted linear regression. Mean time since CRC diagnosis was 5.7 years (SD = 1.8), and mean age was 70.1 years (SD = 8.9). After adjustment for patient and treatment characteristics, only HGS was independently associated with HRQoL. Each increase in participants’ HGS of 5 kg was significantly associated with an increase of 2.3 points (95% CI = 0.3, 4.3) in global quality of life, 2.9 points (95% CI = 0.9, 5.0) in physical functioning, 3.3 points (95% CI = 1.3, 5.3) in social functioning, and a decrease of 5.9 points (95% CI = -8.7, -3.0) in fatigue symptoms and 2.5 points (95% CI = -4.1, -0.9) in disability. We conclude that HGS, as a measure of physical functioning in CRC survivors, was independently associated with HRQoL, fatigue and disability. Future prospective research should focus underlying and causal factors in the association between HGS and HRQoL after CRC treatment and on possible interventions to promote HRQoL outcomes through improving physical functioning.

scholarly journals Long‐Term Association of Venous Thromboembolism With Frailty, Physical Functioning, and Quality of Life: The Atherosclerosis Risk in Communities Study

2020 ◽  
Vol 9 (12) ◽  
Author(s):  
Pamela L. Lutsey ◽  
B. Gwen Windham ◽  
Jeffrey R. Misialek ◽  
Mary Cushman ◽  
Anna Kucharska‐Newton ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Physical Performance ◽  
Physical Functioning ◽  
Short Physical Performance Battery ◽  
Stroke Survivors ◽  
Atherosclerosis Risk In Communities ◽  
Atherosclerosis Risk ◽  
Better Than

Background Relatively little is known about the long‐term consequences of venous thromboembolism (VTE) on physical functioning. We compared long‐term frailty status, physical function, and quality of life among survivors of VTE with survivors of coronary heart disease (CHD) and stroke, and with those without these diseases. Methods and Results Cases of VTE, CHD, and stroke were continuously identified since ARIC (Atherosclerosis Risk in Communities Study) recruitment during 1987 to 1989. Functional measures were objectively captured at ARIC clinic visits 5 (2011–2013) and 6 (2016–2017); quality of life was self‐reported. The 6161 participants at visit 5 were, on average, 75.7 (range, 66–90) years of age. By visit 5, 3.2% had had a VTE, 6.9% CHD, and 3.4% stroke. Compared with those without any of these conditions, VTE survivors were more likely to be frail (odds ratio [OR], 3.11; 95% CI, 1.80–5.36) and have low (<10) versus good scores on the Short Physical Performance Battery (OR, 3.59; 95% CI, 2.36–5.47). They also had slower gait speed, less endurance, and lower physical quality of life. VTE survivors were similar to coronary heart disease and stroke survivors on categorical frailty and outcomes on Short Physical Performance Battery assessment. When score on the Short Physical Performance Battery instrument was modeled continuously, VTE survivors performed better than stroke survivors but worse than CHD survivors. Conclusions VTE survivors had triple the odds of frailty and poorer physical function than those without the vascular diseases considered. Their function was somewhat worse than that of CHD survivors, but better than stroke survivors. These findings suggest that VTE patients may benefit from additional efforts to improve postevent physical functioning.

scholarly journals Long-term quality of life and sexual function of elderly people with endometrial or ovarian cancer

2021 ◽  
Vol 19 (1) ◽  
Author(s):  
Ariane Mamguem Kamga ◽  
Leila Bengrine-Lefevre ◽  
Valérie Quipourt ◽  
Laure Favier ◽  
Ariane Darut-Jouve ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Social Support ◽  
Ovarian Cancer ◽  
Sexual Function ◽  
Physical Functioning ◽  
Bodily Pain ◽  
Anxiety Depression ◽  
The Impact

Abstract Background With the growing number of older endometrial cancer (EC) and ovarian cancer (OC) survivors, data on long-term health-related quality of life (HRQoL) became an important issue in the management of older patients. So, the aim of this study was to describe and compare according to age long-term HRQoL, sexual function, and social deprivation of adults with either EC or OC. Methods A cross-sectional study was set up using data from the Côte d’Or gynecological cancer registry. A series of questionnaires assessing HRQoL (SF-12), sexual function (FSFI), anxiety/depression (HADS), social support (SSQ6) and deprivation (EPICES) were offered to women with EC or OC diagnosed between 2006 and 2013. HRQoL, sexual function, anxiety/depression, social support and deprivation scores were generated and compared according to age (< 70 years and ≥ 70 years). Results A total of 145 women with EC (N = 103) and OC (N = 42) participated in this study. Fifty-six percent and 38% of EC and OC survivors respectively were aged 70 and over. Treatment did not differ according to age either in OC or EC. The deprivation level did not differ between older and younger survivors with OC while older survivors with EC were more precarious. The physical HRQoL was more altered in older EC survivors. This deterioration concerned only physical functioning (MD = 24, p = 0.012) for OC survivors while it concerned physical functioning (MD = 30, p < 0.0001), role physical (MD = 22, p = 0.001) and bodily pain (MD = 21, p = 0.001) for EC survivors. Global health (MD = 11, p = 0.011) and role emotional (MD = 12, p = 0.018) were also deteriorated in elderly EC survivors. Sexual function was deteriorated regardless of age and cancer location with a more pronounced deterioration in elderly EC survivors for desire (p = 0.005), arousal (p = 0.015) and orgasm (p = 0.007). Social support, anxiety and depression were not affected by age regardless of location. Conclusion An average 6 years after diagnosis, the impact of cancer on HRQoL is greatest in elderly survivors with either EC or OC.

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