Measuring post-discharge socioeconomic and quality of life outcomes in trauma patients: A scoping review

Purpose: Managing trauma is a global public health challenge. Measuring post-discharge socioeconomic and quality-of-life outcomes can help better understand and reduce the consequences of trauma. Methods: We performed a scoping review to map the existing research on post-discharge outcomes for trauma patients, irrespective of the country or setting in which the study was performed. The scoping review was conducted by searching six databases: MEDLINE, EMBASE, the Cochrane Library, Global Index Medicus, BASE, and Web of Science to identify all articles that report post-discharge socioeconomic or quality of life outcomes in trauma patients from 2009 to 2018. Results: 758 articles were included in this study, extracting 958 outcomes. Most studies (82%) were from high-income countries (HICs). More studies from low- and middle-income countries (LMICs) were cross-sectional (71%) compared with HIC settings (46%). There was a wide variety of different definitions, interpretations, and measurements used by various articles for similar outcomes. Quality of life, return to work, social support, cost, and participation were the main outcomes studied in post-discharge trauma patients. Conclusions: The wide range of outcomes and outcome measures reported across different types of injuries and settings. This variability can be a barrier when comparing across different types of injuries and settings. Post-discharge trauma studies should move towards building evidence based on standardized measurement of outcomes.

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Measuring post-discharge socioeconomic and quality of life outcomes in trauma patients: a scoping review

Journal of Patient-Reported Outcomes ◽

10.1186/s41687-021-00346-6 ◽

2021 ◽

Vol 5 (1) ◽

Author(s):

Siddarth Daniels David ◽

Nobhojit Roy ◽

Harris Solomon ◽

Cecilia Stålsby Lundborg ◽

Martin Gerdin Wärnberg

Keyword(s):

Quality Of Life ◽

Scoping Review ◽

Cochrane Library ◽

Trauma Patients ◽

Life Outcomes ◽

Post Discharge ◽

Quality Of Life Outcomes ◽

Different Types ◽

Support Cost

Abstract Purpose Trauma is a global public health challenge. Measuring post-discharge socioeconomic and quality-of-life outcomes can help better understand and reduce the consequences of trauma. Methods We performed a scoping review to map the existing research on post-discharge outcomes for trauma patients, irrespective of the country or setting in which the study was performed. The scoping review was conducted by searching six databases – MEDLINE, EMBASE, the Cochrane Library, Global Index Medicus, BASE, and Web of Science – to identify all articles that report post-discharge socioeconomic or quality of life outcomes in trauma patients from 2009 to 2018. Results Seven hundred fifty-eight articles were included in this study, extracting 958 outcomes. Most studies (82%) were from high-income countries (HICs). More studies from low- and middle-income countries (LMICs) were cross-sectional (71%) compared with HIC settings (46%). There was a wide variety of different definitions, interpretations, and measurements used by various articles for similar outcomes. Quality of life, return to work, social support, cost, and participation were the main outcomes studied in post-discharge trauma patients. Conclusions The wide range of outcomes and outcome measures reported across different types of injuries and settings. This variability can be a barrier when comparing across different types of injuries and settings. Post-discharge trauma studies should move towards building evidence based on standardized measurement of outcomes.

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Measurement issues when assessing quality of life outcomes for different types of hernia mesh repair

Annals of The Royal College of Surgeons of England ◽

10.1308/003588411x13020150727480 ◽

2011 ◽

Vol 93 (4) ◽

pp. 281-285 ◽

Cited By ~ 16

Author(s):

Andras Zaborszky ◽

Rita Gyanti ◽

John A Barry ◽

Brian K Saxby ◽

Panchanan Bhattacharya ◽

...

Keyword(s):

Quality Of Life ◽

Future Research ◽

Life Outcomes ◽

Hernia Surgery ◽

Recurrence Rates ◽

Quality Of Life Outcomes ◽

Inguinal Hernia Surgery ◽

Patient Reported ◽

Different Types

INTRODUCTION The NHS is required to collect data from patient reported outcome measures (PROMs) for inguinal hernia surgery. We explored the use of one such measure, the Carolinas Comfort Scale® (CCS), to compare long-term outcomes for patients who received two different types of mesh. The CCS questionnaire asks about mesh sensation, pain and movement limitations, and combines the answers into a total score. PATIENTS AND METHODS A total of 684 patients were treated between January 2007 and August 2008 and were followed up in November 2009. RESULTS Data on 215 patients who met the inclusion criteria were available (96 patients who received Surgipro™ mesh and 119 who received Parietene™ Progrip™ mesh). Recurrence rates were similar in the Surgipro™ group (2/96, 2.1%) and Progrip™ group (3/118, 2.5%) (Fisher's exact test = 1.0). Chronic pain occurred less frequently in the Surgipro™ group (11/95, 11.6%) than in the Progrip™ group (22/118, 18.6%) (p<0.157). Overall, 90% of CCS total scores indicated a good outcome (scores of 10 or less out of 115). A principal component analysis of the CCS found that responses clustered into two subscales: ‘mesh sensation’ and ‘pain+movement limitations’. The Progrip™ group had a slightly higher mesh sensation score (p<0.051) and similar pain+movement limitations scores (p<0.120). CONCLUSIONS In this study of quality of life outcomes related to different mesh types, the CCS subscales were more sensitive to differences in outcome than the total CCS score for the whole questionnaire. Future research should consider using the CCS subscales rather than the CCS total score.

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Cognitive, Psychiatric, and Quality of Life Outcomes in Adult Survivors of Extracorporeal Membrane Oxygenation Therapy: A Scoping Review of the Literature

Critical Care Medicine ◽

10.1097/ccm.0000000000004488 ◽

2020 ◽

Vol 48 (10) ◽

pp. e959-e970

Author(s):

Imad R. Khan ◽

Michael Saulle ◽

Mark A. Oldham ◽

Miriam T. Weber ◽

Giovanni Schifitto ◽

...

Keyword(s):

Quality Of Life ◽

Extracorporeal Membrane Oxygenation ◽

Scoping Review ◽

Adult Survivors ◽

Life Outcomes ◽

Review Of The Literature ◽

Membrane Oxygenation ◽

Quality Of Life Outcomes

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Post-Stroke Quality of Life Outcomes After Instituting New Stroke Care Quality Indicators

European Journal of Medical and Health Sciences ◽

10.24018/ejmed.2021.3.1.641 ◽

2021 ◽

Vol 3 (1) ◽

pp. 9-15

Author(s):

Khaled Awawdi ◽

Carmel Armon ◽

Itzhak Kimiagar ◽

Mahdi Tarabeih ◽

Riad Abu Rakia

Keyword(s):

Quality Of Life ◽

Quality Indicators ◽

Stroke Care ◽

Care Quality ◽

Care Process ◽

Life Outcomes ◽

Post Discharge ◽

Stroke Treatment ◽

Quality Of Life Outcomes

Background: In 2013 the Israel Ministry of Health identified the care and treatment of acute cerebral ischemic stroke as failing to achieve expected standards. The Ministry decided to raise standards by defining and instituting, nationwide, a battery of linked care quality indicators to be applied across all relevant facilities and contexts. Five indicators were selected for five key junctures in the AIS care process. Methods: This paper presents and analyses the effects of the implementation of these new care quality indicators on the post-discharge quality of life outcomes of Israeli stroke sufferers. The patient sample comprises patients from Israel’s Central region, where stroke care provision and access is relatively high, and from the peripheral North region, where provision and access are limited. Results: Those who were not treated with thrombolytic treatment and/or cerebral blood vessel catheterization, those who suffered severer strokes, women, the older age groups, non-Jews and North region residents display significantly worse physical functioning outcomes and worse quality of life outcomes on all indicators. Conclusions: Stroke care access and provision disparities translate into significantly higher rates of post-discharge disability, impaired physical and social functioning, and a lower quality of life. The effectiveness of healthcare improvement by the deployment of care indicators is closely associated with the lifestyle, socio-demographic and socioeconomic status of different population groups. The effective implementation of quality care indicators also relies heavily on closing the access and provision gaps between the populations living in central and peripheral areas. Two obvious directions for action are to expand and improve the rehabilitation care network and to combat the age discrimination in hospital stroke treatment.

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Resilience support to enhance positive health outcomes for police officers in five Anglosphere nations: a scoping review protocol

BMJ Open ◽

10.1136/bmjopen-2020-038895 ◽

2020 ◽

Vol 10 (12) ◽

pp. e038895

Author(s):

Audrey Steenbeek ◽

Chris Giacomantonio ◽

Arlene Brooks ◽

Camilla Holmvall ◽

Ziwa Yu ◽

...

Keyword(s):

Quality Of Life ◽

Mental Health ◽

Health Outcomes ◽

Scoping Review ◽

Police Officers ◽

Grey Literature ◽

Life Outcomes ◽

Global Business ◽

Quality Of Life Outcomes

IntroductionLaw enforcement involves exposure to threatening situations and traumatic events that place police officers at risk for negative physical and mental health outcomes. Resilience support, among other elements of training, may help mitigate these risks, yet little is known about which aspects of resilience support help officers achieve better health and quality of life outcomes.Methods and analysisThis review will consider all literature that examines the links between resilience support, physical/mental health and quality of life outcomes for police officers in five Anglosphere nations: Canada, the USA, Australia, New Zealand and the UK. This review will include all literature (including those that show null or negative links) involving any public policing agency that has a formal rank structure and includes a localized, uniformed emergency response function. Resilience support may include, but is not limited to: tools, policies, models, frameworks, programmes and organizational features that seek to promote positive, physical/mental health and quality of life outcomes at three levels of resilience: (1) readiness and preparedness, (2) response and adaptation, (3) recovery and adjustment. Peer reviewed and grey literature examining resilience support since 2000 that focuses on police officers are eligible for inclusion. Databases/sources to be searched will include: PsycINFO, Academic Search Premier, CINAHL, Public Affair Index, Campbell Collaboration, ProQuest Dissertations and Theses Global, Business Source Complete, Scopus and Google. Retrieval of full-text, English-language studies (and other literature), data extraction, data synthesis and data mapping will be performed independently by two reviewers, following Joanna Briggs Institute methodology.Ethics and disseminationEthics approval is not required for this scoping review, and the literature search will start in November 2020 or upon acceptance of this protocol. The findings of the scoping review will be available [April 2021] and will be published in a peer reviewed journal.

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