The quality of life after motorcycle traffic injuries: a cohort study in northwest of Iran

2020 ◽  
Author(s):  
Leili Abedi Gheshlaghi ◽  
Hamid Sharifi ◽  
Mehdi Noroozi ◽  
Mohsen Barouni ◽  
Homayoun Sadeghi-bazargan
Keyword(s):  
Quality Of Life ◽  
Estimating Equation ◽  
Demographic Variables ◽  
Generalized Estimating Equation ◽  
Factors Affecting ◽  
Face To Face ◽  
Rainy Weather ◽  
Northwest Of Iran

Abstract Background: Quality of life (QOL) after motorcycle accident is an important and dynamic concept but the conducted research about QOL's injured motorcyclists is much less. Therefore, in this study we investigated the QOL of injured motorcyclists up to three months after their accident and determining the associated factors.Methods: In present study, 190 injured motorcyclists who admitted at the two referral specialized hospitals (Emam Reza and Shohada) in Tabriz, between June 2018 and January 2019, and agreed to participate were included in the study. All injured motorcyclists were contacted through the telephone one and 171 of them (90%) three months after their accident to complete an EQ-5D-3L questionnaire. The baseline measurement (such as demographic variables, time and place of accident, vehicles and individuals), were gathered by using face to face interview in the hospitals. The QOL score in this study could vary between 1-3. The higher score showed the lower QOL. The Generalized Estimating Equation (GEE) models were used to determine the factors affecting these motorcyclists’ QOL .Results: The injured motorcyclist’s QOL was relatively better three months after the accident (mean ± Standard Deviation: 2.15 ± 0.65) in comparison with their status a month after the accident (mean ± SD: 1.78 ± 0.51) (p<0.001). The multivariable model showed that individuals whose pelvis (Coef: 0.29, (95% Confidence Intervals [CI]: 0.16, 0.42), P= 0.001) and knee (Coef: 0.26, (95% CI: 0.10, 0.42), P= 0.001) were injured, experienced a lower QOL. Also, those whose accident had happened in rainy weather experienced lower QOL (Coef: 0.33, (95% CI: 0.12, 0.53), P= 0.001). Those who were in an accident with a vehicle experienced a better QOL than others (Coef: -0.26, (95% CI: -0.43, -0.09), P=0.002).Conclusion: The results showed the QOL of the injured people was improving from the first follow-up to the second one. It is recommended that by designing multi-year cohort studies, the QOL of motorcyclists be assessed for a longer time in order to identify the effective factors that improve the QOL of injured motorcyclists.

scholarly journals Quality of Life after Motorcycle Traffic Injuries: A Cohort Study in Northwest of Iran

2020 ◽  
Author(s):  
Leili Abedi Gheshlaghi ◽  
Hamid Sharifi ◽  
Mehdi Noroozi ◽  
Mohsen Barouni ◽  
Homayoun Sadeghi-bazargan
Keyword(s):  
Quality Of Life ◽  
Estimating Equation ◽  
Post Traumatic Stress ◽  
Post Discharge ◽  
Factors Affecting ◽  
Face To Face ◽  
Rainy Weather ◽  
Limb Injuries ◽  
Practical Factors

Abstract Background: The number of studies to address the Quality of life (QOL) after a motorcycle accident in the context of developing countries is low. In this study, we investigated the QOL of injured motorcyclists up to three months after their accident and determining the associated factors.Methods: In the present study, we included 190 injured motorcyclists who admitted at two referral specialized hospitals (Emam Reza and Shohada) in Tabriz, between June 2018 and January 2019, and agreed to participate. All injured motorcyclists were contacted through the telephone one and 171 of them (90%) three months after their accident to complete an EQ-5D-3L questionnaire. The baseline measurements were gathered by using face to face interviews in the hospitals. The QOL score could vary between 1-3. The higher score showed a lower QOL. The Generalized Estimating Equation (GEE) models were used to determine the factors affecting the motorcyclists’ QOL. Results: The injured motorcyclist’s QOL was relatively better three months after the accident (mean ± Standard Deviation: 2.15 ± 0.65) in comparison with their status a month after the accident (mean ± SD: 1.78 ± 0.51) (p<0.001). The multivariable model showed that individuals whose pelvis (Coef: 0.29, (95% Confidence Intervals [CI]: 0.16, 0.42), P= 0.001) and knee (Coef: 0.26, (95% CI: 0.10, 0.42), P= 0.001) were injured, experienced a lower QOL. Also, those whose accident had happened in rainy weather experienced lower QOL (Coef: 0.33, (95% CI: 0.12, 0.53), P= 0.001). Those who were in an accident with a vehicle experienced a better QOL than others (Coef: -0.26, (95% CI: -0.43, -0.09), P=0.002).Conclusion: The assessment of three-month post-discharge showed that the QOL of the motorcyclists was better. It is recommended that by designing multi-year cohort studies, the QOL of motorcyclists be assessed for a longer time to identify the practical factors that improve the QOL of injured motorcyclists. In hospital discharge victims (especially for those with lower limb injuries such as injury to pelvis and knee, victims with Post-traumatic stress disorder, depression, and anxiety problems), social support, psychological support, financial support, and rehabilitation should be considered to improve the QOL.

scholarly journals Prognostic Factors for Mortality, Activity of Daily Living and Quality of Life in Taiwanese Older Patients within 1 Year following Hip Fracture Surgery

2022 ◽  
Vol 12 (1) ◽  
pp. 102
Author(s):  
Ming-Hsiu Chiang ◽  
Yu-Yun Huang ◽  
Yi-Jie Kuo ◽  
Shu-Wei Huang ◽  
Yeu-Chai Jang ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
Hip Fracture ◽  
Daily Living ◽  
Estimating Equation ◽  
Generalized Estimating Equation ◽  
Hip Fracture Surgery ◽  
Fracture Surgery

Background. Hip fractures among older adults are a major public health concern worldwide. This study investigated the potential clinical factors that predict postoperative 1-year activities of daily living (ADL), quality of life (QoL), and mortality in Taiwanese older adults following hip fracture. Methods. This is a prospective cohort study enrolling older adults (≥60 years) who had undergone hip fracture surgery in a single medical center. The comprehensive clinical history of each patient was examined. QoL, ADL, and mortality events were recorded consecutively at 3, 6, and 12 months after operation. The multiple logistic regression model and the generalized estimating equation (GEE) were adopted to identify contributing factors for mortality and postoperative ADL and QoL prognosis, respectively. Results. Among 377 participants with hip fracture, 48 died within 1 year of the index operation. ADL and QoL considerably decreased at 3 months following hip surgery. Old age, high Charlson Comorbidity Index, and American Society of Anesthesiologists grading were crucial predictors for mortality at the 1-year follow-up. The generalized estimating equation analysis indicated that the length of postoperative follow-up time, serum albumin level, patient cognitive status, and handgrip strength were considerably associated with QoL and ADL recovery prognosis in the Taiwanese older adults following hip fracture. Conclusions. Hip fractures have long-lasting effects on the older adults. Our data imply several prognosis predicting parameters that may assist clinicians in accounting for an individual’s personalized risks in order to improve functional outcomes and reduce mortality.

The relationship between remission and health-related quality of life in a cohort of SLE patients

Rheumatology ◽  
2018 ◽  
Vol 58 (4) ◽  
pp. 628-635 ◽  
Author(s):  
Michel W P Tsang-A-Sjoe ◽  
Irene E M Bultink ◽  
Maaike Heslinga ◽  
Lilian H van Tuyl ◽  
Ronald F van Vollenhoven ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Global Assessment ◽  
Short Form ◽  
Estimating Equation ◽  
Generalized Estimating Equation ◽  
Health Related Quality ◽  
Related Quality ◽  
Health Related ◽  
The Relationship

Abstract Objective To investigate the relationship between remission and health-related quality of life (HRQoL) in patients with SLE in a longitudinal observational cohort. Methods HRQoL was measured at cohort visits using the physical and mental component score (PCS and MCS, respectively) of the Short Form 36 questionnaire. Definitions of Remission in SLE remission categories (no remission/remission on therapy/remission off therapy) were applied. Determinants of PCS and MCS were identified with simple linear regression analyses. Association between remission and HRQoL was assessed using generalized estimating equation models. Results Data from 154 patients with 2 years of follow-up were analysed. At baseline 60/154 (39.0%) patients were in either form of remission. Patients in remission had higher Short Form 36 scores in all subdomains compared with patients not in remission. PCS was positively associated with remission and employment, and negatively associated with SLICC damage index, ESR, medication, patient global assessment and BMI. MCS was positively associated with Caucasian ethnicity and negatively associated with patient global assessment. In generalized estimating equation analysis, a gradual and significant increase of PCS was observed from patients not in remission (mean PCS 36.0) to remission on therapy (41.8) to remission off therapy (44.8). No significant difference in MCS was found between remission states. Conclusion we show a strong and persistent association between remission and PCS, but not MCS. These results support the relevance (construct validity) of the Definition of Remission in SLE remission definitions and the further development of a treat-to-target approach in SLE.

scholarly journals Factors Affecting Health-related Quality of Life Among Thalassemia Patients, 2020, Sana’a-Yemen

2021 ◽  
Author(s):  
Abdullah Ali Gafer ◽  
Nabil Ahmed Al-Rabeei ◽  
Mohammed Sadeg Al-Awar
Keyword(s):  
Quality Of Life ◽  
Iron Chelation ◽  
Health Related Quality ◽  
Cross Sectional ◽  
Factors Affecting ◽  
Face To Face ◽  
Clinical Counseling ◽  
Related Quality ◽  
Health Related

Abstract Background: Identifying and understanding the variables that influence health-related quality of life (HRQoL) in patients with thalassemia is critical to creating more appropriate clinical, counseling, and social support programs to develop treatment results for these individuals. The purpose of this investigation is to investigate the variables that are related with HRQOL in thalassemic patients in Yemen. Methods: From July to September 2020, a descriptive, cross-sectional investigation was carried out among Thalassemia patients who attended the Yemen Society for Thalassemia. a total of 344 individuals with Thalassemia between the ages of 5 and 18 years old. Data were gathered by utilizing the Pediatric Quality of Life 4.0 as face to face interview with children and their parents. The scale consisted of four domains (Physical, emotional, social, and school functioning) and other related demographic and clinical characteristics of the patients. coefficient tests as appropriate. Two-tailed, p-value <0.05 was regarded statistically considerable.Results:The findings of the investigation displayed that the Thalassemia patients were males with a percentage of (54.9%)Thetotal HRQoL mean score was found to be (50.6±16.5) with the highest mean scores in the social (69.3±20.2) and emotional (55.9±20.7) functioning domains. There was correlation between age, education, residency, and total HRQoL scores, which was statistically significant (P-value<0.05). There was correlation between iron overload complications, pre-transfusion Hb level, received iron chelation, and total HRQoL scores (P-value<0.05).Conclusions:Appropriate programs focused at providing psychological support to thalassemia patients are needed to improve their HRQoL. The results also supported the significance of keeping a pretransfusion hemoglobin level of at least 9-10.5 g/dL prior to the transfusion procedure.

Measuring Financial Distress and Quality of Life Over Time in Patients With Gynecologic Cancer—Making the Case to Screen Early in the Treatment Course

2021 ◽  
pp. OP.20.00907
Author(s):  
Margaret I. Liang ◽  
Sarah S. Summerlin ◽  
Christina T. Blanchard ◽  
Teresa K. L. Boitano ◽  
Warner K. Huh ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Financial Distress ◽  
Gynecologic Cancer ◽  
Correlation Coefficients ◽  
Estimating Equation ◽  
Patients With Cancer ◽  
Repeated Analysis ◽  
Over Time

PURPOSE: Our objective was to measure the trajectory of financial distress and to determine its relationship with quality of life (QOL) among patients with cancer. MATERIALS AND METHODS: We conducted a longitudinal survey of patients with gynecologic cancer starting a new line of systemic therapy at baseline, 3 months, and 6 months. Financial distress was measured using a Comprehensive Score for Financial Toxicity (COST) < 26, and QOL was measured using Functional Assessment of Cancer Therapy-General (FACT-G) with lower scores indicating worse responses. One-way repeated analysis of variances, generalized estimating equation models, and correlation coefficients were used to evaluate financial distress and QOL over time. RESULTS: There were 90 of 121 (74%) baseline participants with a 6-month follow-up. The average age was 60 years, 29% were African-American, 57% had an annual income < $40,000 in US dollars, and 6% were uninsured. At baseline, 54% of patients screened positive for financial distress, which was unchanged at 3 months (50%, P = .27) but decreased at 6 months (46%, P = .04) compared with baseline. There was no change in average COST (23.6, 25.1, 25.6; P = .33) or FACT-G (70.8, 71.0, 72.8; P = .68) over time. Less financial distress was moderately correlated with better QOL (r = 0.63, 0.61, 0.60) at each time point. The presence of financial distress was associated with a 16-point decrease in FACT-G QOL score over time. CONCLUSION: Upfront screening with COST identified 90% of patients who experienced financial distress, and COST did not change significantly over time. More severe financial distress was moderately correlated with worse QOL, and its presence was associated with a clinically meaningful 16-point decrease in QOL.

Follow-up of a cohort of patients with non-cystic fibrosis bronchiectasis for 1 year

2019 ◽  
Author(s):  
Simone Paulo Mateus ◽  
Raquel Esteves Brandão Salles ◽  
Walter Costa ◽  
Claudia Henrique da Costa ◽  
Agnaldo José Lopes ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Cystic Fibrosis ◽  
Emergency Care ◽  
Poor Quality ◽  
Daily Activities ◽  
Progressive Damage ◽  
Telephone Contact ◽  
Face To Face

Abstract Background: Non-cystic fibrosis bronchiectasis (NCFB) leads to progressive damage that may limit a patient’s daily activities and modify his/her quality of life. Our objective was to evaluate the quality of life of patients with bronchiectasis during a 1 year follow-up using the EQ-5D-3L questionnaire. Methods: A total of 100 patients with NCFB were recruited and followed-up with face-to-face visits or by telephone contact every three months for 1 year. At the time of recruiting and at the end of 1 year, the EQ-5D-3L questionnaire was applied to evaluate the patients’ quality of life. Variables, such as exacerbation, emergency care, comorbidities, hemoptysis, colonization, and hospitalization were assessed. Results: Of the 100 patients, 99 patients completed the study and 72% were women. There were no marked limitations in the mobility and self-care domains during the follow-up. Thirty-two patients were extremely anxious or depressed at the end of the follow-up. The quality of life assessed using EQ-5D-3L had an initial mean score of 0.545 and of 0.589 after 1 year, which was statistically significant (p= 0.011). Conclusion: Patients with NCFB have a poor quality of life and the EQ-5D-3L questionnaire may be a tool for monitoring patients with bronchiectasis.

scholarly journals Analysis of Factors Affecting Quality of Life in Patients Treated for Maxillofacial Fractures

2019 ◽  
Vol 17 (1) ◽  
pp. 4
Author(s):  
Maciej Sikora ◽  
Mikołaj Chlubek ◽  
Elżbieta Grochans ◽  
Anna Jurczak ◽  
Krzysztof Safranow ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Satisfaction With Life ◽  
Positive Association ◽  
Modern Medicine ◽  
Demographic Variables ◽  
Factors Affecting ◽  
Self Image ◽  
Maxillofacial Fractures ◽  
Initial Survey

Maxillofacial fractures (MFF) belong to the major modern medicine and public health concerns. The recovery from MFF is associated with a number of social problems. The patient’s mood may be affected by the change in self-image and lack of satisfaction with life, in many cases leading to a deepening of mental health disorders, resulting in alcoholism, loss of job or conflicts in the area of family life. The aim of this study was to evaluate the quality of life of patients with MFF, with respect to demographic and medical variables. The mean age of the 227 patients was 36 years. The mandible was the most frequent MFF location (52.9%), followed by the zygomatic bone (30.8%) then the maxilla (16.3%). Bone fracture displacement occurred in 79.3% of patients. A comminuted fracture was found in 71% of patients. The quality of life of patients with MFF was significantly better in all analyzed domains 3 months after the end of hospitalization compared to the initial survey carried out shortly after implementation of the treatment. Among the demographic variables, older age had a statistically significant but weak positive association with the improvement of the quality of life of respondents in General health perception domain.

scholarly journals Questionnaire-based evaluation of satisfaction levels in patients receiving chemotherapy through implanted venous access ports

2020 ◽  
Vol 7 (6) ◽  
pp. 509-514
Author(s):  
Nilgün Yıldırım ◽  
Mahir Cengiz ◽  
Erhan Önalan ◽  
Sibel Özcan ◽  
Azmi Lale
Keyword(s):  
Quality Of Life ◽  
Negative Impact ◽  
Venous Access ◽  
Port Catheter ◽  
Face To Face ◽  
Significant Difference ◽  
A Minor ◽  
Implantation Procedure

Objective: This study aimed to evaluate the effect of totally implanted venous access ports on the quality of life and patient satisfaction of cancer patients. Materials and Methods: The study was comprised of patients who underwent implantation of a central venous port catheter (CVPC) for chemotherapy treatment at our hospital’s oncology department and continued with follow-up and treatment. The researchers conducted face-to-face interviews with the participants in which the latter responded to 15 questions concerning the effects of the port catheter on daily quality of life and satisfaction with the implantation procedure. Results: A total of 260 patients participated in the study. Port-related complications were observed in 54 patients (20.7%), the most common being catheter occlusion. Participants expressed high levels of satisfaction and stated that the CVPC had a positive effect on their quality of life. Overall satisfaction and quality of life were significantly different for patients who experienced complications compared to those without, however, with the former reporting decreased satisfaction and increased stress and anxiety levels. Nevertheless, there was no significant difference between the patients who developed complications and those who did not concern their response to the statement: “Faced with a similar situation requiring a port catheter, I would make the same decision" (54.5% versus 52%, p = .188). Conclusion: Most patients reported overall satisfaction with the CVPC system while noting a minor negative impact on daily life. Complications related to the implantation procedure have statistically been shown to be a predictor of satisfaction and quality of life.

Patients Reported Health-Related Quality of Life Five Years Post Coronary Artery Bypass Graft Surgery – A Methodological Study

2008 ◽  
Vol 7 (1) ◽  
pp. 67-72 ◽  
Author(s):  
Geraldine A. Lee
Keyword(s):  
Quality Of Life ◽  
Coronary Artery ◽  
Artery Bypass ◽  
Bypass Graft ◽  
Face To Face ◽  
Sf 36 ◽  
Related Quality ◽  
Health Related

Background: The number of individuals undergoing Coronary Artery Bypass Graft Surgery (CABGS) to treat coronary artery disease is steadily increasing. Aim: The purpose of the study was to describe the cohort's characteristics, their angina and breathless symptoms and report health-related quality of life (HRQoL) five years after CABGS. Methods: One hundred and twenty-eight patients participated in the follow-up study using the quality of life Short-Form 36 (SF-36) questionnaire. Angina and breathless symptoms were also recorded. Results: One hundred and nine patients were interviewed (face-to-face) and 19 completed postal questionnaires. The SF-36 component summaries of the face-to-face patients indicated that their physical (PCS) and mental (MCS) health was relatively good (45.8 and 53.6, respectively, with 0 = worst health and 100 = best health and 50 being the mean score), compared to the postal patients' mean PCS of 30.8 ( p < .001). The postal MCS was also lower but not statistically significant (49.6, p = .081). At follow-up, the majority of patients were asymptomatic in terms of angina and breathlessness compared to their pre-operative status. Conclusion: The findings demonstrate that patient perceived HRQoL five years after CABGS is generally good and patients remain relatively asymptomatic although data collection methods highlight differences in physical HRQoL.

Reducing risk factors for cognitive decline through psychological interventions: a pilot randomized controlled trial

2018 ◽  
Vol 31 (07) ◽  
pp. 1015-1025 ◽  
Author(s):  
Viviana M. Wuthrich ◽  
Ronald M. Rapee ◽  
Brian Draper ◽  
Henry Brodaty ◽  
Lee-Fay Low ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Cognitive Decline ◽  
Controlled Trial ◽  
Social Activity ◽  
Face To Face ◽  
Factors Associated ◽  
Randomized Controlled ◽  
Anxiety Depression

ABSTRACTObjectives:Modifiable factors associated with increased risk of cognitive decline include emotional (anxiety, depression), cognitive (low social and mental stimulation), and health factors (smoking, alcohol use, sedentary lifestyle, obesity). Older adults with anxiety and depression may be at heightened risk due to direct and indirect impacts of emotional distress on cognitive decline.Design:Randomized controlled trialSetting:Community sample attending a university clinic. Participants: 27 participants (female = 20) aged over 65 years (M = 72.56, SD = 6.74) with an anxiety and/or mood disorder. Interventions: two cognitive behavioral therapy (CBT) interventions (face-to-face or low intensity) that targeted emotional, health, and cognitive risks for cognitive decline.Measurements:Participants completed diagnostic interviews; self-report measures of anxiety, depression, quality of life, and lifestyle factors at baseline; post-treatment; and 3-month follow-up.Results:Both interventions resulted in significant and sustained improvements in depression, anxiety, quality of life, and physical and social activity. At post-treatment, face-to-face CBT demonstrated significantly greater improvements in emotional symptoms, alcohol use, and memory (exercise approached significance). At 3-month follow-up, gains were maintained and there were significantly greater increases in mental activity for face-to-face CBT, with social activity approaching significance. Conclusions: This study demonstrates the feasibility of CBT interventions to reduce emotional as well as lifestyle risk factors associated with cognitive decline in at-risk older participants. Large studies are needed to evaluate the long-term impact on cognitive decline. The trial was registered with the Australian and New Zealand Clinical Trials Registry (Trial Registration No. ACTRN12618000939291).

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