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Long-Term Prevalence of Impairments and Disabilities after Multiple Trauma

 

作者: Audny G. W. Anke,   Johan K. Stanghelle,   Arnstein Finset,   Kirsti S. Roaldsen,   Johan Pillgram-Larsen,   Axel R. Fugl-Meyer,  

 

期刊: The Journal of Trauma: Injury, Infection, and Critical Care  (OVID Available online 1997)
卷期: Volume 42, issue 1  

页码: 54-61

 

ISSN:0022-5282

 

年代: 1997

 

出版商: OVID

 

数据来源: OVID

 

摘要:

The prevalence of impairments and disabilities in activities of daily living (ADL), nonwork activities, and work were registered in a consecutive series (n=69) of subjects with severe injuries. At follow-up 3 years after trauma, residual impairments prevailed in 80%. Only a few (6%) were ADL-dependent. Seventy-six percent had lost at least one nonwork activity, while vocational disability caused by the trauma occurred in 19%. Cognitive impairment was significantly associated with vocational disability, while physical impairment and pain were significantly associated with nonwork disability. Other parameters that influenced vocational disability negatively were age and blue-collar employment status. Although overall changes in social network quantity and quality were small, significantly more subjects with cognitive impairment or vocational disability experienced a decline in the quality and quantity of their social network after trauma. Furthermore, 25% of the subjects reported an increase in feelings of loneliness after trauma. We recommend the design of individualized, multidisciplinary rehabilitation plans before discharge from departments of surgery.

 



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