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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