a systematic review of studies measuring health-related quality of life of general injury populations系统回顾研究测量健康相关的生活质量总体伤害人群.pdfVIP

Polinder et al. BMC Public Health 2010, 10:783 /1471-2458/10/783 RESEARCH ARTICLE Open Access A systematic review of studies measuring health-related quality of life of general injury populations 1* 1 1 2 1 3 Suzanne Polinder , Juanita A Haagsma , Eefje Belt , Ronan A Lyons , Vicki Erasmus , Johan Lund , Ed F van Beeck1 Abstract Background: It is important to obtain greater insight into health-related quality of life (HRQL) of injury patients in order to document people’s pathways to recovery and to quantify the impact of injury on population health over time. We performed a systematic review of studies measuring HRQL in general injury populations with a generic health state measure to summarize existing knowledge. Methods: Injury studies (1995-2009) were identified with main inclusion criteria being the use of a generic health status measure and not being restricted to one specific type of injury. Articles were collated by study design, HRQL instrument used, timing of assessment(s), predictive variables and ability to detect change over time. Results: Forty one studies met inclusion criteria, using 24 different generic HRQL and functional status measures (most used were SF-36, FIM, GOS, EQ-5D). The majority of the studies used a longitudinal design, but with different lengths and timings of follow-up (mostly 6, 12, and 24 months). Different generic health measures were able to discriminate between the health status of subgroups and picked up changes in health status between discharge and 12 month follow-up. Most studies reported high prevalences of health problems within the first year after injury. The twelve studies that reported HRQL utility scores showed considerable but incomplete recovery in the