posttraumatic stress symptoms and health-related quality of life a two year follow up study of injury treated at the emergency department创伤后应激症状和健康相关的生活质量的两年随访研究损伤在急诊室治疗.pdfVIP

Haagsma et al. BMC Psychiatry 2012, 12:1 /1471-244X/12/1 RESEARCH ARTICLE Open Access Posttraumatic stress symptoms and health-related quality of life: a two year follow up study of injury treated at the emergency department 1* 1 2 3 1 1 Juanita A Haagsma , Suzanne Polinder , Miranda Olff , Hidde Toet , Gouke J Bonsel and Ed F van Beeck Abstract Background: Among injury victims relatively high prevalence rates of posttraumatic stress disorder (PTSD) have been found. PTSD is associated with functional impairments and decreased health-related quality of life (HRQoL). Previous studies that addressed the latter were restricted to injuries at the higher end of the severity spectrum. This study examined the association between PTSD symptoms and health-related quality of life (HRQoL) in a comprehensive population of injury patients of all severity levels and external causes. Methods: We conducted a self-assessment survey which included items regarding demographics of the patient, accident type, sustained injuries, EuroQol health classification system (EQ-5D) and Health Utilities Index (HUI) to measure functional outcome and HRQoL, and the Impact of Event Scale (IES) to measure PTSD symptoms. An IES-score of 35 or higher was used as indication for the presence of PTSD. The survey was completed by 1,781 injury patients two years after they were treated at the Emergency Department (ED), followed by either hospital admission or direct discharge to the home environment. Results: Symptoms indicative of PTSD were associated with more problems on all EQ-5D and HUI3 domains of functional outcome and a considerable utility loss in both hospitalized (0.23-0.24) and non-hospitalized (0.32-0.33)