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Health outcome after major trauma : what are we measuring?
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Hoffman, Karen, Cole, Elaine, Playford, E. Diane, Grill, Eva, Soberg, Helene L. and Brohi, Karim (2014) Health outcome after major trauma : what are we measuring? PLoS One, 9 (7). pp. 1-11. e103082. doi:10.1371/journal.pone.0103082 ISSN 1932-6203.
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Official URL: http://dx.doi.org/10.1371/journal.pone.0103082
Abstract
Importance:
Trauma is a global disease and is among the leading causes of disability in the world. The importance of outcome beyond trauma survival has been recognised over the last decade. Despite this there is no internationally agreed approach for assessment of health outcome and rehabilitation of trauma patients.
Objective:
To systematically examine to what extent outcomes measures evaluate health outcomes in patients with major trauma.
Data sources:
MEDLINE, EMBASE, and CINAHL (from 2006-2012) were searched for studies evaluating health outcome after traumatic injuries.
STUDY SELECTION AND DATA EXTRACTION:
Studies of adult patients with injuries involving at least two body areas or organ systems were included. Information on study design, outcome measures used, sample size and outcomes were extracted. The World Health Organisation International Classification of Function, Disability and Health (ICF) were used to evaluate to what extent outcome measures captured health impacts.
Results:
34 studies from 755 studies were included in the review. 38 outcome measures were identified. 21 outcome measures were used only once and only five were used in three or more studies. Only 6% of all possible health impacts were captured. Concepts related to activity and participation were the most represented but still only captured 12% of all possible concepts in this domain. Measures performed very poorly in capturing concepts related to body function (5%), functional activities (11%) and environmental factors (2%).
Conclusion:
Outcome measures used in major trauma capture only a small proportion of health impacts. There is no inclusive classification for measuring disability or health outcome following trauma. The ICF may provide a useful framework for the development of a comprehensive health outcome measure for trauma care.
| Item Type: | Journal Article | ||||||||
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| Subjects: | R Medicine > RC Internal medicine | ||||||||
| Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences > Social Science & Systems in Health (SSSH) Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
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| Library of Congress Subject Headings (LCSH): | Traumatism | ||||||||
| Journal or Publication Title: | PLoS One | ||||||||
| Publisher: | Public Library of Science | ||||||||
| ISSN: | 1932-6203 | ||||||||
| Official Date: | 22 July 2014 | ||||||||
| Dates: |
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| Volume: | 9 | ||||||||
| Number: | 7 | ||||||||
| Number of Pages: | 11 | ||||||||
| Page Range: | pp. 1-11 | ||||||||
| Article Number: | e103082 | ||||||||
| DOI: | 10.1371/journal.pone.0103082 | ||||||||
| Status: | Peer Reviewed | ||||||||
| Publication Status: | Published | ||||||||
| Access rights to Published version: | Open Access (Creative Commons) | ||||||||
| Date of first compliant deposit: | 8 February 2018 |
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