CONSIDERATIONS REGARDING THE QUALITY OF LIFE IN PATIENTS WITH TRAUMA ADMITTED TO AN EMERGENCY DEPARTMENT

Authors

  • P. M. BOGDAN “Dunărea de Jos” University Galați, Romania
  • Elena Ariela BANU “Dunărea de Jos” University Galați, Romania
  • Cristina MARIN “Dunărea de Jos” University Galați, Romania
  • Zina TIRON “Dunărea de Jos” University Galați, Romania
  • Eva Maria ELKAN “Dunărea de Jos” University Galați, Romania
  • C. GUȚU “Dunărea de Jos” University Galați, Romania
  • Raisa Eloise BARBU “Dunărea de Jos” University Galați, Romania

Abstract

Quality of life (QoL) is an important outcome indicator in assessing interventions and medical treatments, in order to understand the burden of disease and identify health issues. The study aim was to assess the QoL of patients admitted in an Emergency Department, with polytrauma, by applying the SF-12 validated questionnaire. Materials and methods: The study group consisted of 101 subjects, aged 15-17, admitted in the “Sf. Ioan” Children’s Emergency Hospital, Galati. Results: The Cronbach alpha coefficient was 0.707; mean age 16.43 ±0.88; 69.3% males; 56.4% from urban areas; traumas diagnosed in 19.8% of patients. The mean SF-12 score was significantly lower in patients with sprain (score=89.20) or polytrauma (score=89.90) (p=0.018); slightly lower in patients whose physical and emotional health greatly affected social activities. The degree of impairment in the patient who felt a lot of change in physical and/or emotional health reduced the SF-12 score by 20% (p=0.829). Very intense body pain was associated with a 24% lower SF-12 global score (p=0.308). The mean level of SF-12 scores differed significantly depending on the general health status (p=0.001): on the total study group, a reduced impairment of the QoL was revealed, the mean score was 91.95±7.67, representing 85.9% of the maximum value recorded; the lowest mean value was recorded in patients with a poor general condition (86.67±11.93). Conclusions: The QoL in pediatric patients admitted with various types of trauma did not differ significantly between age groups, sexes or residential environments. The global SF-12 score revealed a decrease in the QoL, due to by the very intense bodily pains that significantly affected the patients’ physical and emotional health.

Author Biographies

  • P. M. BOGDAN, “Dunărea de Jos” University Galați, Romania

    Faculty of Medicine and Pharmacy

  • Elena Ariela BANU, “Dunărea de Jos” University Galați, Romania

    Faculty of Medicine and Pharmacy

  • Cristina MARIN, “Dunărea de Jos” University Galați, Romania

    Faculty of Medicine and Pharmacy

  • Zina TIRON, “Dunărea de Jos” University Galați, Romania

    Faculty of Medicine and Pharmacy

  • Eva Maria ELKAN, “Dunărea de Jos” University Galați, Romania

    Faculty of Medicine and Pharmacy

  • C. GUȚU, “Dunărea de Jos” University Galați, Romania

    Faculty of Medicine and Pharmacy

  • Raisa Eloise BARBU, “Dunărea de Jos” University Galați, Romania

    Faculty of Medicine and Pharmacy

References

1. Droahnă AR, Moroianu LA, Pietroșel VA, et al. Anxio-depressive disorders in a pandemic context: A comparative analysis year 2019 vs. 2020. J Mind Med Sci 2023; 10(1): 156-162.
2. Martin-Herz SP, Zatzick DF, McMahon RJ. Health-related quality of life in children and adolescents following traumatic injury: a review. Clin Child Fam Psychol Rev 2012; 15(3): 192-214.
3. Banu EA, Baciu G, Eva Maria Elkan EM, Mitrea G. Tuberculosis and bacterial co-infections in chil-dren. Med Surg J - Rev Med Chir Soc Med Nat Iasi 2021; 121(1): 12-18.
4. Banu EA, Bogdan Goroftei RE, Baciu C, Baciu G, Bogdan PM, Baciu AP. Considerations regarding tuberculosis and viral infections in childhood. Med Surg J - Rev Med Chir Soc Med Nat Iasi 2023; 127(4): 507-515.
5. Griebsch I, Coast J, Brown J. Quality-adjusted lifeyears lack quality in pediatric care: a critical review of published cost-utility studies in child health. Pediatrics 2005; 115: e600-14.
6. RAND Health Care. SF -12 Survey. Available online: https://www.rand.org/health-care/surveys_tools/mos/12-item-short-form.html [accessed 01.03.2024].
7. Winthrop AL, Brasel KJ, Stahovic L, Paulson J, Schneeberger B, Kuhn EM. Quality of life and func-tional outcome after pediatric trauma. J Trauma 2005; 58 (3): 468-473.
8. Ichim DL, Duceac LD, Marcu C, et al. Synthesis and characterization of Colistin loaded nanoparticles used to combat multi-drug resistant microorganisms. Rev Chim 2019; 70(10): 3734-3737.
9. Moroianu M, Bogdan Goroftei RE, Salmen T, Bica C, Pietrosel VA, Hainarosie R, Pantea-Stoian A. Evaluation of medical decision errors during the transition period to telemedicine. J Mind Med Sci. 2023; 10(1): 72-78.
10. Maftei NM, Bogdan REG, Boev M, Marin DB, Ramos-Villarroel AY, Iancu AV. Innovative Fer-mented Soy Drink with the Sea Buckthorn Syrup and the Probiotics Co-Culture of Lactobacillus Par-acasei ssp. Paracasei (L. Casei® 431) and Bifidobacterium Animalis ssp. Lactis (Bb-12®). Fermenta-tion 2023; 9(9): 806.
11. Moroianu M, Moroianu LA, Ciubara A, Matei MN. Persistent depressive disorder: the clinical ap-proach of the patient associating depression and dental pathology - case report and clinical considera-tions. BRAIN. Broad Research in Artificial Intelligence and Neuroscience 2022; 13(1): 229-238.
12. Solans M, Pane S, Estrada MD, et al. Health-related quality of life measurement in children and adolescents: a systematic review of generic and disease-specific instruments. Value Health 2008; 11(4): 742-764.
13. Raat H, Botterweck AM, Landgraf JM, Hoogeveen WC, Essink-Bot ML. Reliability and validity of the short form of the child health questionnaire for parents (CHQ-PF28) in large random school based and general population samples. J Epidemiol Community Health 2005; 59(1): 75-82.
14. Strobescu-Ciobanu C, Baroi LG, Zaiță D, et al. Conventional versus endovenous treatment in chronic venous disease - a comparative study based on quality of life. Med Surg J - Rev Med Chir Soc Med Nat Iasi 2023; 127(3): 408-414.

Additional Files

Published

2024-09-18

Issue

Section

PREVENTIVE MEDICINE - LABORATORY