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Original Article| Volume 60, ISSUE 3, P300-308, March 2007

Quality of Well-being profiles followed paths of health status change at micro- and meso-levels in trauma patients

  • John P. Anderson
    Correspondence
    Corresponding author. Tel.: 858-534-2896; fax: 858-534-4642.
    Affiliations
    Health Measurement and Policy Project 0622, Division of Health Care Sciences, Department of Family and Preventive Medicine, School of Medicine, University of California, San Diego, 9500 Gilman Drive, La Jolla, CA 92093-0622, USA
    Search for articles by this author
  • Troy L. Holbrook
    Affiliations
    Division of Epidemiology, Department of Family and Preventive Medicine, University of California, 9500 Gilman Drive, La Jolla, CA 92093-0622, USA
    Search for articles by this author
Published:September 01, 2006DOI:https://doi.org/10.1016/j.jclinepi.2006.06.003

      Abstract

      Objective

      The objective of this study is to analyze Quality of Well-being Scale scores and profiles tracing Trauma Recovery Project (TRP) patient scores over time.

      Study Design and Setting

      A total of 787 TRP patients had complete preinjury and injury day data. Of these 787, 574 patients were followed up 6 months after hospital release. Analyses include persons with head injury vs. long bone and pelvic injury.

      Results

      Paired t-tests found significant differences for scores between each measurement point. Means analyses found significant variation on first day of hospitalization vs. 6-month recovery scores by injury site—head worse off than long bone and pelvic injury at first, but becoming better off 6 months after release from hospital. These effects were traced to specific symptom/problem complexes and functional limitations.

      Conclusion

      Examination of such profiles can add significant information about health implications not obvious from overall scores. The size and direction of such contributions to overall scores may be reliably traced over time.

      Keywords

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