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Measuring socioeconomic outcomes in trauma patients up to one year post-discharge: A systematic review and meta-analysis.

Publication ,  Journal Article
David, SD; Aroke, A; Roy, N; Solomon, H; Lundborg, CS; Gerdin Wärnberg, M
Published in: Injury
February 2022

Trauma accounts for nearly one-tenth of the global disability-adjusted life-years, a large proportion of which is seen in low- and middle-income countries (LMICs). Trauma can affect employment opportunities, reduce social participation, be influenced by social support, and significantly reduce the quality of life (QOL) among survivors. Research typically focuses on specific trauma sub-groups. This dispersed knowledge results in limited understanding of these outcomes in trauma patients as a whole across different populations and settings. We aimed to assess and provide a systematic overview of current knowledge about return-to-work (RTW), participation, social support, and QOL in trauma patients up to one year after discharge.We undertook a systematic review of the literature published since 2010 on RTW, participation, social support, and QOL in adult trauma populations, up to one year from discharge, utilizing the most commonly used measurement tools from three databases: MEDLINE, EMBASE, and the Cochrane Library. We performed a meta-analysis based on the type of outcome, tool for measurement, and the specific effect measure as well as assessed the methodological quality of the included studies.A total of 43 articles were included. More than one-third (36%) of patients had not returned to work even a year after discharge. Those who did return to work took more than 3 months to do so. Trauma patients reported receiving moderate social support. There were no studies reporting social participation among trauma patients using the inclusion criteria. The QOL scores of the trauma patients did not reach the population norms or pre-injury levels even a year after discharge. Older adults and females tended to have poorer outcomes. Elderly individuals and females were under-represented in the studies. More than three-quarters of the included studies were from high-income countries (HICs) and had higher methodological quality.RTW and QOL are affected by trauma even a year after discharge and the social support received was moderate, especially among elderly and female patients. Future studies should move towards building more high-quality evidence from LMICs on long-term socioeconomic outcomes including social support, participation and unpaid work.

Duke Scholars

Published In

Injury

DOI

EISSN

1879-0267

ISSN

0020-1383

Publication Date

February 2022

Volume

53

Issue

2

Start / End Page

272 / 285

Related Subject Headings

  • Return to Work
  • Quality of Life
  • Patient Discharge
  • Orthopedics
  • Income
  • Humans
  • Female
  • Aged
  • Aftercare
  • 42 Health sciences
 

Citation

APA
Chicago
ICMJE
MLA
NLM
David, S. D., Aroke, A., Roy, N., Solomon, H., Lundborg, C. S., & Gerdin Wärnberg, M. (2022). Measuring socioeconomic outcomes in trauma patients up to one year post-discharge: A systematic review and meta-analysis. Injury, 53(2), 272–285. https://doi.org/10.1016/j.injury.2021.10.012
David, Siddarth Daniels, Anna Aroke, Nobhojit Roy, Harris Solomon, Cecilia Stålsby Lundborg, and Martin Gerdin Wärnberg. “Measuring socioeconomic outcomes in trauma patients up to one year post-discharge: A systematic review and meta-analysis.Injury 53, no. 2 (February 2022): 272–85. https://doi.org/10.1016/j.injury.2021.10.012.
David SD, Aroke A, Roy N, Solomon H, Lundborg CS, Gerdin Wärnberg M. Measuring socioeconomic outcomes in trauma patients up to one year post-discharge: A systematic review and meta-analysis. Injury. 2022 Feb;53(2):272–85.
David, Siddarth Daniels, et al. “Measuring socioeconomic outcomes in trauma patients up to one year post-discharge: A systematic review and meta-analysis.Injury, vol. 53, no. 2, Feb. 2022, pp. 272–85. Epmc, doi:10.1016/j.injury.2021.10.012.
David SD, Aroke A, Roy N, Solomon H, Lundborg CS, Gerdin Wärnberg M. Measuring socioeconomic outcomes in trauma patients up to one year post-discharge: A systematic review and meta-analysis. Injury. 2022 Feb;53(2):272–285.
Journal cover image

Published In

Injury

DOI

EISSN

1879-0267

ISSN

0020-1383

Publication Date

February 2022

Volume

53

Issue

2

Start / End Page

272 / 285

Related Subject Headings

  • Return to Work
  • Quality of Life
  • Patient Discharge
  • Orthopedics
  • Income
  • Humans
  • Female
  • Aged
  • Aftercare
  • 42 Health sciences