Journal of the American College of Surgeons · 2026
Does Time Truly Heal All? A Prospective Cohort Study of 6- To 12-Month Recovery Transitions After Traumatic Injury.
СтатьяНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Ilkhani Saba, Figi John T, Thompson Avery A, Ordoobadi Alexander J, Castillo-Angeles Manuel, Kaafarani Haytham, Sanchez Sabrina E, Salim Ali, Herrera-Escobar Juan P, Anderson Geoffrey A
Аннотация
BACKGROUND: Recovery after traumatic injury may extend beyond conventional follow-up, but longer-term changes in function, quality of life (QoL), and return to work (RTW) remain incompletely characterized.
STUDY DESIGN: English- or Spanish-speaking patients with Injury Severity Score ≥9 from three US Level I trauma centers completed telephone surveys 6 and 12 months after injury. Recovery was characterized as improved, stable, or declined between timepoints. Function was assessed across six Trauma Quality of Life domains; QoL and RTW by self-report; and mental health using GAD-7, PHQ-8, and Breslau PTSD scales. Multivariable logistic regression evaluated predictors of QoL decline. Sensitivity analyses examined traumatic brain injury (TBI), isolated long bone fracture, and general trauma.
RESULTS: Among 1,894 patients, 49% of those impaired at 6 months improved, 41% were unchanged, and 11% worsened by 12 months. Patients ≥65 more often improved (20% vs. 16%) and declined (16% vs. 9%) than those <65; surgical patients more often improved (20% vs. 16%). QoL improved in 22%, remained stable in 56%, and declined in 22%. TBI patients had the greatest functional improvement (55%), whereas long bone fracture patients had the greatest QoL improvement (26%). Weak social support (aOR 3.68) and mental health symptoms were associated with QoL decline. RTW reached 61% by 6 months; 74% of non-returners remained so at 12 months.
CONCLUSIONS: Recovery remains dynamic beyond 6 months after trauma, supporting extended follow-up and individualized rehabilitation. Associations of mental health symptoms and weak social support with QoL decline support incorporating their assessment into post-injury care.
STUDY DESIGN: English- or Spanish-speaking patients with Injury Severity Score ≥9 from three US Level I trauma centers completed telephone surveys 6 and 12 months after injury. Recovery was characterized as improved, stable, or declined between timepoints. Function was assessed across six Trauma Quality of Life domains; QoL and RTW by self-report; and mental health using GAD-7, PHQ-8, and Breslau PTSD scales. Multivariable logistic regression evaluated predictors of QoL decline. Sensitivity analyses examined traumatic brain injury (TBI), isolated long bone fracture, and general trauma.
RESULTS: Among 1,894 patients, 49% of those impaired at 6 months improved, 41% were unchanged, and 11% worsened by 12 months. Patients ≥65 more often improved (20% vs. 16%) and declined (16% vs. 9%) than those <65; surgical patients more often improved (20% vs. 16%). QoL improved in 22%, remained stable in 56%, and declined in 22%. TBI patients had the greatest functional improvement (55%), whereas long bone fracture patients had the greatest QoL improvement (26%). Weak social support (aOR 3.68) and mental health symptoms were associated with QoL decline. RTW reached 61% by 6 months; 74% of non-returners remained so at 12 months.
CONCLUSIONS: Recovery remains dynamic beyond 6 months after trauma, supporting extended follow-up and individualized rehabilitation. Associations of mental health symptoms and weak social support with QoL decline support incorporating their assessment into post-injury care.