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Health-Related Quality of Life Profiles among Patients with Different Road Traffic Injuries in an Urban Setting of Vietnam

机译:越南城市环境中不同道路交通伤害患者的健康相关生活质量

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摘要

Road traffic injuries (RTIs) cause a substantial disease burden in Vietnam. Evaluating health-related quality of life (HRQOL) among patients having a diversity of RTIs informs an integral part of treatment effectiveness. This study aims to examine HRQOL of patients suffering different RTIs in Vietnam’s urban areas. A cross-sectional study was conducted on 408 patients from October to December 2018 in six hospitals in Thai Binh. The EuroQol-5 dimensions-5 levels (EQ-5D-5L) and visual analog scale (VAS) were used to assess the HRQOL of patients. Multivariable Tobit regression was applied to measure the difference of HRQOL among different kinds of injuries. The mean EQ-5D-5L and VAS score was 0.40–0.66, respectively. Mean EQ-5D-5L index was lowest in patients with oral and facial injuries (0.22) and fracture injuries (0.23), while patients having hand injuries had the highest EQ-5D-5L index (0.54). EQ-5D-5L index had a negative association with oral, facial, and fracture injuries. Meanwhile, patients with brain, fracture, and multiple injuries tended to have lower VAS score. Poor HRQOL among patients injured in road traffic were observed. Pain management, early rehabilitation, and mental health counseling services should be considered during treatment time, especially among those having the brain, oral and facial trauma, fracture, and multiple injuries.
机译:道路交通伤害(RTI)在越南造成重大疾病负担。在具有多种RTIs的患者中评估与健康相关的生活质量(HRQOL),是治疗有效性不可或缺的一部分。这项研究旨在研究越南城市地区患有不同RTI的患者的HRQOL。 2018年10月至2018年12月,在Thai Binh的六家医院对408例患者进行了横断面研究。 EuroQol-5维度5水平(EQ-5D-5L)和视觉模拟量表(VAS)用于评估患者的HRQOL。应用多变量Tobit回归来测量不同类型伤害之间的HRQOL差异。 EQ-5D-5L和VAS的平均得分分别为0.40-0.66。 EQ-5D-5L指数在口腔和面部损伤患者(0.22)和骨折损伤(0.23)中最低,而手部受伤的患者EQ-5D-5L指数最高(0.54)。 EQ-5D-5L指数与口腔,面部和骨折损伤呈负相关。同时,患有脑,骨折和多发损伤的患者往往具有较低的VAS评分。在道路交通中受伤的患者中,HRQOL较差。在治疗期间,应考虑疼痛管理,早期康复和心理健康咨询服务,尤其是那些患有脑,口腔和面部创伤,骨折和多发伤的患者。

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