J Acute Care Surg.
2019 Apr;9(1):1-6. 10.17479/jacs.2019.9.1.1.
Comparison of Quality of Life among Patients with Mangled Trauma
- Affiliations
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- 1Department of Surgery, Asan Medical Center, Seoul, Korea.
- 2Clinical Nurse Specialist, Critical Care Nursing Team, Asan Medical Center, Seoul, Korea.
- 3Department of Surgery, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, Korea.
- 4Division of Vascular and Transplant Surgery, Department of Surgery, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.
- 5Division of Trauma & Surgical Critical Care, Department of Surgery, Asan Medical Center, Seoul, Korea. skhong94@amc.seoul.kr
- KMID: 2449168
- DOI: http://doi.org/10.17479/jacs.2019.9.1.1
Abstract
- PURPOSE
Mangled injury is defined as severe injury, including three or more tissues such as bones, nerves, vessels, muscles, and tendons in the upper or lower extremities. The choice of treatment results in different cosmetic and functional outcomes for mangled injury. In this study, we estimated patients' quality of life after treatment with the future intention of having patients make proper decisions at the time of injury.
METHODS
Twenty patients were treated at Asan Medical Center from January, 2009 to November, 2011, and 11 patients were included who agreed with the questionnaire. We used 36-item short form health survey (SF-36) for estimating quality of life after treatments.
RESULTS
Subjective satisfaction of cosmetic and functional aspects was higher in the reconstruction group than in the amputation group. However, in the estimation of specified satisfaction using SF-36, the amputation group was more satisfied than the reconstruction group.
CONCLUSION
Among the many treatment considerations at the time of injury, expected cosmetic and functional outcomes were important parts determining the decision. In our study, the amputation group showed a better satisfaction level. This result could help patients make more appropriate decisions in the case of mangled injury.
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