Abstract
Even years after having sustained multiple injuries patients often suffer from their sequelae. These comprise restrictions in physical function, but also pain, social and psychological impairments. We describe the systematic development of a modular instrument for the assessment of health-related quality of life (QoL). Within three phases (phase I, generation of items; phase II, item reduction; phase III, pre-testing in 70 multiple injury and control patients) a questionnaire of 59 items was developed, which covers all relevant trauma-related aspects of QoL after acute hospital care. Together with the Glascow Outcome Scale (GOS), the EUROQOL and the SF-36, the newly developed instrument builds the Polytrauma Outcome Chart (POLO-Chart) which will be used as “Sheet E” for outcome assessment within the “Trauma registry” of the German Society for Trauma Surgery. In phase IV, the POLO Chart will finally be validated in five trauma centres (Celle, Essen, Hanover, Cologne und Munich).
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