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Abstract：
BACKGROUND: Major thoracic trauma represents a life-threatening condition, requiring a prompt multidisciplinary approach and appropriate pathways for effective recovery. While acute morbidity and mortality are well-known outcomes in thoracic-traumatized patients, long-term quality of life in patients surviving surgical treatment has not been widely investigated before.
METHODS: Between November 2016 and November 2023, thirty-two consecutive patients were operated on because of thoracic trauma. Age, sex, comorbidities, location and extent of thoracic trauma, Injury Severity Score (ISS), Abbreviated Injury Scale (AIS), Organ Injury Scale (OIS), intra and extrathoracic organ involvement, mechanism of injury, type of surgical procedure, postoperative complications, ICU and total length of stay, immediate clinical outcomes and long-term quality of life-by using the EQ-5D-3L scale and Numeric Rate Pain Score (NPRS)-were collected for each patient Results: Results indicated no significant difference in EQOL.5D3L among patients with thoracic trauma based on AIS (p = 0.55), but a significant difference was observed in relation to ISS (p = 0.000011).
CONCLUSIONS: ISS is correlated with the EQOL.5D3L questionnaire on long-term quality of life, representing the best prognostic factor-in terms of long-term quality of life-in patients surviving major thoracic trauma surgical treatment.
METHODS: Between November 2016 and November 2023, thirty-two consecutive patients were operated on because of thoracic trauma. Age, sex, comorbidities, location and extent of thoracic trauma, Injury Severity Score (ISS), Abbreviated Injury Scale (AIS), Organ Injury Scale (OIS), intra and extrathoracic organ involvement, mechanism of injury, type of surgical procedure, postoperative complications, ICU and total length of stay, immediate clinical outcomes and long-term quality of life-by using the EQ-5D-3L scale and Numeric Rate Pain Score (NPRS)-were collected for each patient Results: Results indicated no significant difference in EQOL.5D3L among patients with thoracic trauma based on AIS (p = 0.55), but a significant difference was observed in relation to ISS (p = 0.000011).
CONCLUSIONS: ISS is correlated with the EQOL.5D3L questionnaire on long-term quality of life, representing the best prognostic factor-in terms of long-term quality of life-in patients surviving major thoracic trauma surgical treatment.
摘要：
背景：严重的胸部创伤是一种危及生命的疾病，需要迅速的多学科方法和适当的途径来有效恢复。虽然急性发病率和死亡率是众所周知的胸部创伤患者的结果，在手术治疗中幸存的患者的长期生活质量之前尚未得到广泛调查.
方法：在2016年11月至2023年11月之间，连续32例患者因胸部外伤接受了手术。年龄,性别,合并症,胸部创伤的部位和程度,伤害严重程度评分（ISS），缩写损伤量表（AIS），器官损伤量表(OIS),胸腔内和胸腔外器官受累，损伤机制,外科手术类型,术后并发症,ICU和总住院时间，通过使用EQ-5D-3L量表和数字疼痛评分（NPRS）收集每位患者的即时临床结果和长期生活质量。结果：结果表明，基于AIS的胸外伤患者的EQOL.5D3L没有显着差异（p=0.55），但观察到与ISS相关的显着差异（p=0.000011）。
结论：ISS与EQOL.5D3L长期生活质量问卷相关，就长期生活质量而言，代表了在严重胸外伤手术治疗中幸存的患者的最佳预后因素。
方法：在2016年11月至2023年11月之间，连续32例患者因胸部外伤接受了手术。年龄,性别,合并症,胸部创伤的部位和程度,伤害严重程度评分（ISS），缩写损伤量表（AIS），器官损伤量表(OIS),胸腔内和胸腔外器官受累，损伤机制,外科手术类型,术后并发症,ICU和总住院时间，通过使用EQ-5D-3L量表和数字疼痛评分（NPRS）收集每位患者的即时临床结果和长期生活质量。结果：结果表明，基于AIS的胸外伤患者的EQOL.5D3L没有显着差异（p=0.55），但观察到与ISS相关的显着差异（p=0.000011）。
结论：ISS与EQOL.5D3L长期生活质量问卷相关，就长期生活质量而言，代表了在严重胸外伤手术治疗中幸存的患者的最佳预后因素。
