{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,4,9]],"date-time":"2025-04-09T04:30:02Z","timestamp":1744173002355,"version":"3.40.3"},"reference-count":28,"publisher":"Georg Thieme Verlag KG","issue":"02","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rehabilitation (Stuttg)"],"published-print":{"date-parts":[[2025,4]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>Mit dem R\u00fcckgang der Letalit\u00e4t von Schwerverletzten\n                        haben sich die wissenschaftliche Fragestellung und die Sichtweise in der\n                        klinischen Praxis in Richtung qualitativer Ergebnisparameter ver\u00e4ndert. Mit\n                        der Langzeiterhebung des patientenberichteten Outcomes soll die\n                        Argumentation f\u00fcr eine strukturierte Nachsorge und eine l\u00fcckenlose\n                        Traumarehabilitation unterst\u00fctzt werden.<\/jats:p><jats:p>Patienten sollen zehn Jahre nach einer schweren\n                        Verletzung mit einem Injury Severity Score von mind. 16 Punkten mithilfe des\n                        Polytrauma-Outcome-Charts befragt werden. Durch seinen modularen Aufbau aus\n                        European Quality of Life Index, Short-Form-36 und Trauma Outcome Profil kann\n                        die gesundheitsbezogene Lebensqualit\u00e4t der Betroffenen als\n                        multidimensionales Konstrukt systematisch analysiert werden.<\/jats:p><jats:p>Vom 01.01.2019 bis 31.12.2019 ist die\n                        gesundheitsbezogene Lebensqualit\u00e4t von 78 Patienten der\n                        Schwerverletzten-Versorgung in den Jahren 2007 bis 2009 erhoben worden.\n                        Gesundheitszustand und Lebensqualit\u00e4t von Betroffenen sind sogar nach einem\n                        durchschnittlichen Nachbefragungszeitraum von zehn Jahren im Vergleich zur\n                        deutschen Normalbev\u00f6lkerung signifikant herabgesetzt. Als Pr\u00e4diktoren haben\n                        sich Alter, Gesamtverletzungsschwere, Bildungsstand, Berufst\u00e4tigkeit und\n                        relevante Einschr\u00e4nkungen der sozialen Interaktion sowie Schmerz und\n                        Symptome von Depression, Angst und posttraumatischer Belastungsst\u00f6rung\n                        herausgestellt.<\/jats:p><jats:p>Im Langzeitverlauf scheinen psychosoziale\n                        Faktoren einen hohen Stellenwert f\u00fcr die Selbstbeurteilung der\n                        gesundheitsbezogenen Lebensqualit\u00e4t zu haben. Ein bed\u00fcrfnisorientierter und\n                        interdisziplin\u00e4rer Rehabilitationsprozess bietet die Chance auf eine\n                        dauerhafte berufliche sowie soziale Teilhabe.<\/jats:p>","DOI":"10.1055\/a-2505-5248","type":"journal-article","created":{"date-parts":[[2025,3,4]],"date-time":"2025-03-04T00:20:51Z","timestamp":1741047651000},"page":"68-75","source":"Crossref","is-referenced-by-count":0,"title":["Gesundheitsbezogene Lebensqualit\u00e4t Schwerverletzter: Eine\n                    monozentrische Querschnittstudie"],"prefix":"10.1055","volume":"64","author":[{"given":"Anne-Sophie","family":"Lehmann","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Unfall-, Hand- und Wiederherstellungschirurgie,\n                    Universit\u00e4tsklinikum Jena"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dana","family":"Loudovici-Krug","sequence":"additional","affiliation":[{"name":"Institut f\u00fcr Physikalische und Rehabilitative Medizin,\n                    Universit\u00e4tsklinikum Jena"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gunther O.","family":"Hofmann","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Unfall-, Hand- und Wiederherstellungschirurgie,\n                    Universit\u00e4tsklinikum Jena"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Arne","family":"Wilharm","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Unfall-, Hand- und Wiederherstellungschirurgie,\n                    Universit\u00e4tsklinikum Jena"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christina","family":"Lemh\u00f6fer","sequence":"additional","affiliation":[{"name":"Institut f\u00fcr Physikalische und Rehabilitative Medizin,\n                    Universit\u00e4tsklinikum Jena"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2025,3,3]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"780","DOI":"10.1097\/TA.0000000000000453","article-title":"The definition of polytrauma revisited: An international consensus process and\n                    proposal of the new 'Berlin definition'","volume":"77","author":"H-C Pape","year":"2014","journal-title":"J Trauma Acute Care Surg"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"691","DOI":"10.1016\/j.injury.2004.12.037","article-title":"Pathophysiology of polytrauma","volume":"36","author":"M Keel","year":"2005","journal-title":"Injury"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"206","DOI":"10.1007\/s00113-019-0699-4","article-title":"Empirische \u00dcberpr\u00fcfung der Qualit\u00e4tsindikatoren f\u00fcr Schwerverletzte im\n                    TraumaRegister DGU\u00ae","volume":"123","author":"A C H\u00f6rster","year":"2020","journal-title":"Unfallchirurg"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"77","DOI":"10.1016\/j.injury.2008.10.004","article-title":"30 years of polytrauma care: An analysis of the change in strategies and results\n                    of 4849 cases treated at a single institution","volume":"40","author":"C Probst","year":"2009","journal-title":"Injury"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"57","DOI":"10.1007\/s001130050688","article-title":"Lebensqualit\u00e4t schwerstverletzter Patienten ein Jahr nach dem Trauma. 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