Investigation of Quality of Patients’ Life Analysis According to EuroQol-5D-5L System after Surgical Treatment of Extensive Mechanical Wounds of Limbs with Skin Defect
Objective: to examine the quality of life of patients after surgical treatment of extensive mechanical injuries of the limbs with skin defect on the system EuroQol-5D-5L. Material and Methods. 60 patients who were treated at the department of thermal injuries and plastic surgery of Institute of urgent and reconstructive surgery named after V.K. Gusak of National academy of medical sciences of Ukraine from 2009 to 2011 about extensive mechanical limb wounds with a defect of the skin interviewed at the system EuroQol-5D-5L. The area of wounds in patients ranged from 90 to 250 cm2 (0.5–1.5 % of body surface). Results. It is shown that the early elimination of wound defects, through primary reconstructive operations, to reduce the risks of problems in patients with movement on foot (OR = 0.55, 95% CI 0.35–0.85), difficulties in daily activities (OR = 0.46, 95% CI 0.29–0.73), the feeling of pain or discomfort (OR = 0.48, 95% CI 0.30–0.77), anxiety/depression (OR = 0.47, 95% CI 0.26–0.87), thereby, improve the quality of life of patients with extensive mechanical injuries to the extremities of the skin defect. Conclusions. Implementation of the primary reconstructive rehabilitation with one-stage plastic closing wounds can significantly improve the quality of life for patients with extensive mechanical injuries of extremities that may be related to the prevention of the development of fibro-proliferative processes in the wound.