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Review Question - QID 4439

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QID 4439 (Type "4439" in App Search)
At long term follow-up, a male who sustains multiple traumatic injuries compared with a premenopausal female, who sustained similar polytrauma, is most likely to have which of the following?

Higher quality-of-life scores than females

57%

3597/6288

Increased rates of complex regional pain syndrome

3%

203/6288

Require more psychiatric counseling and pharmacologic management than females

11%

678/6288

Take more absentee days at work as a result of illness than females

26%

1647/6288

Decreased incidence of lower extremity amputation

2%

119/6288

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Ten or more years after severe polytrauma, premenopausal women, compared to men, demonstrate a higher incidence of posttraumatic stress disorder (PTSD) and take more sick leave time from work.

Depression following polytrauma should be screened for by treating orthopaedic surgeons. Depression commonly arises from a protracted injury and can compound the disability by increasing the perception of more physical illness.

Probst et al. present a Level 4 review of over 600 polytrauma patients. They found that quality-of-life was significantly lower in women (Short form-12 psychologic F = 48.6 +/- 10.8 vs. M = 50.8 +/- 9.4; p = 0.02), but the same rate of women (75.3%) and men (75.4%; p = 0.995) felt well rehabilitated.

Holbrook et al. report a Level 4 study of 1,048 polytrauma patients. They found that females had lower quality-of-life scores and were significantly more likely to develop early combined depression.

Incorrect Answers:
Answer 4: Females take more absentee days at work.
Answers 2, 3, 5: There is no data supporting these answer options.

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