Preinjury status: Are orthopaedic trauma patients different than the general population?
Preinjury status: Are orthopaedic trauma patients different than the general population?
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DOI：
10.1097/bot.0b013e31803eb13c
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发表时间：
2007-04-01
影响因子：
2.3
通讯作者：
Edwards, Elton R.
中科院分区：
文献类型：
--
作者：
Gabbe, Belinda J.;Cameron, Peter A.;Edwards, Elton R.
目的：描述I级创伤中心收治的骨科创伤患者相对于普通人群的伤前健康相关生活质量（HRQL）。设计：前瞻性队列研究，采用回顾性收集的伤前HRQL指标。设置：澳大利亚墨尔本的两个I级成人创伤中心参与者：共纳入2388例年龄≥ 18岁的骨科创伤住院患者，由维多利亚骨科创伤结局登记处（VOTOR）在2003年10月至2006年1月期间收集。严重头部损伤的患者（简明损伤量表严重程度评分> 2）、痴呆、精神疾病、精神残疾、不讲英语者或术后意识模糊者被排除。主要结果测量：12项简明健康调查表（SF-12）。获得了1839例患者的伤前SF-12 [中位数（四分位数间距）为伤后6（3-12）天]。VOTOR人群报告的平均SF-12身体评分高于人群标准（50.9 vs. 48.9，P < 0.001）。差异在男性中占主导地位，仅限于18至54岁的患者。VOTOR人群的平均SF-12精神评分也高于人群标准（54.5 vs. 52.4，P < 0.001），这是最明显的women.Conclusions：建立创伤患者的损伤前HRQL是重要的骨科创伤患者的预后质量进行评估。为此目的而依赖人口规范可能会导致低估伤害对特定年龄和性别亚组的影响，但考虑到所观察到的差异的大小，任何低估都很小。在无法收集个体损伤前数据的情况下，可以使用人群规范作为损伤前患者状态的合理估计，以评估恢复质量。
Objective: To describe the preinjury health-related quality of life (HRQL) of orthopaedic trauma patients admitted to Level I trauma centers relative to the general population.Design: Prospective cohort study using retrospectively collected preinjury HRQL measures.Setting: Two Level I adult trauma centers in Melbourne, AustraliaParticipants: A total of 2388 admitted orthopaedic trauma patients aged >= 18 years were included, captured by the Victorian Orthopaedic Trauma Outcomes Registry (VOTOR) between October 2003 and January 2006. Patients with a significant head injury (Abbreviated Injury Scale severity score > 2), dementia, mental illness, mental disability, who were non-English speakers, or who were postoperatively confused were excluded.Main Outcome Measurements: The 12-item Short Form Health Survey (SF-12).Results: The preinjury SF-12 was obtained for 1839 patients [median (interquartile range) of 6 (3-12) days postinjury]. The VOTOR population reported mean physical SF-12 scores above population norms (50.9 vs. 48.9, P < 0.001). The differences were predominant in men and confined to patients aged 18 to 54 years. The mean mental SF-12 scores of the VOTOR population were also greater than population norms (54.5 vs. 52.4, P < 0.001) and this was most apparent for women.Conclusions: Establishing the preinjury HRQL of trauma patients is important for evaluating the quality of orthopaedic trauma patient outcomes. Reliance on population norms for this purpose may lead to an underestimation of the impact of injury in particular age and sex subgroups, but given the size of the differences seen, any underestimation would be small. Where individual preinjury data cannot be collected, population norms could be used as a reasonable estimate of preinjury patient status for assessing quality of recovery.