Functional outcome at 2.5, 5, 9, and 24 months after injury in the Netherlands
Functional outcome at 2.5, 5, 9, and 24 months after injury in the Netherlands
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DOI：
10.1097/ta.0b013e31802b71c9
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发表时间：
2007-01-01
影响因子：
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通讯作者：
Meerding, Willem Jan
中科院分区：
文献类型：
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作者：
Polinder, Suzanne;van Beeck, Ed F.;Meerding, Willem Jan
背景：收集有关功能的频率、严重程度和持续时间的经验数据是确定长期或永久性残疾患者群体的先决条件。方法：我们对 8,564 名年龄在 15 岁及以上、曾到荷兰急诊室就诊的受伤患者进行分层抽样，发放了邮寄调查问卷。测量时间为受伤后 2.5、5、9 和 24 个月，包括一般健康状况分类 (EQ-5D)、社会人口统计和医疗信息。我们通过多元回归分析来分析长期功能结果的决定因素。结果：非住院损伤患者受伤后五个月的健康状况与一般人群的健康状况相当（EQ-5D 汇总测量值 0.87）。入院 3 天或更短时间的患者健康状况在 9 个月之前有所改善（0.82）。对于入院超过 3 天的患者，健康状况在 24 个月前有所改善（从 0.48 到 0.67），但仍低于人口正常水平。住院情况、年龄和性别（女性）、损伤类型（脊髓损伤、髋部骨折和下肢损伤）以及合并症是长期功能不良的重要预测因素。 结论：非住院、短期和长期住院损伤患者的恢复模式差异很大。非住院损伤患者在受伤后 5 个月内康复，而相当一部分住院损伤患者患有持续的健康问题。我们的研究表明了对受伤患者进行适应性纵向设计的健康监测的重要性。使用的时间间隔应与恢复过程的各个阶段相匹配，这取决于所研究的损伤的严重程度。
Background: The collection of empirical data on the frequency, severity, and duration of functioning is a prerequisite to identify patient groups with long term or permanent disability.Methods: We fielded postal questionnaires in a stratified sample of 8,564 injury patients aged 15 years and older, who had visited an emergency department in the Netherlands. Measurements were at 2.5, 5, 9, and 24 months after the injury and included a generic health status classification (EQ-5D), socio-demographic, and medical information. We analyzed determinants of long-term functional outcome by multivariate regression analysis.Results: Five months after the injury health status of nonhospitalized injury patients was comparable to the general population's health (EQ-5D summary measure 0.87). Health status of patients admitted for 3 days or less improved until 9 months (0.82). For those admitted more than 3 days health status improved until 24 months (0.48 toward 0.67), but remained below population norms. Hospitalization, age and sex (females), type of injury (spinal cord injury, hip fracture, and lower extremity injury), and comorbidity were significant predictors of poor functioning in the long term.Conclusions: Recovery patterns vary widely between nonhospitalized, shortly, and long hospitalized injury patients. Nonhospitalized injury patients recover within 5 months from an injury whereas a considerable group of hospitalized injury patients suffer from persistent health problems. Our study indicates the importance of health monitoring with an adapted longitudinal design for injury patients. The time intervals used should match the various stages of the recovery process, which depends on the severity of the injury studied.