Twelve-month outcomes of serious orthopaedic sport and active recreation-related injuries admitted to level 1 trauma centers in Melbourne, Australia

被引:17
作者
Andrew, Nadine E.
Gabbe, Belinda J.
Wolfe, Rory
Williamson, Owen D.
Richardson, Martin D. [1 ]
Edwards, Elton R. [2 ]
Cameron, Peter A.
机构
[1] Royal Melbourne Hosp, Dept Orthopaed, Melbourne, Vic, Australia
[2] Alfred Hosp, Natl Trauma Res Inst, Dept Trauma Surg, Melbourne, Vic, Australia
来源
CLINICAL JOURNAL OF SPORT MEDICINE | 2008年 / 18卷 / 05期
基金
英国医学研究理事会;
关键词
sport and recreation; injury; outcomes; orthopaedic; quality of life;
D O I
10.1097/JSM.0b013e3181859f8d
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Objective: To describe and identify predictors of 12-month out-comes of serious orthopaedic injuries due to sport and active recreation. Design: Prospective cohort study with 12-month follow-up. Setting: Two Level I adult trauma centers in Victoria, Australia. Participants: A total of 366 adults admitted to two Level I trauma centers for an orthopaedic sport and active recreation injury between August 2003 and March 2006. Patients were captured by the Victorian Orthopaedic Trauma Outcomes Registry (VOTOR), followed LIP at 12 months, and were free of moderate to severe disability prior to injury. Assessment of risk factors: Independent variables assessed for predictors of outcome were sporting group, age, sex, marital status, education level, Injury Severity Score, injury patterns, and head injury status. Main outcome measurements: The 12-item Short Form Health Survey and maximum pain scores. Results: At 12 months postinjury, 22.8% of patients reported moderate to severe physical disability, 12.1% reported moderate to severe mental health disability, and 11.1% reported moderate to severe pain. There were significant differences in physical outcomes between sporting groups, with motor and equestrian sports reporting the worst physical Outcomes. Multivariate analysis indentified increasing age (P = 0.010) and patterns of injury (P = 0.040) as significant predictors of a poor physical outcome at 12 months. No significant independent predictors of outcome for mental health and maximum pain at 12 months were identified. Conclusion: Almost one-quarter of participants reported moderate to severe physical disability at 12 months postinjury. Increasing age and patterns of injury were found to be significant predictors of a poor physical Outcome at 12 months.
引用
收藏
页码:387 / 393
页数:7
相关论文
共 30 条
[1]   Psychosocial factors in sports injury rehabilitation [J].
Ahern, DK ;
Lohr, BA .
CLINICS IN SPORTS MEDICINE, 1997, 16 (04) :755-&
[2]  
[Anonymous], INJURY CONTROL SAFET
[3]  
Australian Sports Injury Data Working Party, AUSTR SPORTS INJ DAT
[4]   INJURY SEVERITY SCORE - METHOD FOR DESCRIBING PATIENTS WITH MULTIPLE INJURIES AND EVALUATING EMERGENCY CARE [J].
BAKER, SP ;
ONEILL, B ;
HADDON, W ;
LONG, WB .
JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE, 1974, 14 (03) :187-196
[5]   Epidemiology of medically treated sport and active recreation injuries in the Latrobe Valley, Victoria, Australia [J].
Cassell, EP ;
Finch, CF ;
Stathakis, VZ .
BRITISH JOURNAL OF SPORTS MEDICINE, 2003, 37 (05) :405-409
[6]   Sports and recreation related injury episodes in the US population, 1997-99 [J].
Conn, JM ;
Annest, JL ;
Gilchrist, J .
INJURY PREVENTION, 2003, 9 (02) :117-123
[7]   Epidemiology and outcome of bicycle injuries presenting to an emergency department in the United Kingdom [J].
Davidson, Jennifer A. .
EUROPEAN JOURNAL OF EMERGENCY MEDICINE, 2005, 12 (01) :24-29
[8]   Long-term disabilities and handicaps following sports injuries: outcome after outpatient treatment [J].
Dekker, R ;
Groothoff, JW ;
Van der Sluis, CK ;
Eisma, WH ;
Ten Duis, HJ .
DISABILITY AND REHABILITATION, 2003, 25 (20) :1153-1157
[9]   Long-term outcome of sports injuries: results after inpatient treatment [J].
Dekker, R ;
van der Sluis, CK ;
Groothoff, JW ;
Eisma, WH ;
ten Duis, HJ .
CLINICAL REHABILITATION, 2003, 17 (05) :480-487
[10]   Incidence of sports and recreation related injuries resulting in hospitalization in Wisconsin in 2000 [J].
Dempsey, RL ;
Layde, PM ;
Laud, PW ;
Guse, CE ;
Hargarten, SW .
INJURY PREVENTION, 2005, 11 (02) :91-96