Zelle Boris A, Panzica Martin, Vogt Molly T, Sittaro Nicola A, Krettek Christian, Pape Hans C
Department of Trauma Surgery, Hannover Medical School, Hannover, Germany.
Am J Surg. 2005 Jul;190(1):30-6. doi: 10.1016/j.amjsurg.2005.01.042.
Previous studies have shown that work-related injuries are often associated with inferior outcomes. The aim of the current study was to compare the long-term functional outcome after polytrauma between work-related and non-work-related injuries at a minimum follow-up of 10 years.
Six hundred thirty-seven polytrauma patients were evaluated using a patient questionnaire and a physical examination. The average follow-up was 17.5 years (range 10-28 years); the average Injury Severity Score (ISS) was 20.7 (range 4 to 54).
A multivariate analysis, with adjustments for age, sex, injury severity, and injury pattern, demonstrated that work-related injuries resulted in significantly inferior outcomes measured by the Hannove Score for Polytrauma Outcome (HASPOC), 12-Item Short-Form Health Survey (SF-12), requirement for medical aids and devices, length of rehabilitation, and retirement status (P < .05).
Polytrauma patients receiving workers' compensation achieve significantly inferior long-term outcomes than other patients. The obtained results demonstrate that psychosocial variables such as insurance status have a significant impact on the functional recovery following polytrauma.
先前的研究表明，与工作相关的损伤往往伴随着较差的预后。本研究的目的是比较多发伤后10年及以上随访期内，与工作相关损伤和非工作相关损伤的长期功能预后。
采用患者问卷和体格检查对637例多发伤患者进行评估。平均随访时间为17.5年（范围10 - 28年）；平均损伤严重度评分（ISS）为20.7（范围4至54）。
一项对年龄、性别、损伤严重程度和损伤类型进行校正的多变量分析表明，根据多发伤预后汉诺威评分（HASPOC）、简明健康调查12项量表（SF - 12）、医疗辅助器具需求、康复时长和退休状态衡量，与工作相关的损伤导致的预后明显较差（P < 0.05）。
获得工伤赔偿的多发伤患者长期预后明显比其他患者差。研究结果表明，诸如保险状态等社会心理变量对多发伤后的功能恢复有显著影响。
