Gabbe Belinda J, Cameron Peter A, Graves Stephen E, Williamson Owen D, Edwards Elton R
Department of Epidemiology and Preventive Medicine, Monash University, Central and Eastern Clinical School, Alfred Hospital, Melbourne, Victoria, Australia.
J Orthop Trauma. 2007 Apr;21(4):223-8. doi: 10.1097/BOT.0b013e31803eb13c.
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.
Prospective cohort study using retrospectively collected preinjury HRQL measures.
Two Level I adult trauma centers in Melbourne, Australia.
A total of 2388 admitted orthopaedic trauma patients aged > or = 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.
The 12-item Short Form Health Survey (SF-12).
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.
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.
描述入住一级创伤中心的骨科创伤患者伤前与健康相关的生活质量（HRQL），并与普通人群进行比较。
采用回顾性收集的伤前HRQL测量指标的前瞻性队列研究。
澳大利亚墨尔本的两家一级成人创伤中心。
纳入了维多利亚州骨科创伤结局登记处（VOTOR）在2003年10月至2006年1月期间收治的2388例年龄≥18岁的骨科创伤患者。排除有严重头部损伤（简明损伤定级严重程度评分>2）、痴呆、精神疾病、精神残疾、非英语使用者或术后意识模糊的患者。
12项简短健康调查问卷（SF-12）。
1839例患者获得了伤前SF-12评分[伤后中位数（四分位间距）为6（3 - 12）天]。VOTOR登记人群报告的SF-12身体维度平均得分高于人群常模（50.9对48.9，P<0.001）。差异主要存在于男性中，且仅限于18至54岁的患者。VOTOR登记人群的SF-12精神维度平均得分也高于人群常模（54.5对52.4，P<0.001），这在女性中最为明显。
确定创伤患者伤前的HRQL对于评估骨科创伤患者的结局质量很重要。为此目的依赖人群常模可能会低估特定年龄和性别亚组中损伤的影响，但鉴于所观察到的差异大小，任何低估都将很小。在无法收集个体伤前数据的情况下，人群常模可作为评估恢复质量时伤前患者状态的合理估计。
