Andrew Nadine E, Gabbe Belinda J, Wolfe Rory, Williamson Owen D, Richardson Martin D, Edwards Elton R, Cameron Peter A
Department of Epidemiology and Preventive Medicine, Monash University, Melbourne, Victoria, Australia.
Clin J Sport Med. 2008 Sep;18(5):387-93. doi: 10.1097/JSM.0b013e3181859f8d.
To describe and identify predictors of 12-month outcomes of serious orthopaedic injuries due to sport and active recreation.
Prospective cohort study with 12-month follow-up.
Two Level 1 adult trauma centers in Victoria, Australia.
A total of 366 adults admitted to two Level 1 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 up at 12 months, and were free of moderate to severe disability prior to injury.
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.
The 12-item Short Form Health Survey and maximum pain scores.
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.
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.
描述并确定因运动和积极休闲活动导致的严重骨科损伤12个月预后的预测因素。
进行为期12个月随访的前瞻性队列研究。
澳大利亚维多利亚州的两家一级成人创伤中心。
2003年8月至2006年3月期间，共有366名成年人因骨科运动和积极休闲活动损伤入住两家一级创伤中心。患者被纳入维多利亚骨科创伤预后登记处（VOTOR），进行12个月的随访，且受伤前无中度至重度残疾。
评估作为预后预测因素的自变量包括运动组别、年龄、性别、婚姻状况、教育水平、损伤严重程度评分、损伤类型和头部损伤状况。
12项简短健康调查问卷和最大疼痛评分。
受伤后12个月时，22.8%的患者报告有中度至重度身体残疾，12.1%的患者报告有中度至重度心理健康残疾，11.1%的患者报告有中度至重度疼痛。不同运动组别之间的身体结局存在显著差异，其中机动车和马术运动的身体结局最差。多变量分析确定年龄增加（P = 0.010）和损伤类型（P = 0.040）是受伤后12个月身体预后不良的显著预测因素。未发现12个月时心理健康和最大疼痛预后的显著独立预测因素。
近四分之一的参与者在受伤后12个月报告有中度至重度身体残疾。年龄增加和损伤类型被发现是受伤后12个月身体预后不良的显著预测因素。
