Wilson Suzanne J, Derrett Sarah, Cameron Ian D, Samaranayaka Ari, Davie Gabrielle, Langley John
Injury Prevention Research Unit, Department of Preventive and Social Medicine, Dunedin School of Medicine, University of Otago, , Dunedin, New Zealand.
Inj Prev. 2014 Feb;20(1):57-61. doi: 10.1136/injuryprev-2012-040690. Epub 2013 Apr 6.
Little is known of injury outcomes among non-hospitalised injured populations. This study examined the occurrence of poor outcomes 3 months after injury among the 2856 participants in the Prospective Outcomes of Injury Study, most of whom had sustained injuries considered of minor severity (by injury severity scoring) and had not received treatment at a hospital facility. The prevalence of poor outcomes was high across all health, physical functioning and social functioning domains and expectation characteristics examined, including for those participants with the 'least severe' injuries. Approximately half of the cohort reported experiencing moderate to high pain or psychological distress and reduced social participation, and three-quarters did not consider themselves recovered. Our findings demonstrate that, to obtain an accurate understanding of injury burden, injury outcome research should not focus only on those injured persons who are hospitalised.
对于未住院的受伤人群的损伤结局，我们知之甚少。本研究调查了损伤前瞻性结局研究中2856名参与者受伤3个月后不良结局的发生情况，其中大多数人所受损伤（根据损伤严重程度评分）被认为是轻度的，且未在医院设施接受治疗。在所有检查的健康、身体功能和社会功能领域以及预期特征中，不良结局的发生率都很高，包括那些“最不严重”损伤的参与者。大约一半的队列报告经历了中度至高度疼痛或心理困扰以及社会参与度降低，并且四分之三的人认为自己没有康复。我们的研究结果表明，为了准确了解损伤负担，损伤结局研究不应仅关注那些住院的受伤者。
