Abedzadeh-Kalahroudi Masoumeh, Razi Ebrahim, Sehat Mojtaba, Asadi Lari Mohsen
Trauma Research Center, Kashan University of Medical Sciences, Kashan, IR Iran.
School of Public Health, Tehran University of Medical Sciences, Tehran, IR Iran.
Arch Trauma Res. 2015 Aug 29;4(3):e29393. doi: 10.5812/atr.29393. eCollection 2015 Sep.
Globally more than a billion people, 15% of the population, lives with disability and most of disabilities are caused by injuries.
The aim of this study was to describe the prevalence of disability and its predictors at 1 and 3 months post-injury in Kashan City during 2014 - 2015.
In this longitudinal follow-up study, 400 injured patients 15 - 65 years referred to Shahid Beheshti hospital in Kashan and hospitalized more than 24 hours were assessed for disability status with the WHODAS II 12-item instrument at 1 and 3-months post-injury. Patients based on their disability scores were divided into 5 groups: none, mild, moderate, severe and very severe. Work status was assessed at the 3-month follow-up with one question "Are you back at work following your injury". Also, demographic characteristics and information about injury were gathered by a checklist. Data were analyzed using chi-square, Mann-Whitney U, Kruskal Wallis, Pearson correlation coefficient and logistic regression by SPSS software. The significance level was set at P < 0.05.
The mean disability scores at 1 and 3 months post-injury was 30.3 (9.2) and 18.8 (8.3), respectively and there was a statistical significant difference between disability status at 1 and 3 months after trauma (P < 0.0001). The rates of return to work in 262 employed patients at 1 and 3 months after injury were 29% and 55.4%, respectively. The disability score showed a statistically significant correlation with Injury Severity Score (ISS) (P < 0.0001), work return (P = 0.033), intensive care unit transfer (P < 0.0001), trauma type (P = 0.001) and age (P = 0.004). Also, age, ISS, duration of hospital stay and injury to extremities were predictors of disability.
More than half of the patients were disabled after 3 months of trauma. Elderly patients, patient with severe trauma, and long hospitalization and patients with extremity injuries were high risk for disability.
全球超过10亿人，即15%的人口，患有残疾，且大多数残疾是由伤害所致。
本研究旨在描述2014 - 2015年期间卡尚市受伤后1个月和3个月时残疾的患病率及其预测因素。
在这项纵向随访研究中，对400名年龄在15 - 65岁、转诊至卡尚的沙希德·贝赫什提医院且住院超过24小时的受伤患者，在受伤后1个月和3个月时使用世界卫生组织残疾评定量表第二版（WHODAS II）12项工具评估其残疾状况。根据残疾评分，患者被分为5组：无残疾、轻度残疾、中度残疾、重度残疾和极重度残疾。在3个月随访时通过一个问题“受伤后你是否已重返工作岗位”评估工作状态。此外，通过一份清单收集人口统计学特征和受伤信息。使用SPSS软件通过卡方检验、曼 - 惠特尼U检验、克鲁斯卡尔 - 沃利斯检验、皮尔逊相关系数和逻辑回归分析数据。显著性水平设定为P < 0.05。
受伤后1个月和3个月时的平均残疾评分分别为30.3（9.2）和18.8（8.3），创伤后1个月和3个月时的残疾状况存在统计学显著差异（P < 0.0001）。262名就业患者在受伤后1个月和3个月时的重返工作率分别为29%和55.4%。残疾评分与损伤严重程度评分（ISS）（P < 0.0001）、重返工作（P = 0.033）、转入重症监护病房（P < 0.0001）、创伤类型（P = 0.001）和年龄（P = 0.004）显示出统计学显著相关性。此外，年龄、ISS、住院时间和四肢损伤是残疾的预测因素。
超过一半的患者在创伤3个月后出现残疾。老年患者、重伤患者、住院时间长的患者以及四肢受伤的患者残疾风险较高。
