Brouwers L, Lansink K W W, de Jongh M A C
Brabant Trauma Registry, Network Emergency Care Brabant, The Netherlands.
Brabant Trauma Registry, Network Emergency Care Brabant, The Netherlands; Department of Surgery, Elisabeth-Tweesteden Hospital, Tilburg, The Netherlands.
Injury. 2018 Apr;49(4):812-818. doi: 10.1016/j.injury.2018.03.012. Epub 2018 Mar 14.
Pelvic ring fractures might have consequences for health-related quality of life (HrQoL). The main purpose of this study was to evaluate patients' HrQoL after a pelvic ring fracture, considering the patients' characteristics. A cross-sectional study was conducted using the EuroQoL-5D (EQ-5D) and the Majeed pelvic score (MPS).
One hundred ninety-five patients (86%) with pelvic ring fractures who were conservatively or surgically treated in a level 1 trauma centre between 2011 and 2015 were included in this study (mean follow up: 29 months, range 6-61). A telephone survey of all patients was conducted. Multiple logistic and linear regression analyses were used for statistical assessment with the EQ-5D and the MPS. The MPS results were split into two age groups with a cut-off point of 65 years.
EQ-5D: The mean EQ-5D Visual Analogue Scale (VAS) for Tiles A-C was, respectively, 74 (SD 18), 74 (SD 19) and 67 (SD 21), and the mean EQ-5D index score was, respectively, 0.81 (SD 0.23), 0.77 (SD 0.30) and 0.71 (SD 0.26). Compared with Tile A, patients in Tile C experienced significantly more pain (odds ratio 6.28 (1.73-22.82 95% CI), P < 0.01). Clinically relevant differences in EQ-5D scores between Tile A and Tile C were seen in the domains of usual activities and anxiety and in the index score. MPS: The mean MPS of Tiles A-C patients in the <65 group was, respectively, 86 (SD 15), 81 (SD 17), and 74 (SD 16), and in the ≥65 group, it was, respectively, 69 (SD 15), 68 (SD 15) and 66 (SD 9). In the <65 group, significant differences in MPS results between the Tile groups regarding pain (P < 0.01) and the total MPS score (P = 0.04) were seen. Neither significant regression coefficients nor clinically relevant differences were found in the ≥65 group.
In conclusion, our study showed that pain was increased in patients with Tile C fractures, compared with Tiles A and B. Furthermore, Tile C patients had significantly lower EQ-5D index and total MPS scores. However, these problems were not seen in the ≥65 group.
骨盆环骨折可能会对健康相关生活质量（HrQoL）产生影响。本研究的主要目的是考虑患者特征，评估骨盆环骨折患者的HrQoL。使用欧洲五维健康量表（EQ-5D）和马吉德骨盆评分（MPS）进行了一项横断面研究。
本研究纳入了2011年至2015年间在一级创伤中心接受保守或手术治疗的195例骨盆环骨折患者（86%）（平均随访时间：29个月，范围6 - 61个月）。对所有患者进行了电话调查。使用EQ-5D和MPS进行多元逻辑回归和线性回归分析以进行统计评估。MPS结果按65岁的分界点分为两个年龄组。
EQ-5D：Tile A - C组的平均EQ-5D视觉模拟量表（VAS）评分分别为74（标准差18）、74（标准差19）和67（标准差21），平均EQ-5D指数得分分别为0.81（标准差0.23）、0.77（标准差0.30）和0.71（标准差0.26）。与Tile A组相比，Tile C组患者经历的疼痛明显更多（优势比6.28（1.73 - 22.82，95%置信区间），P < 0.01）。在日常活动、焦虑领域以及指数得分方面，Tile A组和Tile C组之间的EQ-5D评分存在临床相关差异。MPS：<65岁组中Tile A - C组患者的平均MPS分别为86（标准差15）、81（标准差17）和74（标准差16），≥65岁组中分别为69（标准差15）、68（标准差15）和66（标准差9）。在<65岁组中，Tile组之间在疼痛方面（P < 0.01）和MPS总分方面（P = 0.04）的MPS结果存在显著差异。在≥65岁组中未发现显著的回归系数或临床相关差异。
总之，我们的研究表明，与Tile A和B组相比，Tile C骨折患者的疼痛增加。此外，Tile C组患者的EQ-5D指数和MPS总分显著较低。然而，在≥65岁组中未出现这些问题。
