Department of Trauma Surgery, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.
Emergency Care Network Northern Netherlands (AZNN), Northern Netherlands Trauma Registry, Groningen, The Netherlands.
Arch Orthop Trauma Surg. 2019 Sep;139(9):1225-1233. doi: 10.1007/s00402-019-03170-2. Epub 2019 Apr 11.
Pelvic ring injuries are serious injuries, often associated with substantial morbidity and mortality rates. The long-term consequences of these injuries might affect the patients' personal life. Our aim was to assess the long-term effects of pelvic ring injuries on physical functioning and quality of life (QoL) using validated patient-reported outcome measures (PROMs) and comparing these results to normative data from the general population.
A retrospective cohort study was conducted on adults treated for pelvic ring injuries between 2007 and 2016. Demographics, fracture type, injury mechanism, treatment and complications were recorded. PROMs questionnaires concerning physical functioning (SMFA) and quality of life (EQ-5D) were used. Patients were divided according to their age (18-30, 31-64, 65 and older) and fracture type (Tile/AO type A, B or C). Differences in SMFA and EQ-5D scores of the operatively and non-operatively treated patients and between the study population and general population were analyzed.
A total of 413 patients were identified of which 279 were eligible for follow-up. One-hundred and ninety-two (69%) patients responded with a mean follow-up of 4.4 years. Patients reported a median score of 13.9 on the SMFA function index, 16.7 on the bother index, 12.5 on the lower extremity, 18.8 on the activities of daily living and 23.4 on the emotion subscale. A median EQ-5D score of 0.8 was reported. There was no difference in physical functioning and QoL between operatively and non-operatively treated patients. Comparison of these results to normative data of the general population revealed a significant (P < 0.05) decrease in physical functioning and QoL in patients with all types of pelvic ring injuries.
Long-term physical functioning and QoL in patients who had sustained a pelvic ring injury seems fair, although significantly decreased in comparison with their peers from the general population.
骨盆环损伤是严重的损伤，常伴有较高的发病率和死亡率。这些损伤的长期后果可能会影响患者的个人生活。我们的目的是使用经过验证的患者报告结局测量（PROM）评估骨盆环损伤对身体功能和生活质量（QoL）的长期影响，并将这些结果与普通人群的参考数据进行比较。
对 2007 年至 2016 年期间接受骨盆环损伤治疗的成年人进行了回顾性队列研究。记录了人口统计学、骨折类型、损伤机制、治疗和并发症。使用了涉及身体功能（SMFA）和生活质量（EQ-5D）的 PROM 问卷。根据患者年龄（18-30 岁、31-64 岁、65 岁及以上）和骨折类型（Tile/AO 型 A、B 或 C）对患者进行了分组。分析了手术和非手术治疗患者之间以及研究人群和普通人群之间的 SMFA 和 EQ-5D 评分差异。
共确定了 413 名患者，其中 279 名符合随访条件。192 名（69%）患者作出回应，平均随访时间为 4.4 年。患者报告的 SMFA 功能指数中位数为 13.9，困扰指数中位数为 16.7，下肢中位数为 12.5，日常生活活动中位数为 18.8，情感子量表中位数为 23.4。报告的 EQ-5D 中位数为 0.8。手术和非手术治疗患者的身体功能和生活质量无差异。将这些结果与普通人群的参考数据进行比较，发现所有类型骨盆环损伤患者的身体功能和生活质量均显著下降（P<0.05）。
骨盆环损伤患者的长期身体功能和生活质量尚可，尽管与普通人群中的同龄人相比明显下降。
