School of Public Health and Preventive Medicine, Monash University, Melbourne, Australia; Department of Physiotherapy, School of Medicine, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
School of Public Health and Preventive Medicine, Monash University, Melbourne, Australia; Health Data Research UK, Swansea University Medical School, Swansea University, Wales, UK.
Arch Phys Med Rehabil. 2022 Sep;103(9):1738-1748. doi: 10.1016/j.apmr.2021.12.014. Epub 2022 Jan 10.
To determine (1) the prevalence of chronic physical health conditions reported preinjury, at the time of injury, up to 1 year postinjury, and 1 to 5 years postinjury; and (2) the risk of chronic physical health conditions reported 1 to 5 years postinjury in people with orthopedic and other types of major trauma.
Cohort study using linked trauma registry and health administrative datasets.
This study used linked data from the Victorian State Trauma Registry (VSTR), the Victorian Registry of Births, Deaths and Marriages (BDM), the Victorian Admitted Episodes Dataset (VAED), and the Victorian Emergency Minimum Dataset (VEMD).
Major trauma patients (N=28,522) aged 18 years and older who were registered by the VSTR, with dates of injury from 2007 to 2016, and who survived to at least 1 year after injury, were included in this study. Major trauma cases were classified into 4 groups: (1) orthopedic injury, (2) severe traumatic brain injury (s-TBI), (3) spinal cord injury, and (4) other major trauma.
Not applicable.
Prevalence of chronic physical health conditions.
The cumulative prevalence of any chronic physical health condition for all participants was 69.3%. The s-TBI group had the highest cumulative prevalence of conditions. The most common conditions were arthritis and arthropathies, cancer, and cardiovascular diseases. Preinjury chronic conditions were most common in people with s-TBI (19.3%) and were least common in people with other types of major trauma (6.6%). The highest prevalence of new-onset conditions after injury was found in people with s-TBI (21.7%) and orthopedic major trauma (21.4%), whereas the lowest prevalence was found in people with other types of major trauma (9.2%). For the orthopedic injury group, there were no significant differences in the adjusted risk of conditions reported 1 to 5 years postinjury compared with other major trauma groups.
Chronic physical health conditions were common among all injury groups. There was no significant difference in the risk of chronic conditions among injury groups. Rehabilitation practitioners should be aware of the risk of chronic conditions in people with orthopedic and other types of major trauma. Long-term follow-up care after injury should include prevention and treatment of chronic conditions.
确定（1）受伤前、受伤时、受伤后 1 年及 1 至 5 年内报告的慢性身体健康状况的患病率；以及（2）在骨科和其他类型重大创伤患者中，报告受伤后 1 至 5 年内的慢性身体健康状况的风险。
使用链接创伤登记处和健康管理数据集的队列研究。
本研究使用了来自维多利亚州创伤登记处（VSTR）、维多利亚州出生、死亡和婚姻登记处（BDM）、维多利亚州入院事件数据集（VAED）和维多利亚州紧急最低数据集（VEMD）的链接数据。
纳入了年龄在 18 岁及以上、由 VSTR 登记、受伤日期在 2007 年至 2016 年期间、且至少在受伤后 1 年存活的重大创伤患者（n=28522）。将重大创伤病例分为 4 组：（1）骨科损伤；（2）严重创伤性脑损伤（s-TBI）；（3）脊髓损伤；和（4）其他重大创伤。
无。
慢性身体健康状况的患病率。
所有参与者的任何慢性身体健康状况的累积患病率为 69.3%。s-TBI 组的患病情况最严重。最常见的疾病是关节炎和关节病、癌症和心血管疾病。受伤前的慢性疾病在 s-TBI 患者中最为常见（19.3%），在其他类型重大创伤患者中最为罕见（6.6%）。受伤后新发疾病的最高患病率出现在 s-TBI（21.7%）和骨科重大创伤（21.4%）患者中，而在其他类型重大创伤患者中（9.2%）最低。对于骨科损伤组，与其他重大创伤组相比，受伤后 1 至 5 年内报告的疾病的调整风险无显著差异。
慢性身体健康状况在所有损伤组中都很常见。各损伤组间的慢性疾病风险无显著差异。骨科和其他类型重大创伤患者的康复从业者应注意慢性疾病的风险。受伤后的长期随访护理应包括预防和治疗慢性疾病。
