Therrien Camryn C, Ten Duis Kaj, Banierink Hester, Trouwborst N M, de Vries Jean-Paul Pm, IJpma Frank Fa, Reininga Inge Hf
Department of Trauma Surgery, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.
Department of Surgery, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.
Clin Rehabil. 2025 Jun;39(6):808-818. doi: 10.1177/02692155251333535. Epub 2025 Apr 23.
ObjectiveTo provide insight into the impact of pelvic ring injuries on patients' work and school activities and participation in society.DesignProspective-cohort study.SettingA level-1 trauma center in the Netherlands.Participants195 patients with a pelvic ring injury.Main measuresThe work or school activities and participation in society domains of the World Health Organization Disability Assessment Score II (WHO-DAS II) were administered at admission (pre-injury score), 3 months, 6 months, 1 year and 2 years following the injury.ResultsBefore the injury, the median scores were 80 for both work or school activities and participation in society. The scores 3 months after the injury were 40 and 60, respectively, but both improved to 75 after 2 years. The percentage of non-recovered patients decreased over time, from 45% to 35% for work or school activities and from 34% to 18% for participation in society between 6 months and 2 years. At work or school, patients struggled to complete daily tasks and important activities as efficiently and effectively as needed. Regarding participation in society, patients struggled with the amount of time spent managing their injuries, joining community activities, and doing things for relaxation. No relationships between patients or injury characteristics and recovery were identified one year following the injury.ConclusionsPelvic ring injuries greatly impact patients' work or school activities and participation in society. However, these domains greatly improve within the first two years, with many individuals regaining their pre-injury capabilities. Still, some continue to experience long-term difficulties in participation.
目的
深入了解骨盆环损伤对患者工作、学习活动及社会参与的影响。
设计
前瞻性队列研究。
地点
荷兰的一家一级创伤中心。
参与者
195例骨盆环损伤患者。
主要测量指标
在入院时（伤前评分）、受伤后3个月、6个月、1年和2年，采用世界卫生组织残疾评定量表第二版（WHO-DAS II）的工作或学习活动以及社会参与领域进行评估。
结果
受伤前，工作或学习活动以及社会参与的中位数评分均为80分。受伤后3个月时，这两项评分分别为40分和60分，但2年后均提高到75分。未恢复患者的比例随时间下降，在6个月至2年期间，工作或学习活动方面从45%降至35%，社会参与方面从34%降至18%。在工作或学习中，患者难以按需要高效且有效地完成日常任务和重要活动。在社会参与方面，患者在管理伤痛所花费的时间、参加社区活动以及进行放松活动等方面存在困难。受伤一年后，未发现患者或损伤特征与恢复之间存在关联。
结论
骨盆环损伤对患者的工作或学习活动以及社会参与有重大影响。然而，这些领域在头两年内有显著改善，许多人恢复到伤前能力。尽管如此，仍有一些人在参与方面继续经历长期困难。
