Chronic Physical Health Conditions After Injury: A Comparison of Prevalence and Risk in People With Orthopedic Major Trauma and Other Types of Injury |
| |
| Affiliation: | 1. School of Public Health and Preventive Medicine, Monash University, Melbourne, Australia;2. Department of Physiotherapy, School of Medicine, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia;3. Health Data Research UK, Swansea University Medical School, Swansea University, Wales, UK;4. Rehabilitation, Ageing and Independent Living (RAIL) Research Centre, School of Primary and Allied Health Care, Monash University, Melbourne, Australia;5. Baker Heart and Diabetes Institute, Melbourne, Australia;6. Alfred Emergency and Trauma Centre, Melbourne, Australia;1. Division of Physical Therapy, Department of Rehabilitation Medicine, University of Minnesota Medical School, Minneapolis, Minnesota;2. Division of Rehabilitation Science, Department of Rehabilitation Medicine, University of Minnesota Medical School, Minneapolis, Minnesota;3. Masonic Cancer Center, University of Minnesota, Minneapolis, Minnesota;4. Division of Physical Medicine and Rehabilitation, Department of Rehabilitation Medicine, University of Minnesota Medical School, Minneapolis, Minnesota;5. Radiology, University of Minnesota, Minneapolis, Minnesota;6. Hematology/Oncology, University of Minnesota, Minneapolis, Minnesota;7. Department of Oncology, Mayo Clinic, Rochester, Minnesota;8. Clinical and Translational Science Institute, Biostatistical Design and Analysis Center, University of Minnesota, Minneapolis, Minnesota, United States;1. Rehabilitation Unit, Kyoto University Hospital, Kyoto, Japan;2. Department of Orthopaedic Surgery, Graduate School of Medicine, Kyoto University, Kyoto, Japan;1. Department of Health Sciences, Central Washington University, Ellensburg, WA;2. Department of Physical Therapy, Western of Sao Paulo University, Presidente Prudente, Brazil;3. Department of Medicine, Western of Sao Paulo University, Presidente Prudente, Brazil;4. Department of Physical Education, Sao Paulo State University, Presidente Prudente, Brazil;5. Department of Physical Therapy, Federal University of Minas Gerais, Belo Horizonte, Minas Gerais, Brazil.;1. Department of Adapted Physical Activity, Faculty of Sport Sciences, Poznań University of Physical Education, Poznań, Poland;2. Department of Medical Rehabilitation, Faculty of Health Sciences, Medical University of ?ód?, ?ód?, Poland;3. Department of Rehabilitation, Faculty of Medicine, Medical University of Warsaw, Warsaw, Poland;4. Department of Health Science and Medicine, University of Lucerne, Lucerne, Switzerland;5. Swiss Paraplegic Research, Nottwil, Switzerland;6. John Walsh Centre for Rehabilitation Research, Kolling Institute of Medical Research, Royal North Shore Hospital, New South Wales, Australia;7. Faculty of Medicine and Health, University of Sydney, Sydney, Australia;8. Center of Excellence for Rehabilitation Medicine, UMC Utrecht Brain Center, University Medical Center Utrecht and De Hoogstraat, Utrecht, The Netherlands;9. University of Groningen, University Medical Center Groningen, Department of Rehabilitation Medicine, Groningen, The Netherlands;1. Department of Physiotherapy, Calvary Health Care Bethlehem, Melbourne, Australia;2. School of Primary and Allied Health Care, Faculty of Medicine, Nursing and Health Science, Monash University, Melbourne, Australia;1. From the Department of Physical Medicine and Rehabilitation, University of Pennsylvania—Perelman School of Medicine, Philadelphia, PA;2. Department of Psychiatry, University of Pennsylvania—Perelman School of Medicine, Philadelphia, PA;3. Center for Advancing Population Sciences, Medical College of Wisconsin, Milwaukee, WI;4. Institute for Health and Equity and Collaborative for Healthcare Delivery Science, Medical College of Wisconsin, Milwaukee, WI |
| |
| Abstract: | ObjectivesTo 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.DesignCohort study using linked trauma registry and health administrative datasets.SettingThis 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).ParticipantsMajor 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.InterventionNot applicable.Main Outcome MeasurePrevalence of chronic physical health conditions.ResultsThe 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.ConclusionsChronic 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. |
| |
| Keywords: | Multiple trauma Wounds and injuries |
| 本文献已被 ScienceDirect 等数据库收录！ |
|
