Impaired quality of life after bicycle trauma |
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| Institution: | 1. Department of Molecular Medicine and Surgery, Karolinska Institutet, Sweden;2. Gastrocentrum, Karolinska University Hospital, Stockholm, Sweden;1. Department of Gastrointestinal Surgery, Stavanger University Hospital, Stavanger, Norway;2. Department of Clinical Medicine, University of Bergen, Bergen, Norway;1. Department of Pediatrics and Communicable Diseases, Division of Pediatric Critical Care Medicine, University of Michigan Health System, Ann Arbor, MI 48109, USA;2. Department of Pediatrics and Communicable Diseases, Child Health Evaluation and Research Unit, University of Michigan Health System, Ann Arbor, MI 48109, USA;1. Department of Physical Medicine and Rehabilitation, Harvard Medical School, Boston, MA, USA;2. Spaulding Rehabilitation Hospital, Boston, MA, USA;3. Spaulding Outpatient Center-Wellesley, Wellesley, MA, USA;4. Newton-Wellesley Hospital, Newton, MA, USA;5. Division of Physical Medicine and Rehabilitation, University of Utah, 590 Wakara Way, Salt Lake City, UT 84108, USA;6. Athletico Physical Therapy, Chicago, IL, USA;7. Harvard University Extension, 51 Brattle Street, Cambridge, MA 02138, USA;8. US Department of Veterans Affairs, 1722 I St NW, Washington, DC, USA;9. Massachusetts General Hospital, Boston, MA, USA;1. University of Auckland, Private Bag 92019, Auckland 1010, New Zealand;2. Section of Epidemiology and Biostatistics, University of Auckland, Private Bag 92019, Auckland 1010, New Zealand |
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| Abstract: | IntroductionBicycle crashes often affect individuals in working age, and can impair quality of life (QoL) as a consequence. The aim of this study was to investigate QoL in bicycle trauma patients and to identify those at risk of impaired QoL.Patients and methods173 bicycle trauma patients who attended a level I trauma centre from 2010 to 2012 received Hadorn's QoL questionnaire six months after their crash. Medical data was collected from the patient's records. Univariate ordinal logistic regression was used to investigate the association between QoL and other factors.Results148 patients returned the questionnaire (85.5%). The majority had only mild or minor injuries (85.1%; n = 126). However, 72.1% (n = 106) still suffered from pain or other physical symptoms more than six months after their bicycle crash. Patients with a Glasgow Coma Scale (GCS) ≤13 or an Injury Severity Score (ISS) >15 experienced impaired emotions/outlook on life (p-values 0.003 and 0.045, respectively). Physical suffering was reported by patients with a GCS ≤13 and in those with injuries to the cervical spine (p-values 0.02 and 0.025, respectively). Patients with an ISS >15 or facial fractures experienced limitations in daily activities (p-values 0.031 and 0.025, respectively).ConclusionsMore than 70% of bicycle trauma patients suffered physically more than six months after their crash, even though only 15% were severely injured. Risk factors for an impaired QoL were cervical spine injuries or facial fractures, a GCS ≤13 and an ISS >15. |
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| Keywords: | Bicycle trauma Quality of life Outcome Population-based study |
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