Article

OBJECTIVE: To identify the role of preinjury sociodemographic and health
characteristics, injury and injury-related health care characteristics in
determining functional outcomes 12 months after injury. DESIGN: Prospective
cohort study involving 1-year follow-up. SETTING: Community. PARTICIPANTS: Study
participants (N=2282; age range, 18-64y inclusive) were those in the Prospective
Outcomes of Injury Study who completed the 12-month interview. The original
cohort of 2856 were injured and registered with New Zealand's national no-fault
injury insurance agency. With the exception of injury and hospitalization,
information on predictors and outcomes was obtained directly from the
participants, primarily by telephone interviews, approximately 3 and 12 months
after their injury. INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES: The
functional outcomes of interest were the 5 dimensions of the EQ-5D plus a
cognitive dimension. Our multivariate analyses included adjustment for preinjury
EQ-5D status and time between injury and the 12-month interview. RESULTS:
Substantial portions of participants continued to have adverse outcomes,
especially pain/discomfort, 12 months after their injury. The significance of
factors varied by outcome. Factors adversely associated with at least 3 of the 6
outcomes were preinjury EQ-5D status, being female, aged 45 to 64 years,
inadequate household income, preinjury disability, 2 or more prior chronic
illnesses, smoking regularly, dislocation or sprains to the spine or upper
extremities, and having a relatively severe injury. CONCLUSIONS: A range of
preinjury sociodemographic and health characteristics are associated with several
adverse functional outcomes 1 year after injury, independent of the nature and
severity of injury. The latter, however, also have independent effects on the
outcomes.
CI - Copyright (c) 2013 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS