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Titre : | Difficulties in Functioning 1 Year After Injury: The Role of Preinjury Sociodemographic and Health Characteristics, Health Care and Injury-Related Factors (2013) |
Auteurs : | John Langley ; Gabrielle Davie ; Suzanne Wilson ; et al. |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (2013/7, 2013) |
Article en page(s) : | pp. 1277-1286 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Évaluation de résultat (soins) ; Rééducation et réadaptation |
Mots-clés: | Health status ; État de santé ; Wounds and Injuries ; Plaies et blessures ; Outcome Assessment (Health Care) |
Résumé : |
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, 1864y 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. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/journal/archives-of-physical-medicine-and-rehabilitation |