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Return to pre-injury health status and function 12 months after hospitalisation for sport and active recreation related orthopaedic injury

Andrew, Nadine Elizabeth, Wolfe, Rory, Cameron, Peter, Richardson, Martin, Page, Richard, Bucknill, Andrew and Gabbe, Belinda J. 2012, Return to pre-injury health status and function 12 months after hospitalisation for sport and active recreation related orthopaedic injury, Injury prevention, vol. 18, no. 6, pp. 377-384, doi: 10.1136/injuryprev-2011-040190.

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Title Return to pre-injury health status and function 12 months after hospitalisation for sport and active recreation related orthopaedic injury
Author(s) Andrew, Nadine Elizabeth
Wolfe, Rory
Cameron, Peter
Richardson, Martin
Page, RichardORCID iD for Page, Richard orcid.org/0000-0002-2225-7144
Bucknill, Andrew
Gabbe, Belinda J.
Journal name Injury prevention
Volume number 18
Issue number 6
Start page 377
End page 384
Total pages 8
Publisher BMJ Group
Place of publication London, England
Publication date 2012
ISSN 1353-8047
1475-5785
Summary Background Hospitalised sport and active recreation injuries can have serious long-term consequences. Despite this, few studies have examined the long-term outcomes of these injuries. The purpose of this study was to establish whether patients hospitalised with orthopaedic sport and active recreation injuries, have returned to their pre-injury levels of health status and function, 12 months post injury and identify factors associated with poor outcomes. The present work was a cohort study with retrospective assessment of pre-injury status and prospective assessment of outcome at 12 months post injury.

Methods Adults with orthopaedic sport and active recreation injuries, captured by the Victorian Orthopaedic Trauma Outcomes Registry were recruited to the study. Pre-injury and 12-month outcomes were assessed using the 36-item Short Form Health Survey (SF-36) and the extended Glasgow Outcome Scale. Differences in pre-injury and post-injury SF-36 scores were examined and demographic, injury, hospital and physical activity variables were assessed for associations with outcome using multivariate linear regression.

Results Of the 324 participants 98% were followed-up at 12 months post injury. At 12 months, participants reported a mean 7.0-point reduction in physical health (95% CI 5.8 to 7.8) and a 2.5-point reduction in mental health (95% CI 1.2 to 3.0), with 58% (95% CI 52.6% to 63.4%) reporting reduced function. Sporting group (p=0.001), Injury Severity Score >15 (p=0.007) and high pre-injury vigorous activity levels (p=0.04), were related to poorer physical health outcomes.

Conclusions At 12 months post injury, most participants reported large reductions in physical health and reduced function. This information is important for furthering our understanding of the burden of sport and active recreation injury and setting priorities for treatment and rehabilitation.
Language eng
DOI 10.1136/injuryprev-2011-040190
Field of Research 119999 Medical and Health Sciences not elsewhere classified
Socio Economic Objective 970111 Expanding Knowledge in the Medical and Health Sciences
HERDC Research category C1 Refereed article in a scholarly journal
Copyright notice ©2012, BMJ Publishing Group
Persistent URL http://hdl.handle.net/10536/DRO/DU:30047495

Document type: Journal Article
Collection: School of Medicine
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Created: Thu, 30 Aug 2012, 09:36:22 EST

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