Quality of life after pelvic ring fractures: a cross-sectional study

Publication date: Available online 14 March 2018
Source:Injury
Author(s): L. Brouwers, K.W.W. Lansink, M.A.C. de Jongh
BackgroundPelvic ring fractures might have consequences for health-related quality of life (HrQoL). The main purpose of this study was to evaluate patients' HrQoL after a pelvic ring fracture, considering the patients' characteristics. A cross-sectional study was conducted using the EuroQoL-5D (EQ-5D) and the Majeed pelvic score (MPS).MethodsOne hundred ninety-five patients (86%) with pelvic ring fractures who were conservatively or surgically treated in a level 1 trauma centre between 2011 and 2015 were included in this study (mean follow up: 29 months, range 6-61). A telephone survey of all patients was conducted. Multiple logistic and linear regression analyses were used for statistical assessment with the EQ-5D and the MPS. The MPS results were split into two age groups with a cut-off point of 65 years.ResultsEQ-5D: The mean EQ-5D Visual Analogue Scale (VAS) for Tiles A, B and C was, respectively, 74 (SD 18), 74 (SD 19) and 67 (SD 21), and the mean EQ-5D index score was, respectively, 0.81 (SD 0.23), 0.77 (SD 0.30) and 0.71 (SD 0.26). Compared with Tile A, patients in Tile C experienced significantly more pain (odds ratio 6.28 (1.73–22.82 95% CI), P < 0.01). Clinically relevant differences in EQ-5D scores between Tile A and Tile C were seen in the domains of usual activities and anxiety and in the index score.MPS: The mean MPS of Tiles A, B and C patients in the < 65 group was, respectively, 86 (SD 15), 81 (SD 17), and 74 (SD 16), and in the ≥ 65 group, it was, respectively, 69 (SD 15), 68 (SD 15) and 66 (SD 9). In the < 65 group, significant differences in MPS results between the Tile groups regarding pain (P < 0.01) and the total MPS score (P = 0.04) were seen. Neither significant regression coefficients nor clinically relevant differences were found in the ≥ 65 group.ConclusionsIn conclusion, our study showed that pain was increased in patients with Tile C fractures, compared with Tiles A and B. Furthermore, Tile C patients had significantly lower EQ-5D index and total MPS scores. However, these problems were not seen in the ≥ 65 group.



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