Quality of life after pelvic ring fractures: Long-term outcomes. A multicentre study. Issue 6 (June 2019)

• Record Type: Journal Article
• Authors: Hermans, E.; Brouwers, L.; van Gent, T.; Biert, J.; de Jongh, M.A.C.; Lansink, K.W.W.; Edwards, M.J.R.
• Is Part Of: Injury. Volume 50:Issue 6(2019)
• Page Start: 1216
• Page End: 1222
• Publication Date: 2019-06
• Subjects: Pelvic ring injury -- Quality of life -- Long term outcome -- Multicentre -- Tile; Wounds and injuries -- Surgery -- Periodicals; Accidents -- Periodicals; Wounds and Injuries -- surgery -- Periodicals; Lésions et blessures -- Chirurgie -- Périodiques; Electronic journals; Electronic journals; 617.1
• DOI: 10.1016/j.injury.2019.04.002
• Languages: English
• ISSNs: 0020-1383

Abstract

Highlights: The long-term HRQOL of pelvic ring fracture patients is generally good. No significant differences among different Tile fracture types were seen in our study. A ceiling effect is observed in approximately 1/3 of patients. Patients with a Tile C fracture require longer to exhibit the ceiling effect. Abstract: Aims: This study was conducted to determine long-term (5–10 years) health-related quality of life (HRQOL) and ceiling effects in patients with a pelvic ring fracture. Patients and methods: We identified all patients with pelvic ring fractures after high-energy trauma admitted at two level 1 trauma centres in the Netherlands from 2006 to 2011. Patients were asked to complete the Majeed Pelvic Score (MPS), EuroQol-5D (EQ-5D) and Short Musculoskeletal Function Assessment (SMFA) questionnaires. HRQOL analysis used a multiple linear regression model. Results: In total, 136 patients returned the questionnaires. The median follow-up period was 8.7 years. The mean MPS and EQ-5D-VAS scores were 85.1 and 74, respectively. The mean EQ-5D index scores were 0.87, 0.81 and 0.82 in Tile B, A and C patients, respectively. The mean SMFA index was 24. A ceiling effect was observed for 1/3 of the patients. After multiple linear regression analysis, no differences were identified among the various fracture types for each questionnaire, with the exception of 2 subscales of the MPS. Conclusion: Patients who suffer pelvic ring fractures generally have good HRQOL outcomes after 5–10 years. No significant differences were found among different fracture types. Long-term follow-up of patients with Tile C fractures is warranted.