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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.
Epworth Authors: Richardson, Martin
Other Authors: Andrew, Nadine
Wolfe, Rory
Cameron, Peter
Page, Richard
Bucknill, Andrew
Gabbe, Belinda
Keywords: Department of Surgery, Epworth Hospital, University of Melbourne, Melbourne, Australia
Musculoskeletal Clinical Institute, Epworth HealthCare, Victoria, Australia
Outcome assessment
Treatment outcome
Recovery of Function
Sports Injury
Athletic Injury
Recreation Injuries
Victorian Orthopaedic Trauma Outcomes Registry
Glasgow Outcomes Scale
Issue Date: Dec-2012
Publisher: BMJ Publishing Group
Citation: Inj Prev. 2012 Dec;18(6):377-84
Abstract: 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.
DOI: 10.1136/injuryprev-2011-040190
PubMed URL:
ISSN: 1353-8047
Journal Title: Injury prevention
Type: Journal Article
Affiliated Organisations: Department of Epidemiology and Preventive Medicine, Monash University, Melbourne, Victoria, Australia
National Trauma Research Institute, The Alfred Hospital, Melbourne, Victoria, Australia
Department of Orthopaedics, Barwon Health and Deakin University, Melbourne, Victoria, Australia
Department of Orthopaedics, Royal Melbourne Hospital, Melbourne, Victoria, Australia
Type of Clinical Study or Trial: Cohort Study
Appears in Collections:Musculoskeletal

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