Journal
ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION
Volume 94, Issue 7, Pages 1277-1286Publisher
W B SAUNDERS CO-ELSEVIER INC
DOI: 10.1016/j.apmr.2013.02.012
Keywords
Health status; Injuries; Outcomes assessment; Rehabilitation
Categories
Funding
- Health Research Council of New Zealand [10/052]
- Accident Compensation Corporation, New Zealand
- Health Research Council of New Zealand
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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, 18-64y 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. (C) 2013 by the American Congress of Rehabilitation Medicine
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