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Functional Outcomes at 6 and 12 Months Post-Injury in a Trauma Centre Population with Moderate-to-Severe Traumatic Injuries

This study aims to evaluate the global functional outcomes after moderate-to-severe traumatic injury at 6 and 12 months and to examine the sociodemographic and injury-related factors that predict these outcomes. A prospective cohort study was conducted in which trauma patients of all ages with a New...

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Autores principales: Moksnes, Håkon Øgreid, Schäfer, Christoph, Rasmussen, Mari Storli, Soberg, Helene Lundgaard, Røise, Olav, Anke, Audny, Røe, Cecilie, Næss, Pål Aksel, Gaarder, Christine, Helseth, Eirik, Dahl, Hilde Margrete, Hestnes, Morten, Brunborg, Cathrine, Andelic, Nada, Hellstrøm, Torgeir
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10455533/
https://www.ncbi.nlm.nih.gov/pubmed/37629342
http://dx.doi.org/10.3390/jcm12165300
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author Moksnes, Håkon Øgreid
Schäfer, Christoph
Rasmussen, Mari Storli
Soberg, Helene Lundgaard
Røise, Olav
Anke, Audny
Røe, Cecilie
Næss, Pål Aksel
Gaarder, Christine
Helseth, Eirik
Dahl, Hilde Margrete
Hestnes, Morten
Brunborg, Cathrine
Andelic, Nada
Hellstrøm, Torgeir
author_facet Moksnes, Håkon Øgreid
Schäfer, Christoph
Rasmussen, Mari Storli
Soberg, Helene Lundgaard
Røise, Olav
Anke, Audny
Røe, Cecilie
Næss, Pål Aksel
Gaarder, Christine
Helseth, Eirik
Dahl, Hilde Margrete
Hestnes, Morten
Brunborg, Cathrine
Andelic, Nada
Hellstrøm, Torgeir
author_sort Moksnes, Håkon Øgreid
collection PubMed
description This study aims to evaluate the global functional outcomes after moderate-to-severe traumatic injury at 6 and 12 months and to examine the sociodemographic and injury-related factors that predict these outcomes. A prospective cohort study was conducted in which trauma patients of all ages with a New Injury Severity Score > 9 who were discharged alive from two regional trauma centres in Norway over a one-year period (2020) were included. The Glasgow Outcome Scale Extended (GOSE) score was used to analyse the functional outcomes. Regression analyses were performed to investigate the predictors of the GOSE score. Follow-up assessments were obtained from approximately 85% of the 601 included patients at both time points. The mean (SD) GOSE score was 6.1 (1.6) at 6 months and 6.4 (1.6) at 12 months, which corresponds to an upper-moderate disability. One-half of the patients had a persistent disability at 12 months post-injury. The statistically significant predictors of a low GOSE score at both time points were more pre-injury comorbidity, a higher number of injuries, and higher estimated rehabilitation needs, whereas a thorax injury with an Abbreviated Injury Scale ≥ 3 predicted higher GOSE scores. A high Glasgow Coma Scale score at admission predicted a higher GOSE score at 6 months. This study strengthens the evidence base for the functional outcomes and predictors in this population.
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spelling pubmed-104555332023-08-26 Functional Outcomes at 6 and 12 Months Post-Injury in a Trauma Centre Population with Moderate-to-Severe Traumatic Injuries Moksnes, Håkon Øgreid Schäfer, Christoph Rasmussen, Mari Storli Soberg, Helene Lundgaard Røise, Olav Anke, Audny Røe, Cecilie Næss, Pål Aksel Gaarder, Christine Helseth, Eirik Dahl, Hilde Margrete Hestnes, Morten Brunborg, Cathrine Andelic, Nada Hellstrøm, Torgeir J Clin Med Article This study aims to evaluate the global functional outcomes after moderate-to-severe traumatic injury at 6 and 12 months and to examine the sociodemographic and injury-related factors that predict these outcomes. A prospective cohort study was conducted in which trauma patients of all ages with a New Injury Severity Score > 9 who were discharged alive from two regional trauma centres in Norway over a one-year period (2020) were included. The Glasgow Outcome Scale Extended (GOSE) score was used to analyse the functional outcomes. Regression analyses were performed to investigate the predictors of the GOSE score. Follow-up assessments were obtained from approximately 85% of the 601 included patients at both time points. The mean (SD) GOSE score was 6.1 (1.6) at 6 months and 6.4 (1.6) at 12 months, which corresponds to an upper-moderate disability. One-half of the patients had a persistent disability at 12 months post-injury. The statistically significant predictors of a low GOSE score at both time points were more pre-injury comorbidity, a higher number of injuries, and higher estimated rehabilitation needs, whereas a thorax injury with an Abbreviated Injury Scale ≥ 3 predicted higher GOSE scores. A high Glasgow Coma Scale score at admission predicted a higher GOSE score at 6 months. This study strengthens the evidence base for the functional outcomes and predictors in this population. MDPI 2023-08-15 /pmc/articles/PMC10455533/ /pubmed/37629342 http://dx.doi.org/10.3390/jcm12165300 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Moksnes, Håkon Øgreid
Schäfer, Christoph
Rasmussen, Mari Storli
Soberg, Helene Lundgaard
Røise, Olav
Anke, Audny
Røe, Cecilie
Næss, Pål Aksel
Gaarder, Christine
Helseth, Eirik
Dahl, Hilde Margrete
Hestnes, Morten
Brunborg, Cathrine
Andelic, Nada
Hellstrøm, Torgeir
Functional Outcomes at 6 and 12 Months Post-Injury in a Trauma Centre Population with Moderate-to-Severe Traumatic Injuries
title Functional Outcomes at 6 and 12 Months Post-Injury in a Trauma Centre Population with Moderate-to-Severe Traumatic Injuries
title_full Functional Outcomes at 6 and 12 Months Post-Injury in a Trauma Centre Population with Moderate-to-Severe Traumatic Injuries
title_fullStr Functional Outcomes at 6 and 12 Months Post-Injury in a Trauma Centre Population with Moderate-to-Severe Traumatic Injuries
title_full_unstemmed Functional Outcomes at 6 and 12 Months Post-Injury in a Trauma Centre Population with Moderate-to-Severe Traumatic Injuries
title_short Functional Outcomes at 6 and 12 Months Post-Injury in a Trauma Centre Population with Moderate-to-Severe Traumatic Injuries
title_sort functional outcomes at 6 and 12 months post-injury in a trauma centre population with moderate-to-severe traumatic injuries
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10455533/
https://www.ncbi.nlm.nih.gov/pubmed/37629342
http://dx.doi.org/10.3390/jcm12165300
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