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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...
Autores principales: | , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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MDPI
2023
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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. |
format | Online Article Text |
id | pubmed-10455533 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
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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