Determinants of Disability after Lower Extremity Fracture

Mock, Charles; MacKenzie, Ellen J.; Jurkovich, Gregory; Burgess, Andrew R.; Cushing, Brad M.; deLateur, Barbara J.; McAndrew, Mark P.; Morris, John A.; Swiontkowski, Marc F.

doi:10.1097/00005373-200012000-00005

Cited by 75 publications

(65 citation statements)

References 46 publications

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“…LEI patients had significantly worse scores on almost all subscales of the SIP as compared to age-and gender-matched controls. We found the same prevalence of limitations on the mean overall SIP score as that reported in the literature (mild to moderate disability) [23,24,32,33]. We also found worse HRQoL on the Physical Functioning, Role-Physical, Vitality and Social Functioning subscales of the SF-36, compared to normative data for the Dutch population.…”

Section: Discussionsupporting

confidence: 85%

Long-term Outcome after Lower Extremity Injuries in Severely Injured Patients

et al. 2006

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Section: Discussionsupporting

confidence: 85%

Long-term Outcome after Lower Extremity Injuries in Severely Injured Patients

et al. 2006

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“…Moreover, in patients with LEF, the relationship between lower extremity impairment (i.e., range of motion, muscle strength, and pain) and the ability to perform daily life activities (e.g., home management, work, and recreation) was considered small [7, 8]. Therefore, the patients’ perspective on the recovery process after LEF, reflected by their health status (HS), health-related quality of life (HRQOL), and quality of life (QOL), will offer valuable information in addition to radiographic and absolute physical outcomes.…”

Section: Introductionmentioning

confidence: 99%

The course of health status and (health-related) quality of life following fracture of the lower extremity: a 6-month follow-up study

et al. 2015

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PurposeThe aim of this prospective study was to describe the course of health status (HS), health-related quality of life, and quality of life (QOL) in patients with lower extremity fractures (LEF) up to 6 months post-fracture.MethodsPatients (n = 171; age range 18–100 years) completed the World Health Organization Quality of Life assessment instrument-Bref (WHOQOL-Bref) and the Short Musculoskeletal Function Assessment questionnaire (SMFA) at time of diagnosis (i.e., pre-injury status), 1 week, and 6 months post-fracture. Linear mixed modeling was performed.ResultsInteraction effects of time with treatment were detected for the WHOQOL-Bref facet Overall QOL and General health (p = .002) and Physical health (p = .003). Patients did not return to their pre-injury Physical health, Psychological health, and Environment 6 months post-fracture (p < .05). No effects were found for Social relationships. The SMFA subscale Lower extremity dysfunction showed main effects for time and treatment (p < .0001) with full recovery at 6 months (p = .998). An interaction effect of time with treatment was found for Daily life consequences (p < .0001) with nonoperatively treated patients showing full recovery (p = 1.00), whereas surgically treated patients did not (p = .002).ConclusionsSix months after LEF, patients still experienced impaired physical and psychological health on the WHOQOL-Bref compared to their pre-injury status. However, patients showed full recovery on SMFA Lower extremity dysfunction, indicating that the choice of the questionnaire influences the derived conclusions. LEF did not affect satisfaction with social relationships.

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“…Previous research examined the ability of people to return to work and disability after severe injuries that required hospitalization, [3][4][5] lower extremity fractures, [6][7][8] spinal cord injury, and traumatic brain injury. 9 10 These estimates have been based on specific diagnoses and generally represent more severely injured patients treated in trauma centers.…”

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confidence: 99%

Lost working days, productivity, and restraint use among occupants of motor vehicles that crashed in the United States

et al. 2004

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Background:In 2001, 6.3 million passengers were involved in motor vehicle crashes. This study aimed to determine the number of work days lost as a result of motor vehicle crashes and factors that influenced people’s return to work.Methods:This was a retrospective, population based cohort study of occupants in motor vehicles involved in crashes from the 1993–2001 Crashworthiness Data System produced by the National Highway Traffic Safety Administration. The sample population of people aged 18–65 years included two groups: occupants who survived and were working before the crash and occupants who were injured fatally and were estimated to have been working before the crash. Multivariate linear regression was used to analyze the impact of restraint use and injury type on return to work.Results:Overall, 30.1% of occupants of vehicles that crashed missed one or more days of work. A crash resulted in a mean 28.0 (95% confidence interval 15.8 to 40.1) days lost from work, including losses associated with fatalities. The 2.1 million working occupants of vehicles that crashed in 2001 lost a total of 60 million days of work, resulting in annual productivity losses of over $7.5 billion (2964 to 12 075). Unrestrained vehicle occupants accounted for $5.6 billion in lost productivity.Conclusions:Motor vehicle crashes result in large and potentially preventable productive losses that are mostly attributable to fatal injuries.

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Determinants of Disability after Lower Extremity Fracture

Cited by 75 publications

References 46 publications

Long-term Outcome after Lower Extremity Injuries in Severely Injured Patients

Long-term Outcome after Lower Extremity Injuries in Severely Injured Patients

The course of health status and (health-related) quality of life following fracture of the lower extremity: a 6-month follow-up study

Lost working days, productivity, and restraint use among occupants of motor vehicles that crashed in the United States

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