Health-related quality of life in trauma patients who sustained a calcaneal fracture

Alexandridis, Georgios; Gunning, Amy C.; Leenen, Luke P. H.

doi:10.1016/j.injury.2016.04.008

Cited by 18 publications

(8 citation statements)

References 31 publications

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“…Most prevalent problems were found in the EQ-5 dimensions mobility, self-care, activity and pain. It is consistent with comparable studies that these physical dimensions are more negatively affected than mental dimensions, especially during the first months after trauma [47,48]. Problems reported in these dimensions decreased over time.…”

Section: Discussionsupporting

confidence: 91%

Longitudinal analysis of health status the first year after trauma in severely injured patients

Havermans¹,

Jongh²,

Munter

et al. 2020

Scand J Trauma Resusc Emerg Med

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Purpose: While survival rates after a trauma are increasing a considerable part of the trauma population are still at risk for both short and long term disabilities. Little is known about prognostic factors over time after a severe trauma. The aim of the present prospective cohort study was to examine trauma and patient related prognostic factors for a lower health status over time after a severe trauma. Methods: A multicentre prospective observational cohort study was conducted. Adult trauma patients with severe injuries (ISS ≥ 16) were included from August 2015 until November 2016 if admitted to one of the hospitals in Noord-Brabant (the Netherlands). Outcome measure was health status, measured by the EuroQol-5D (EQ-5D utility and EQ-Visual analogue scale) and the Health Utilities Index (HUI2 and HUI3) one week and one, three, six, and twelve months after injury. Patient and trauma characteristics were analysed as prognostic factors with linear mixed models. The effect of each prognostic factor over time was analysed by adding the interaction term between the prognostic factor and time point in a multivariable linear mixed model, adjusted for confounders. Additionally, the risk factors for problems in the EQ-5 dimensions of HS and cognition were analysed. Results: In total 239 severely injured patients participated. Pre-injury health status, hospital length of stay, ISS and comorbidities were significant prognostic factors for a lower health status. A younger age and extremity injury were prognostic factors for a lower health status until one month after trauma and unemployment before trauma and comorbidities six until twelve months after trauma. In the EQ-5 dimensions 44.1% remained problems in mobility, 15.3% in self-care, 46.4% in activity, 53.3% in pain, 32.5% in anxiety and 35.7% in cognition. Conclusions: Lower pre-injury health status, longer hospital length of stay, higher ISS, and comorbidities were significant prognostic factors for a lower health status during one year after a severe injury. A younger age and an extremity injury were short-term prognostic factors and unemployment before trauma and comorbidities were long-term prognostic factors. Even after twelve months patients in our population reported more problems in all EQ-5D dimensions when compared to the Dutch reference population.

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Section: Discussionsupporting

confidence: 91%

Longitudinal analysis of health status the first year after trauma in severely injured patients

Havermans¹,

Jongh²,

Munter

et al. 2020

Scand J Trauma Resusc Emerg Med

View full text Add to dashboard Cite

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“…Moreover, not all type of fractures could be classified according to the Sanders classification because CT images were not available for all the included patients. The follow-up duration has a wide range, which could influence the results; the longer the follow-up, the more likely it is that other comorbidities are introduced that might influence the outcome [44]. In addition, loss to followup might bias the results in cohort studies [45].…”

Section: Discussionmentioning

confidence: 99%

Association of pre-treatment radiographic characteristics of calcaneal fractures on patient-reported outcomes

Alexandridis

Gunning

Olden

et al. 2018

International Orthopaedics (SICOT)

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“…Approximately 75% of calcaneal fractures are intra-articular fractures (1). The majority of calcaneal fractures are due to a high-energy injury mechanism and occur in young, active workingage men (26-45 years) (2). Anatomic reduction and stable fixation are the accepted treatments for these injuries.…”

Section: Introductionmentioning

confidence: 99%

Fracture mapping of complex intra-articular calcaneal fractures

Ni¹,

Lv²,

Sun³

et al. 2021

Ann Transl Med

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Background: Intra-articular calcaneal fracture remains challenging to manage. Computed tomography and fracture mapping are useful for the diagnosis and treatment of calcaneal fractures. The aim of the present study was to characterize calcaneal fracture patterns using fracture mapping.Methods: Sixty-two calcaneal fractures were retrospectively included in the study. For each case, the fracture was simulated reduction manually. The fracture lines and zones of comminution were graphically superimposed onto an intact calcaneal template to identify fracture patterns. Major fracture lines and comminution were assessed by focusing on the posterior joint facet, medial wall, lateral wall, sustentaculum tali, and anterior process.Results: The fracture lines were mostly concentrated on the area anterior to the posterior joint facet and extended medially. The longitudinal lines ran posteriorly from the angle of Gissane, and separated the sustentaculum tali and medial wall from the calcaneal tuberosity. In the lateral wall, the fracture lines extended posteriorly with some branches to the bottom of the calcaneus. No fracture lines passed through the sustentaculum tali. Fracture lines of the posterior tuberosity and anterior process were rare.Conclusions: Calcaneal fracture lines follow characteristic patterns, which are closely related to the bone structure and fracture mechanism. These fracture patterns will aid clinicians choose surgical approach and fixations in the treatment of calcaneal fractures.

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Health-related quality of life in trauma patients who sustained a calcaneal fracture

Cited by 18 publications

References 31 publications

Longitudinal analysis of health status the first year after trauma in severely injured patients

Longitudinal analysis of health status the first year after trauma in severely injured patients

Association of pre-treatment radiographic characteristics of calcaneal fractures on patient-reported outcomes

Fracture mapping of complex intra-articular calcaneal fractures

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