A prospective study of predictors of disability at 3 months after non-central nervous system trauma. Discussion.
Annual Meeting of the Eastern Association for the Surgery of Trauma. Sanibel, FL, USA, 1997/01/15.
To delineate which injury-related, demographic, and psychosocial variables were predictive of severe disability (limitations in the performance of socially defined roles and tasks) at 3 months after discharge from acute hospitalization for non-central nervous system traumatic injury.
Patients and Methods
The study design was prospective, longitudinal, and correlational.
The sample consisted of 109 injured patients at three urban trauma centers.
Data were obtained from patient interview using the Sickness Impact Profile, the Impact of Event Scale, and the Social Support Questionnaire ; injury-related data were obtained from the medical record and computerized trauma registries.
The sample had a mean age of 37.4 ± 16.8 years, a mean number of injuries per person of 4.4 ± 2.8, and a mean Injury Severity Score of 15.5 ± 9.9. Motor vehicle crashes (34.9%) and violent injuries (33%) were the predominant causes of injuries.
Patients experienced severe levels of disability (Sickness Impact Profile, mean=26.1) and moderate levels of psychological distress (Impact of Event Scale, mean=30.6 ; intrusion mean=14.6 and avoidance mean=16.0).
Three variables were predictive of severe disability at 3 months : high levels of intrusive thoughts (odds ratio, 2.9 ; 95% confidence interval, 1.1-7.7) ; injury with a maximal Abbreviated Injury Scale score in an extremity (odds ratio, 2.9 ; 95% confidence interval, 1.2-6. (...)
Mots-clés Pascal : Traumatisme, Système nerveux périphérique, Nerf, Valeur prédictive, Handicap, Court terme, Pathogénie, Localisation, Etude statistique, Homme, Système nerveux pathologie, Nerf périphérique pathologie
Mots-clés Pascal anglais : Trauma, Peripheral nervous system, Nerve, Predictive value, Handicap, Short term, Pathogenesis, Localization, Statistical study, Human, Nervous system diseases, Peripheral nerve disease
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Cote : 98-0238420
Code Inist : 002B16B. Création : 11/09/1998.