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To determine patients’ HrQoL following a pelvic ring fracture, considering the patients’ features using the Majeed pelvic score (MPS) and the EuroQoL-5D (EQ-5D).
In younger patients, pelvic fractures generally occur as a result of
high impact trauma. Many studies have focused on radiological and functional
outcomes after pelvic injury. However, only a few studies have focused on
health-related quality of life (HrQoL) after pelvic ring injury. Therefore,
this study showed that pain was increased in patients with Tile C fractures,
compared with Tiles A and B. Furthermore, Tile C patients had significantly
lower EQ-5D index and total MPS scores.
To determine patients’ HrQoL following a pelvic ring
fracture, considering the patients’ features using the Majeed pelvic score
(MPS) and the EuroQoL-5D (EQ-5D).
The analysis involved a total of 195 participants with pelvic ring
fractures treated in a level 1 trauma centre surgically or conservatively
between 2011 and 2015. A telephone survey was directed. The statistical
assessment of the EQ-5D and the MPS was done by applying Multiple logistic and
linear regression analyses. The outcomes of MPS were divided into two age
groups with a cut-off point of 65 years.
EQ-5D: The mean EQ-5D index score and Visual Analogue
Scale (VAS) for Tiles A–C was 0.81 and
74, 0.77 and 74, 0.71 and 67,
respectively. The Tile C participants felt considerably more pain than Tile A.
The domains of usual activities and anxiety, and in the index score of Tile A
and Tile C showed clinically relevant differences in EQ-5D scores. MPS: The
mean MPS of Tiles A–C patients in the <65 and ≥65 groups noticed was 86 and
69, 81 and 68, 74 and 66, respectively. The <65 group showed a considerable
difference in MPS outcomes between the groups on the total MPS score and pain.
In ≥65 group, neither notable regression coefficients nor clinically important
differences were observed.
The patients with Tile C fractures present higher pain,
lower total MPS scores and EQ-5D index as compared to other Tiles. Although, no
such types of issues observed in the ≥65 group.
Injury 2018;49(4):812-818
Quality of life after pelvic ring fractures: A cross-sectional study
L.Brouwers et al.
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