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Socio-economic outcome after blunt orthopaedic trauma: Implications on injury prevention.

Pfeifer R, Lichte P, Zelle BA, Sittaro NA, Zilkens A, Kaneshige JR, Pape HC - Patient Saf Surg (2011)

Bottom Line: Younger patients (group I) were associated with less income losses when compared with other groups (p < 0.05).Social consequences (number of friends decreased) were predominantly stated in patients younger than 18 years old (p < 0.05).Early socio-economic support and measures of injury prevention should focus on these specific age groups.

View Article: PubMed Central - HTML - PubMed

Affiliation: University of Aachen Medical Center, Department of Orthopaedic Trauma, Pauwelsstraße 30, 52074 Aachen, Germany. romanpfeifer@aol.com.

ABSTRACT

Background: Several large studies have identified factors associated with long-term outcome after orthopaedic injuries. However, long-term social and economic implications have not been published so far. The aim of this investigation is to study the long-term socio-economic consequences of patients sustaining severe trauma.

Methods: Patients treated at a level one trauma center were invited for a follow-up (at least 10 years) examination. There were 637 patients who responded and were examined. Inclusion criteria included injury severity score (ISS) ≥ 16 points, presence of lower and upper extremity fractures, and age between 3 and 60 years. Exclusion criteria included the presence of amputations and paraplegia. The socio-economic outcome was evaluated in three age groups: group I (< 18 years), group II (19 - 50 years), and group III (> 50 years). The following parameters were analyzed using a standardized questionnaire: financial losses, net income losses, pension precaution losses, need for a bank loan, and the decrease in number of friends.

Results: 510 patients matched all study criteria, and breakdown of groups were as follows: 140 patients in group I, 341 patients in group II, and 29 patients in group III. Financial losses were reported in all age groups (20%-44%). Younger patients (group I) were associated with less income losses when compared with other groups (p < 0.05). Financial deterioration was more frequently reported in age group II (p < 0.05). Social consequences (number of friends decreased) were predominantly stated in patients younger than 18 years old (p < 0.05).

Conclusions: Economic consequences are reported by polytraumatized patients even ten or more years after injury. Financial losses appear to be common in patients between 19 and 50 years. In contrast, social deprivation appears to be most pronounced in the younger age groups. Early socio-economic support and measures of injury prevention should focus on these specific age groups.

No MeSH data available.


Related in: MedlinePlus

Frequency of patients reporting decreased number of friends in each age group
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Figure 5: Frequency of patients reporting decreased number of friends in each age group

Mentions: To assess the social consequences of severe injury, patients were asked whether their number of friends decreased following injury. We observed that younger patients (age group I) more frequently stated that their number of friends has decreased. At follow up, 82.1% of patients younger than 18 years at the time of injury reported that their number of friends has decreased. Other age groups (age group II: 29.9% and age group III: 6.9%) reported loss of friendship less frequently upon follow-up (Figure 5; 82.1% vs. 29.9%, p < 0.0001; 82.1% vs. 6.9%, p < 0.0001; 29.9% vs. 6.9%, p = 0.022).


Socio-economic outcome after blunt orthopaedic trauma: Implications on injury prevention.

Pfeifer R, Lichte P, Zelle BA, Sittaro NA, Zilkens A, Kaneshige JR, Pape HC - Patient Saf Surg (2011)

Frequency of patients reporting decreased number of friends in each age group
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3105957&req=5

Figure 5: Frequency of patients reporting decreased number of friends in each age group
Mentions: To assess the social consequences of severe injury, patients were asked whether their number of friends decreased following injury. We observed that younger patients (age group I) more frequently stated that their number of friends has decreased. At follow up, 82.1% of patients younger than 18 years at the time of injury reported that their number of friends has decreased. Other age groups (age group II: 29.9% and age group III: 6.9%) reported loss of friendship less frequently upon follow-up (Figure 5; 82.1% vs. 29.9%, p < 0.0001; 82.1% vs. 6.9%, p < 0.0001; 29.9% vs. 6.9%, p = 0.022).

Bottom Line: Younger patients (group I) were associated with less income losses when compared with other groups (p < 0.05).Social consequences (number of friends decreased) were predominantly stated in patients younger than 18 years old (p < 0.05).Early socio-economic support and measures of injury prevention should focus on these specific age groups.

View Article: PubMed Central - HTML - PubMed

Affiliation: University of Aachen Medical Center, Department of Orthopaedic Trauma, Pauwelsstraße 30, 52074 Aachen, Germany. romanpfeifer@aol.com.

ABSTRACT

Background: Several large studies have identified factors associated with long-term outcome after orthopaedic injuries. However, long-term social and economic implications have not been published so far. The aim of this investigation is to study the long-term socio-economic consequences of patients sustaining severe trauma.

Methods: Patients treated at a level one trauma center were invited for a follow-up (at least 10 years) examination. There were 637 patients who responded and were examined. Inclusion criteria included injury severity score (ISS) ≥ 16 points, presence of lower and upper extremity fractures, and age between 3 and 60 years. Exclusion criteria included the presence of amputations and paraplegia. The socio-economic outcome was evaluated in three age groups: group I (< 18 years), group II (19 - 50 years), and group III (> 50 years). The following parameters were analyzed using a standardized questionnaire: financial losses, net income losses, pension precaution losses, need for a bank loan, and the decrease in number of friends.

Results: 510 patients matched all study criteria, and breakdown of groups were as follows: 140 patients in group I, 341 patients in group II, and 29 patients in group III. Financial losses were reported in all age groups (20%-44%). Younger patients (group I) were associated with less income losses when compared with other groups (p < 0.05). Financial deterioration was more frequently reported in age group II (p < 0.05). Social consequences (number of friends decreased) were predominantly stated in patients younger than 18 years old (p < 0.05).

Conclusions: Economic consequences are reported by polytraumatized patients even ten or more years after injury. Financial losses appear to be common in patients between 19 and 50 years. In contrast, social deprivation appears to be most pronounced in the younger age groups. Early socio-economic support and measures of injury prevention should focus on these specific age groups.

No MeSH data available.


Related in: MedlinePlus