Highlights
- •Chronic physical health conditions are prevalent among people with serious orthopaedic injuries up to five years post-injury.
- •Cancer, cardiovascular disease and hypertension are the three most common conditions.
- •Older adults, women, smokers, people with mental health and alcohol and drug-related conditions had a higher risk of admission/ presentation with new-onset conditions post-injury.
Abstract
Background
Information about the prevalence of chronic physical health conditions following serious
orthopaedic injury is currently lacking in the general population and is essential
for quantifying the burden of injury and improving outcomes.
Objectives
To determine the prevalence of chronic physical health conditions recorded within
hospitalisations and emergency department presentations and associated factors five
years following serious orthopaedic injury.
Methods
We conducted a registry-based cohort study using data from the Victorian State Trauma
Registry (2007–2016) linked with hospital admissions and ED presentations for 16,249
adults with serious orthopaedic injuries. We considered that people who were admitted
to hospital or presented to an emergency department with a chronic physical health
condition one to five years post-injury had “new-onset” conditions. We applied Kaplan-Meier
failure curves and Cox proportional hazard regression models to determine factors
associated with new-onset conditions.
Results
There were 1420 people (11.0%) with at least one new-onset condition. Cancer (6.1%),
cardiovascular disease (5.1%) and hypertension (6.2%) were the three most common “new-onset”
chronic physical health conditions. Older adults, women, smokers, and people with
mental health and alcohol and drug-related conditions had a higher risk of hospitalisation
or emergency department presentation with new-onset conditions post-injury.
Conclusion
People with serious orthopaedic injuries experienced a significant additional burden
of chronic physical health conditions up to five years after serious orthopaedic injury,
posing a new challenge to post-trauma care. Early preventive interventions may be
required in people with serious orthopaedic injuries to minimise modifiable risk factors
such as smoking, excessive consumption of alcohol or drug use.
Keywords
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Article info
Publication history
Published online: February 09, 2022
Accepted:
February 8,
2022
Identification
Copyright
© 2022 Elsevier Ltd. All rights reserved.
