Functional Outcomes at 6 and 12 Months Post-Injury in a Trauma Centre Population with Moderate-to-Severe Traumatic Injuries
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https://hdl.handle.net/10037/31764Date
2023-08-15Type
Journal articleTidsskriftartikkel
Peer reviewed
Author
Moksnes, Håkon Øgreid; Schafer, C.; Rasmussen, Mari Storli; Søberg, Helene L.; Røise, Olav; Anke, Audny Gabriele Wagner; Røe, Cecilie; Næss, Pål Aksel; Gaarder, Aslaug Christine; Helseth, Eirik; Hestnes, Morten; Brunborg, Cathrine; Andelic, Nada; Hellstrøm, Torgeir; Dahl, Hilde MargreteAbstract
This study aims to evaluate the global functional outcomes after moderate-to-severe
traumatic injury at 6 and 12 months and to examine the sociodemographic and injury-related factors
that predict these outcomes. A prospective cohort study was conducted in which trauma patients
of all ages with a New Injury Severity Score > 9 who were discharged alive from two regional
trauma centres in Norway over a one-year period (2020) were included. The Glasgow Outcome
Scale Extended (GOSE) score was used to analyse the functional outcomes. Regression analyses were
performed to investigate the predictors of the GOSE score. Follow-up assessments were obtained
from approximately 85% of the 601 included patients at both time points. The mean (SD) GOSE
score was 6.1 (1.6) at 6 months and 6.4 (1.6) at 12 months, which corresponds to an upper-moderate
disability. One-half of the patients had a persistent disability at 12 months post-injury. The statistically
significant predictors of a low GOSE score at both time points were more pre-injury comorbidity, a
higher number of injuries, and higher estimated rehabilitation needs, whereas a thorax injury with an
Abbreviated Injury Scale ≥ 3 predicted higher GOSE scores. A high Glasgow Coma Scale score at
admission predicted a higher GOSE score at 6 months. This study strengthens the evidence base for
the functional outcomes and predictors in this population.
Publisher
MDPICitation
Moksnes HØ, Schafer C, Rasmussen MS, Søberg HL, Røise O, Anke A, Røe C, Næss PA, Gaarder C, Helseth E, DAHL HM, Hestnes M, Brunborg C, Andelic N, Hellstrøm T. Functional Outcomes at 6 and 12 Months Post-Injury in a Trauma Centre Population with Moderate-to-Severe Traumatic Injuries. Journal of Clinical Medicine. 2023;12(16)Metadata
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