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The association between post-injury chronic physical health conditions, health status, and survival time in people with serious orthopaedic injuries

Asmare Yitayeh Gelaw Orcid Logo, Belinda Gabbe Orcid Logo, Sarah J Arnup, Sandra Reeder, Mark Fitzgerald, Ronan Lyons Orcid Logo, Jennie Louise Ponsford, Alex Collie, Nicola Christie, Andrew Nunn, James E Harrison, Peter Cameron, Christina L Ekegren

Trauma, Volume: 27, Issue: 1, Pages: 39 - 50

Swansea University Authors: Belinda Gabbe Orcid Logo, Ronan Lyons Orcid Logo

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DOI (Published version): 10.1177/14604086231216180

Abstract

Background: A better understanding of how chronic physical health conditions affect long-term outcomes following injury is essential for quantifying the burden of serious orthopaedic injuries. We aimed to describe the association between the presence of post-injury chronic physical health conditions...

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Published in: Trauma
ISSN: 1460-4086 1477-0350
Published: SAGE Publications 2025
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URI: https://cronfa.swan.ac.uk/Record/cronfa68565
first_indexed 2025-01-09T20:33:50Z
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We aimed to describe the association between the presence of post-injury chronic physical health conditions and (i) the change in health status from before injury to six different follow-up time points after injury; and (ii) survival time. Methods: A cohort study was conducted using linked data from the REcovery after Serious Trauma: Outcomes, Resource Use, and Patient Experiences study, the Victorian Registry of Births, Deaths and Marriages (BDM) (2009&#x2013;2017), the victorian admitted episodes dataset (2009&#x2013;2017) and the victorian emergency minimum dataset (2009&#x2013;2017). Adults (&#x2265; 18 years old) with serious orthopaedic injuries who survived to discharge from their trauma admission were included. Multivariable linear regression analysis was conducted to evaluate the association between post-injury chronic physical health conditions and the mean change in health status (EuroQol-Visual Analogue Scale) from before injury to six follow-up time points post-injury. Survival analysis was conducted to estimate the probability of survival for people with and without chronic physical health conditions following injury. Results: Out of 894 participants, 177 (19.8%) had at least one chronic physical health condition recorded up to five years post-injury. People with post-injury conditions reported a greater mean decline in health status than people without post-injury conditions (difference, (95% CI): &#x2212;6.9 (&#x2212;9.7, &#x2212;4.2), p = 0.01). Over the study period, almost six times as many people with chronic physical health conditions post-injury died as people without these conditions (AHR (95% CI): 5.7 (2.9, 11.3), p &lt; 0.01). Conclusions: Chronic physical conditions after serious orthopaedic injuries were associated with a lower survival probability and a deteriorating health status. Orthopaedic injury survivors may benefit from early detection and treatment of chronic conditions.</abstract><type>Journal Article</type><journal>Trauma</journal><volume>27</volume><journalNumber>1</journalNumber><paginationStart>39</paginationStart><paginationEnd>50</paginationEnd><publisher>SAGE Publications</publisher><placeOfPublication/><isbnPrint/><isbnElectronic/><issnPrint>1460-4086</issnPrint><issnElectronic>1477-0350</issnElectronic><keywords>Trauma, orthopaedic, chronic conditions, chronic diseases, long-term outcomes, mortality</keywords><publishedDay>1</publishedDay><publishedMonth>1</publishedMonth><publishedYear>2025</publishedYear><publishedDate>2025-01-01</publishedDate><doi>10.1177/14604086231216180</doi><url/><notes/><college>COLLEGE NANME</college><department>Medical School</department><CollegeCode>COLLEGE CODE</CollegeCode><DepartmentCode>MEDS</DepartmentCode><institution>Swansea University</institution><apcterm>Another institution paid the OA fee</apcterm><funders>The author(s) received no financial support for the research, authorship, and/or publication of this article.</funders><projectreference/><lastEdited>2024-12-13T11:02:45.2677495</lastEdited><Created>2024-12-13T10:49:45.6031009</Created><path><level id="1">Faculty of Medicine, Health and Life Sciences</level><level id="2">Swansea University Medical School - Health Data Science</level></path><authors><author><firstname>Asmare Yitayeh</firstname><surname>Gelaw</surname><orcid>0000-0002-7050-7961</orcid><order>1</order></author><author><firstname>Belinda</firstname><surname>Gabbe</surname><orcid>0000-0001-7096-7688</orcid><order>2</order></author><author><firstname>Sarah J</firstname><surname>Arnup</surname><order>3</order></author><author><firstname>Sandra</firstname><surname>Reeder</surname><order>4</order></author><author><firstname>Mark</firstname><surname>Fitzgerald</surname><order>5</order></author><author><firstname>Ronan</firstname><surname>Lyons</surname><orcid>0000-0001-5225-000X</orcid><order>6</order></author><author><firstname>Jennie Louise</firstname><surname>Ponsford</surname><order>7</order></author><author><firstname>Alex</firstname><surname>Collie</surname><order>8</order></author><author><firstname>Nicola</firstname><surname>Christie</surname><order>9</order></author><author><firstname>Andrew</firstname><surname>Nunn</surname><order>10</order></author><author><firstname>James E</firstname><surname>Harrison</surname><order>11</order></author><author><firstname>Peter</firstname><surname>Cameron</surname><order>12</order></author><author><firstname>Christina L</firstname><surname>Ekegren</surname><order>13</order></author></authors><documents/><OutputDurs/></rfc1807>
spelling 2024-12-13T11:02:45.2677495 v2 68565 2024-12-13 The association between post-injury chronic physical health conditions, health status, and survival time in people with serious orthopaedic injuries 4bdcc94332b2bd10530c5e71ceb04f14 0000-0001-7096-7688 Belinda Gabbe Belinda Gabbe true false 83efcf2a9dfcf8b55586999d3d152ac6 0000-0001-5225-000X Ronan Lyons Ronan Lyons true false 2024-12-13 MEDS Background: A better understanding of how chronic physical health conditions affect long-term outcomes following injury is essential for quantifying the burden of serious orthopaedic injuries. We aimed to describe the association between the presence of post-injury chronic physical health conditions and (i) the change in health status from before injury to six different follow-up time points after injury; and (ii) survival time. Methods: A cohort study was conducted using linked data from the REcovery after Serious Trauma: Outcomes, Resource Use, and Patient Experiences study, the Victorian Registry of Births, Deaths and Marriages (BDM) (2009–2017), the victorian admitted episodes dataset (2009–2017) and the victorian emergency minimum dataset (2009–2017). Adults (≥ 18 years old) with serious orthopaedic injuries who survived to discharge from their trauma admission were included. Multivariable linear regression analysis was conducted to evaluate the association between post-injury chronic physical health conditions and the mean change in health status (EuroQol-Visual Analogue Scale) from before injury to six follow-up time points post-injury. Survival analysis was conducted to estimate the probability of survival for people with and without chronic physical health conditions following injury. Results: Out of 894 participants, 177 (19.8%) had at least one chronic physical health condition recorded up to five years post-injury. People with post-injury conditions reported a greater mean decline in health status than people without post-injury conditions (difference, (95% CI): −6.9 (−9.7, −4.2), p = 0.01). Over the study period, almost six times as many people with chronic physical health conditions post-injury died as people without these conditions (AHR (95% CI): 5.7 (2.9, 11.3), p < 0.01). Conclusions: Chronic physical conditions after serious orthopaedic injuries were associated with a lower survival probability and a deteriorating health status. Orthopaedic injury survivors may benefit from early detection and treatment of chronic conditions. Journal Article Trauma 27 1 39 50 SAGE Publications 1460-4086 1477-0350 Trauma, orthopaedic, chronic conditions, chronic diseases, long-term outcomes, mortality 1 1 2025 2025-01-01 10.1177/14604086231216180 COLLEGE NANME Medical School COLLEGE CODE MEDS Swansea University Another institution paid the OA fee The author(s) received no financial support for the research, authorship, and/or publication of this article. 2024-12-13T11:02:45.2677495 2024-12-13T10:49:45.6031009 Faculty of Medicine, Health and Life Sciences Swansea University Medical School - Health Data Science Asmare Yitayeh Gelaw 0000-0002-7050-7961 1 Belinda Gabbe 0000-0001-7096-7688 2 Sarah J Arnup 3 Sandra Reeder 4 Mark Fitzgerald 5 Ronan Lyons 0000-0001-5225-000X 6 Jennie Louise Ponsford 7 Alex Collie 8 Nicola Christie 9 Andrew Nunn 10 James E Harrison 11 Peter Cameron 12 Christina L Ekegren 13
title The association between post-injury chronic physical health conditions, health status, and survival time in people with serious orthopaedic injuries
spellingShingle The association between post-injury chronic physical health conditions, health status, and survival time in people with serious orthopaedic injuries
Belinda Gabbe
Ronan Lyons
title_short The association between post-injury chronic physical health conditions, health status, and survival time in people with serious orthopaedic injuries
title_full The association between post-injury chronic physical health conditions, health status, and survival time in people with serious orthopaedic injuries
title_fullStr The association between post-injury chronic physical health conditions, health status, and survival time in people with serious orthopaedic injuries
title_full_unstemmed The association between post-injury chronic physical health conditions, health status, and survival time in people with serious orthopaedic injuries
title_sort The association between post-injury chronic physical health conditions, health status, and survival time in people with serious orthopaedic injuries
author_id_str_mv 4bdcc94332b2bd10530c5e71ceb04f14
83efcf2a9dfcf8b55586999d3d152ac6
author_id_fullname_str_mv 4bdcc94332b2bd10530c5e71ceb04f14_***_Belinda Gabbe
83efcf2a9dfcf8b55586999d3d152ac6_***_Ronan Lyons
author Belinda Gabbe
Ronan Lyons
author2 Asmare Yitayeh Gelaw
Belinda Gabbe
Sarah J Arnup
Sandra Reeder
Mark Fitzgerald
Ronan Lyons
Jennie Louise Ponsford
Alex Collie
Nicola Christie
Andrew Nunn
James E Harrison
Peter Cameron
Christina L Ekegren
format Journal article
container_title Trauma
container_volume 27
container_issue 1
container_start_page 39
publishDate 2025
institution Swansea University
issn 1460-4086
1477-0350
doi_str_mv 10.1177/14604086231216180
publisher SAGE Publications
college_str Faculty of Medicine, Health and Life Sciences
hierarchytype
hierarchy_top_id facultyofmedicinehealthandlifesciences
hierarchy_top_title Faculty of Medicine, Health and Life Sciences
hierarchy_parent_id facultyofmedicinehealthandlifesciences
hierarchy_parent_title Faculty of Medicine, Health and Life Sciences
department_str Swansea University Medical School - Health Data Science{{{_:::_}}}Faculty of Medicine, Health and Life Sciences{{{_:::_}}}Swansea University Medical School - Health Data Science
document_store_str 0
active_str 0
description Background: A better understanding of how chronic physical health conditions affect long-term outcomes following injury is essential for quantifying the burden of serious orthopaedic injuries. We aimed to describe the association between the presence of post-injury chronic physical health conditions and (i) the change in health status from before injury to six different follow-up time points after injury; and (ii) survival time. Methods: A cohort study was conducted using linked data from the REcovery after Serious Trauma: Outcomes, Resource Use, and Patient Experiences study, the Victorian Registry of Births, Deaths and Marriages (BDM) (2009–2017), the victorian admitted episodes dataset (2009–2017) and the victorian emergency minimum dataset (2009–2017). Adults (≥ 18 years old) with serious orthopaedic injuries who survived to discharge from their trauma admission were included. Multivariable linear regression analysis was conducted to evaluate the association between post-injury chronic physical health conditions and the mean change in health status (EuroQol-Visual Analogue Scale) from before injury to six follow-up time points post-injury. Survival analysis was conducted to estimate the probability of survival for people with and without chronic physical health conditions following injury. Results: Out of 894 participants, 177 (19.8%) had at least one chronic physical health condition recorded up to five years post-injury. People with post-injury conditions reported a greater mean decline in health status than people without post-injury conditions (difference, (95% CI): −6.9 (−9.7, −4.2), p = 0.01). Over the study period, almost six times as many people with chronic physical health conditions post-injury died as people without these conditions (AHR (95% CI): 5.7 (2.9, 11.3), p < 0.01). Conclusions: Chronic physical conditions after serious orthopaedic injuries were associated with a lower survival probability and a deteriorating health status. Orthopaedic injury survivors may benefit from early detection and treatment of chronic conditions.
published_date 2025-01-01T14:39:10Z
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