TY - JOUR
T1 - A comparison of functional outcome in patients sustaining major trauma: a multicentre, prospective, international study
AU - Rainer, Timothy H
AU - Yeung, Hiu Hung
AU - Gabbe, Belinda Jane
AU - Yuen, Kai Y
AU - Ho, Hiu Fai
AU - Kam, Chak W
AU - Chang, Annice
AU - Poon, Wai S
AU - Cameron, Peter
AU - Graham, Colin A
PY - 2014
Y1 - 2014
N2 - Objectives: To compare 6 month and 12 month health status and functional outcomes between regional major trauma registries in Hong Kong and Victoria, Australia.
Summary Background Data: Multicentres from trauma registries in Hong Kong and the Victorian State Trauma Registry
(VSTR).
Methods: Multicentre, prospective cohort study. Major trauma patients and aged 18 years were included. The main outcome measures were Extended Glasgow Outcome Scale (GOSE) functional outcome and risk-adjusted Short-Form 12 (SF- 12) health status at 6 and 12 months after injury.
Results: 261 cases from Hong Kong and 1955 cases from VSTR were included. Adjusting for age, sex, ISS, comorbid status, injury mechanism and GCS group, the odds of a better functional outcome for Hong Kong patients relative to Victorian patients at six months was 0.88 (95 CI: 0.66, 1.17), and at 12 months was 0.83 (95 CI: 0.60, 1.12). Adjusting for age, gender, ISS, GCS, injury mechanism and comorbid status, Hong Kong patients demonstrated comparable mean PCS-12 scores at 6-months (adjusted mean difference: 1.2, 95 CI: 21.2, 3.6) and 12-months (adjusted mean difference: 20.4, 95
CI: 23.2, 2.4) compared to Victorian patients. Keeping age, gender, ISS, GCS, injury mechanism and comorbid status, there was no difference in the MCS-12 scores of Hong Kong patients compared to Victorian patients at 6-months (adjusted mean difference: 0.4, 95 CI: 22.1, 2.8) or 12-months (adjusted mean difference: 1.8, 95 CI: 20.8, 4.5).
Conclusion: The unadjusted analyses showed better outcomes for Victorian cases compared to Hong Kong but after adjusting for key confounders, there was no difference in 6-month or 12-month functional outcomes between the jurisdictions
AB - Objectives: To compare 6 month and 12 month health status and functional outcomes between regional major trauma registries in Hong Kong and Victoria, Australia.
Summary Background Data: Multicentres from trauma registries in Hong Kong and the Victorian State Trauma Registry
(VSTR).
Methods: Multicentre, prospective cohort study. Major trauma patients and aged 18 years were included. The main outcome measures were Extended Glasgow Outcome Scale (GOSE) functional outcome and risk-adjusted Short-Form 12 (SF- 12) health status at 6 and 12 months after injury.
Results: 261 cases from Hong Kong and 1955 cases from VSTR were included. Adjusting for age, sex, ISS, comorbid status, injury mechanism and GCS group, the odds of a better functional outcome for Hong Kong patients relative to Victorian patients at six months was 0.88 (95 CI: 0.66, 1.17), and at 12 months was 0.83 (95 CI: 0.60, 1.12). Adjusting for age, gender, ISS, GCS, injury mechanism and comorbid status, Hong Kong patients demonstrated comparable mean PCS-12 scores at 6-months (adjusted mean difference: 1.2, 95 CI: 21.2, 3.6) and 12-months (adjusted mean difference: 20.4, 95
CI: 23.2, 2.4) compared to Victorian patients. Keeping age, gender, ISS, GCS, injury mechanism and comorbid status, there was no difference in the MCS-12 scores of Hong Kong patients compared to Victorian patients at 6-months (adjusted mean difference: 0.4, 95 CI: 22.1, 2.8) or 12-months (adjusted mean difference: 1.8, 95 CI: 20.8, 4.5).
Conclusion: The unadjusted analyses showed better outcomes for Victorian cases compared to Hong Kong but after adjusting for key confounders, there was no difference in 6-month or 12-month functional outcomes between the jurisdictions
UR - http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4144837/pdf/pone.0103396.pdf
U2 - 10.1371/journal.pone.0103396
DO - 10.1371/journal.pone.0103396
M3 - Article
VL - 9
JO - PLoS ONE
JF - PLoS ONE
SN - 1932-6203
IS - 8
M1 - e103396
ER -