Quality of life after pelvic ring fractures: A cross-sectional study

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Created On: 19/02/2020

Quality of life after pelvic ring fractures: A cross-sectional study

To determine patients’ HrQoL following a pelvic ring fracture, considering the patients’ features using the Majeed pelvic score (MPS) and the EuroQoL-5D (EQ-5D).

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Key take away

In younger patients, pelvic fractures generally occur as a result of high impact trauma. Many studies have focused on radiological and functional outcomes after pelvic injury. However, only a few studies have focused on health-related quality of life (HrQoL) after pelvic ring injury. Therefore, this study showed that pain was increased in patients with Tile C fractures, compared with Tiles A and B. Furthermore, Tile C patients had significantly lower EQ-5D index and total MPS scores.

Background

To determine patients’ HrQoL following a pelvic ring fracture, considering the patients’ features using the Majeed pelvic score (MPS) and the EuroQoL-5D (EQ-5D).

Method

The analysis involved a total of 195 participants with pelvic ring fractures treated in a level 1 trauma centre surgically or conservatively between 2011 and 2015. A telephone survey was directed. The statistical assessment of the EQ-5D and the MPS was done by applying Multiple logistic and linear regression analyses. The outcomes of MPS were divided into two age groups with a cut-off point of 65 years.

Result

EQ-5D: The mean EQ-5D index score and Visual Analogue Scale (VAS) for Tiles A–C was 0.81 and 74, 0.77 and 74, 0.71 and 67, respectively. The Tile C participants felt considerably more pain than Tile A. The domains of usual activities and anxiety, and in the index score of Tile A and Tile C showed clinically relevant differences in EQ-5D scores. MPS: The mean MPS of Tiles A–C patients in the <65 and ≥65 groups noticed was 86 and 69, 81 and 68, 74 and 66, respectively. The <65 group showed a considerable difference in MPS outcomes between the groups on the total MPS score and pain. In ≥65 group, neither notable regression coefficients nor clinically important differences were observed.

Conclusion

The patients with Tile C fractures present higher pain, lower total MPS scores and EQ-5D index as compared to other Tiles. Although, no such types of issues observed in the ≥65 group.