Predictors of lower health-related quality of life after operative repair of diaphyseal femur fractures in a low-resource setting.
Injury
; 49(7): 1330-1335, 2018 Jul.
Article
en En
| MEDLINE
| ID: mdl-29866624
ABSTRACT
BACKGROUND:
Little data exists on the negative impact of orthopaedic trauma on quality of life (QOL) in low- and middle-income countries (LMICs). The goal of this study is to investigate the factors associated with lower QOL after operative fixation of femoral shaft fractures in adult patients in a low-resource setting.METHODS:
This prospective cohort study followed 272 factures in adults undergoing operative fixation for diaphyseal femur fractures at Tanzania. Patient demographics, injury characteristics, treatment modalities, and functional outcomes up to 1-year post-operatively were evaluated for association with 1-year post-operative EQ-5D QOL scores via univariate linear regression analysis.RESULTS:
EQ-5D values were significantly lower at 1â¯year than at baseline (0.941 vs 0.991, pâ¯<â¯0.0005).CONCLUSIONS:
Operative fixation of femoral shaft fractures in LMICs results in return to near baseline QOL. Demographic and treatment factors were not significantly associated with EQ-5D. and several markers of recovery were associated with lower 1â¯year QOL, including pain, knee stiffness, delayed radiographic healing, complications requiring reoperation. Efforts to reduce perioperative complications may help improve post-operative QOL.Palabras clave
Texto completo:
1
Base de datos:
MEDLINE
Asunto principal:
Complicaciones Posoperatorias
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Fracturas del Fémur
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Fijación Intramedular de Fracturas
Tipo de estudio:
Observational_studies
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Prognostic_studies
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Risk_factors_studies
Límite:
Adult
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Female
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Humans
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Male
Idioma:
En
Revista:
Injury
Año:
2018
Tipo del documento:
Article