Higher Baseline Resiliency Scores Correlate With Better Patient-Reported Outcomes After Acetabular Fixation

Area of Science:

• Orthopedic Surgery
• Trauma Surgery
• Psychological Resilience

Background:

• Acetabular fractures are severe injuries requiring surgical fixation.
• Patient-reported outcomes (PROMs) are crucial for evaluating recovery.
• The role of psychological factors like resilience in recovery is increasingly recognized.

Purpose of the Study:

• To investigate the association between patient resilience and PROMs.
• To assess outcomes at six and twelve months post-acetabular fracture surgery.
• To determine if baseline resilience predicts functional and mental health recovery.

Main Methods:

• Retrospective cohort study design.
• Inclusion of adult patients with operatively treated acetabular fractures (AO/OTA 62).
• Utilized Brief Resilience Scale (BRS) and Patient-Reported Outcomes Measurement Information System (PROMIS) surveys.
• Multivariable linear regression analysis adjusted for clinical covariates.

Main Results:

• 111 patients were included in the analysis.
• High resilience (BRS ≥ 3.7) was independently associated with better PROMIS Physical Function, Global Physical Health, and Global Mental Health scores at six months.
• High resilience also correlated with lower Pain Interference, Depression, and Anxiety scores at six months.
• Similar positive associations were observed at the twelve-month follow-up.

Conclusions:

• Higher baseline resilience is significantly associated with superior patient-reported outcomes.
• This association extends to physical function, mental health, and pain interference.
• Resilience may be a key factor influencing recovery trajectories after acetabular fracture surgery.