队列概况:创伤结果项目,对经历重大创伤的新西兰人的前性研究
Helen E Owen1, Emma H Wyeth1, Brett Maclennan1
1Ngāi Tahu Māori Health Research Unit, Division of Health Sciences, University of Otago, Dunedin, New Zealand.
BMJ open
|November 27, 2023
概括
创伤结果项目 (TOP) 收集了来自新西兰重大创伤幸存者的患者报告的结果措施 (PROM). 在受伤六个月后,大多数幸存者经历了持续的影响,毛利人中残疾率更高,突出了恢复的差异.
科学领域:
- 创伤护理研究 创伤护理研究
- 患者报告的结果措施 (PROMs)
- 公共卫生监督是对公共卫生的监督.
背景情况:
- 患者报告的结果测量 (PROM) 对于评估创伤护理质量至关重要.
- 新西兰创伤登记处 (NZTR) 以前缺乏PROM数据收集.
- 严重的创伤每年影响超过2500名新西兰人.
研究的目的:
- 描述创伤前和创伤后6个月的创伤结果项目 (TOP) 队列的特征.
- 专门分析TOP队列中毛利 (土著人口) 的结果.
- 为改善新西兰创伤护理质量建立基线数据.
主要方法:
- 创伤结果项目 (TOP) 在2019年7月至2020年6月期间从新西兰三个地区招募了870名重大创伤患者 (年龄≥16岁).
- 采访收集了与健康相关的生活质量,残疾 (EQ-5D-5L,WHODAS II),获得医疗保健和收入的数据.
- 数据包括受伤前和受伤后6个月的评估.
主要成果:
- 在受伤6个月后,85%的人报告了持续的影响;88%的人对EQ-5D-5L维度 (疼痛,通常活动,移动性) 有问题.
- 45%的参与者报告了残疾 (WHODAS II评分≥10),毛利人 (53%) 与非毛利人 (44%) 的患病率更高.
- 获得医疗保健的困难 (28%) 和劳动力参与率降低 (63%至45%) 是显著的.
结论:
- 严重的创伤导致持续的残疾和功能限制.
- 在毛利人和非毛利创伤幸存者之间存在残疾患病率的差异.
- 顶级数据将为国家创伤网络提供质量改善举措的信息,重点是公平的结果.
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