Assessment of Patient-Reported Outcome Measures Following Pelvi-Acetabular Fractures in Patients Admitted to a Tertiary Care Hospital

对入住三级医院的骨盆髋臼骨折患者进行患者报告结局指标评估

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Abstract

Background Pelvi-acetabular fractures can have a profound impact on patient well-being and functional outcomes. Understanding patient-reported outcomes is crucial for assessing the long-term effects of treatment and improving clinical practices. The present study aimed to evaluate patient-reported outcome measures (PROMs) in individuals treated for pelvi-acetabular fractures. Methods This study was conducted at a tertiary care hospital and included patients treated for pelvi-acetabular fractures. Data were collected from patients with a minimum follow-up of six months. Both generic PROMs (Short Form-36 (SF-36), Short Musculoskeletal Function Assessment (SMFA), Oxford Hip Score, and Majeed Pelvic Outcome Score) and functional outcome measures (Harris Hip Score (HHS) and Parker Palmer Mobility Score) were recorded. Radiological assessment was performed using Matta grading. Agreement between the SF-36 and HHS was also evaluated. Results The mean SF-36 physical functioning component score was 92.28. The SMFA showed a mean score of 7.94. HHS results were good in 53.2% of cases and excellent in 38.3% of cases. Overall, the findings revealed favorable outcomes in terms of general health and functional status after treatment. There was significant agreement between the generic PROM (SF-36) and the disease-specific functional outcome measure (HHS), suggesting overall improvement in health and patient satisfaction. Conclusion These findings underscore the importance of comprehensively assessing patient-reported outcomes to capture the full impact of healthcare interventions. The insights from this study may help guide treatment decisions and improve patient satisfaction, particularly in regions with a high incidence of pelvi-acetabular fractures. Further research with larger sample sizes and longer follow-up periods is warranted to refine treatment strategies and enhance the quality of care for individuals with pelvi-acetabular injuries.

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