What is the level of work and societal participation in patients with pelvic ring injuries? A two-year prospective cohort study.

Abstract

ObjectiveTo provide insight into the impact of pelvic ring injuries on patients' work and school activities and participation in society.DesignProspective-cohort study.SettingA level-1 trauma center in the Netherlands.Participants195 patients with a pelvic ring injury.Main measuresThe work or school activities and participation in society domains of the World Health Organization Disability Assessment Score II (WHO-DAS II) were administered at admission (pre-injury score), 3 months, 6 months, 1 year and 2 years following the injury.ResultsBefore the injury, the median scores were 80 for both work or school activities and participation in society. The scores 3 months after the injury were 40 and 60, respectively, but both improved to 75 after 2 years. The percentage of non-recovered patients decreased over time, from 45% to 35% for work or school activities and from 34% to 18% for participation in society between 6 months and 2 years. At work or school, patients struggled to complete daily tasks and important activities as efficiently and effectively as needed. Regarding participation in society, patients struggled with the amount of time spent managing their injuries, joining community activities, and doing things for relaxation. No relationships between patients or injury characteristics and recovery were identified one year following the injury.ConclusionsPelvic ring injuries greatly impact patients' work or school activities and participation in society. However, these domains greatly improve within the first two years, with many individuals regaining their pre-injury capabilities. Still, some continue to experience long-term difficulties in participation.