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Injury Prevention Research Unit

Functional Outcomes 3 months after Injury The role of pre-injury socio-demographic, health, & injury characteristics Prospective Outcomes of Injury Study (POIS) New Zealand. Injury Prevention Research Unit. Drivers for POIS study.

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Injury Prevention Research Unit

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  1. Functional Outcomes 3 months after Injury The role of pre-injury socio-demographic, health, & injury characteristics Prospective Outcomes of Injury Study (POIS)New Zealand Injury Prevention Research Unit

  2. Drivers for POIS study • Injury outcome studies have tended to collect limited pre-injury characteristics • Focus on narrow range of: • injury types • predictors • outcomes • Restricted to high threat to life injuries

  3. Methods • ACC entitlement claimants (N=2856) • 5 regions • 18-64 years • NZ residents/citizens • Excl: sensitive claimants • 4 interviews • 3, 5, 12 & 24 months Auckland City ManukauCity Gisborne Otago Southland

  4. POIS Primary outcomes of interest • Function: EQ-5D • Disabiity: WHO-DAS • Return to work

  5. Mobility The EQ-5D 1 – I have no problems with self-care 2 – I have some problems washing or dressing myself 3 – I am unable to wash or dress myself Self-care Usual Activities Pain or Discomfort 1 – I have no pain or discomfort 2 – I have moderate pain or discomfort 3 – I have extreme pain or discomfort Anxiety or Depression

  6. Pre-injury socio-demographic charactersistics • Gender • Age • Living with others • Education • Working for pay • Financial status

  7. Pre-injury health and disability characteristics Depressed mood Spiritual belief Cigarette smoking Alcohol use Illicit drug use Exercise frequency Enough money • Disability • Chronic illness • Overall health • BMI • Optimism • Self-efficacy

  8. Injury & health care characteristics • Body region injured • Nature of injury • Intent of injury event • Admitted to hospital • Self-perceived threat to life • Self perceived threat of disability • Access to health services

  9. Prevalence of any problems

  10. Socio-demographic (ORs)

  11. Health & disability (ORs)

  12. Injury, health (ORs)

  13. Summary • Substantial portions of participants continued to have adverse outcomes three months after their injury • Key pervasive factors predicting adverse outcomes were: being female, prior chronic illness, injuries to multiple body regions, being hospitalized for injury, self-perceived threat to life and threat of disability, and difficulty accessing health

  14. Acknowledgements Co-authors: Sarah Derrett, Gabrielle Davie, Shanthi Ameratunga, & Emma Wyeth Funders: The Health Research Council of New Zealand (2007-2013) and the Accident Compensation Corporation (2007-2010)

  15. Further infomation • This paper: Health and Quality of Life Outcomes 2011, 9:68 Open Access (www.hqlo.com) • POIS Study Protocol: Inj Prev 2009;15:e3 doi:10.1136/ip.2009.022558 • Principal Investigator: Sarah Derrett: sarah.derrett@ipru.otago.ac.nz

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