title: Prevalence of poor outcomes soon after injury and their association with the severity of the injury.
abstract: Little is known of injury outcomes among non-hospitalised injured populations. This study examined the occurrence of poor outcomes 3 months after injury among the 2856 participants in the Prospective Outcomes of Injury Study, most of whom had sustained injuries considered of minor severity (by injury severity scoring) and had not received treatment at a hospital facility. The prevalence of poor outcomes was high across all health, physical functioning and social functioning domains and expectation characteristics examined, including for those participants with the 'least severe' injuries. Approximately half of the cohort reported experiencing moderate to high pain or psychological distress and reduced social participation, and three-quarters did not consider themselves recovered. Our findings demonstrate that, to obtain an accurate understanding of injury burden, injury outcome research should not focus only on those injured persons who are hospitalised.
authors.affiliation: Injury Prevention Research Unit, Department of Preventive and Social Medicine, Dunedin School of Medicine, University of Otago, , Dunedin, New Zealand.
authors.forename: Suzanne J
authors.initials: SJ
authors.lastname: Wilson
authors.forename: Sarah
authors.initials: S
authors.lastname: Derrett
authors.forename: Ian D
authors.initials: ID
authors.lastname: Cameron
authors.forename: Ari
authors.initials: A
authors.lastname: Samaranayaka
authors.forename: Gabrielle
authors.initials: G
authors.lastname: Davie
authors.forename: John
authors.initials: J
authors.lastname: Langley
mesh_terms: D000203:Activities of Daily Living; D000293:Adolescent; D000328:Adult; D004185:Disability Evaluation; D005260:Female; D006304:Health Status; D006801:Humans; D015601:Injury Severity Score; D008297:Male; D008875:Middle Aged; D009520:New Zealand / Q000453:epidemiology; D017063:Outcome Assessment, Health Care; D010146:Pain / Q000453:epidemiology; D010549:Personal Satisfaction; D015995:Prevalence; D011446:Prospective Studies; D011788:Quality of Life; D013315:Stress, Psychological / Q000453:epidemiology; D014947:Wounds and Injuries / Q000150:complications / Q000523:psychology; D055815:Young Adult