• Nadine E Andrew, Belinda J Gabbe, Rory Wolfe, Owen D Williamson, Martin D Richardson, Elton R Edwards, and Peter A Cameron.
• Department of Epidemiology and Preventive Medicine, Monash University, Melbourne, Victoria, Australia.
• Clin J Sport Med. 2008 Sep 1;18(5):387-93.

ObjectiveTo describe and identify predictors of 12-month outcomes of serious orthopaedic injuries due to sport and active recreation.DesignProspective cohort study with 12-month follow-up.SettingTwo Level 1 adult trauma centers in Victoria, Australia.ParticipantsA total of 366 adults admitted to two Level 1 trauma centers for an orthopaedic sport and active recreation injury between August 2003 and March 2006. Patients were captured by the Victorian Orthopaedic Trauma Outcomes Registry (VOTOR), followed up at 12 months, and were free of moderate to severe disability prior to injury.Assessment Of Risk FactorsIndependent variables assessed for predictors of outcome were sporting group, age, sex, marital status, education level, Injury Severity Score, injury patterns, and head injury status.Main Outcome MeasurementsThe 12-item Short Form Health Survey and maximum pain scores.ResultsAt 12 months postinjury, 22.8% of patients reported moderate to severe physical disability, 12.1% reported moderate to severe mental health disability, and 11.1% reported moderate to severe pain. There were significant differences in physical outcomes between sporting groups, with motor and equestrian sports reporting the worst physical outcomes. Multivariate analysis indentified increasing age (P = 0.010) and patterns of injury (P = 0.040) as significant predictors of a poor physical outcome at 12 months. No significant independent predictors of outcome for mental health and maximum pain at 12 months were identified.ConclusionAlmost one-quarter of participants reported moderate to severe physical disability at 12 months postinjury. Increasing age and patterns of injury were found to be significant predictors of a poor physical outcome at 12 months.

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