A Cross-Sectional Study on Health-Related Quality of Life, Sleep, and Psychiatric Disorders in Individuals with Pelvic and Acetabulum Fractures

Abstract

Abstract Purpose: The purpose of this study is to assess the long-term (4 years) health-related quality of life (HRQOL), sleep disorders, anxiety, depression, and psychiatric disorders in individuals with pelvic and acetabulum fractures through a cross-sectional study design. Methods: A study was conducted on 265 patients with pelvic and acetabulum fractures from 2018 to 2022. The study investigated factors such as age, gender, cause of injury, hospital stay, blood loss, surgery duration, fracture reduction, surgical procedures, complications, and injury severity. The patient's quality of life was evaluated using EuroQoL-5D, VAS, and MPS, and sleep and psychological disorders were also assessed. Results: In a 2-year study of 216 patients with pelvic and acetabulum fractures, 6.6% experienced borderline clinical depression and 45.2% reported mild mood disturbance. Anxiety was mild to moderate in 46% of Tile C and posterior acetabulum wall fracture patients. Insomnia and sleep movement disorders were reported by 24.8% and 23.1% of patients, respectively, but no significant correlation was found between fracture types and sleep disorders. Mean MPS and EQ-5D vas scores were 89.68 and 10.04, respectively. Differences in fracture types were revealed through logistic regression analysis, except for two MPS subscales. Conclusions. We found that 80% of patients with pelvic and acetabular fractures had improved functional outcomes and quality of life. Older patients may experience anxiety and depression, as well as numbness or irritation related to implants. Posterior acetabulum wall fractures and Tile-C pelvic fractures require careful monitoring due to associated mild pain.