OBJECTIVES: To determine if patient resiliency is associated with patient-reported outcomes at six and twelve months following surgical fixation of acetabular fractures. METHODS: Design: Retrospective cohort study. Setting: Single Level I trauma center (2022-2024). Patient Selection Criteria: Adults who sustained an acetabulum fracture (AO/OTA 62) treated operatively and completed Brief Resilience Scale (BRS) surveys two-weeks postoperatively and Patient-Reported Outcomes Measurement Information System (PROMIS) surveys at six- and/or twelve-months postoperatively were included. Outcome Measures and Comparisons: Primary outcomes were scores for PROMIS Physical Function (PF), Global Physical Health (GPH), Global Mental Health (GMH), Pain Interference (PI), Depression, Anxiety, and Brief Resilience Scale (BRS). PROMIS scores were compared between low and high resiliency individuals at six- and twelve-months, as defined by the cohort median BRS score. Multivariable linear regression was used to adjust for relevant clinical covariates. RESULTS: A total of 111 patients were included; 81 patients (64.2% male, 60.5% white; mean age 51.1 years) completed 6-month surveys and 56 patients (75.0% male, 66.1% white; mean age 51.8 years) completed 12-month surveys. At six months, high resiliency (BRS (≥ 3.7) was independently associated with higher PROMIS PF (β = 6.73 2.93-10.54, p < 0.001), GPH ((β = 8.88 5.47-12.28, p < 0.001), and GMH ((β = 12.40 8.48-16.32, p < 0.001) with lower PI ((β = -7.83 -11.25 to -4.40, p < 0.001), Depression ((β = -15.33 -19.69 to -10.97, p < 0.001), and Anxiety ((β = -11.54 -16.35 to -6.72, p < 0.001) scores on regression analysis. Similarly, highly resilient (BRS ≥ 3.6) individuals completing 12-month surveys had significantly positive associations across all domains. CONCLUSIONS: Compared to patients with low resilience, high baseline resilience was associated with significantly better PROMIS outcomes at six and twelve months following acetabular fixation. LEVEL OF EVIDENCE: III
McIlwain et al. (Fri,) studied this question.