{"doi":"10.1016/j.asmr.2023.100858","title":"Low Preoperative Brief Resilience Scale Scores Are Associated With Inferior Preoperative and Short‐Term Postoperative Patient Outcomes Following Primary Autograft Anterior Cruciate Ligament Reconstruction","abstract":"Purpose To assess preoperative Brief Resilience Scale (BRS) scores as they relate to postoperative patient outcomes following primary autograft anterior cruciate ligament reconstruction (ACLR). Methods All patients who underwent primary autograft ACLR from 2016 to 2021 and had a patient‐reported follow‐up of 1 year and a clinical follow‐up of 6 months were included in final data analysis. Patients completed validated PROMs pre‐ and postoperatively. All patients were objectively assessed with range of motion (ROM) and KT‐1000 arthrometer testing. Return to sport (RTS) data were obtained for all applicable patients. Patients were divided into 3 groups based on ± ½ the standard deviation for the mean preoperative BRS score. Results In total, 170 patients who underwent primary autograft ACLR with a mean age of 20.1 years (range, 13‐57 years) and a mean final follow‐up time of 2.9 years (range, 1.0‐5.8 years) were included in the final analysis. The mean preoperative BRS scores for the high‐resilience (HR, n = 67), average‐resilience (AR, n = 42), and low‐resilience (LR, n = 61) groups were 28.1 (95% CI, 27.8‐28.9), 24.5 (95% CI, 24.3‐24.6), and 21.1 (95% CI, 20.5‐21.7), respectively ( P < .001). The HR group demonstrated significantly higher preoperative and postoperative patient‐reported outcome measures (PROMs) compared to the AR and LR groups, with more differences seen with the LR group. The HR group demonstrated better knee extension in postoperative month 3 compared to the LR group (0.6° [95% CI, –1.2° to 0.1°] vs –2.3° [95% CI, –3.3° to –1.3°], P = .006). The HR group demonstrated a faster RTS time compared to the LR group (6.4 months [95% CI, 6.1‐6.7] vs 7.6 months [95% CI, 7.1‐8.1], P = .002). No differences were seen in RTS rate, knee flexion, or KT‐1000 arthrometer measurements between the 3 groups. Conclusions Low preoperative BRS scores were associated with inferior PROMs preoperatively and in the short‐term postoperative period compared to those with higher preoperative BRS scores. Additionally, patients with lower preoperative BRS scores demonstrated a higher degree of knee extension loss 3 months postoperatively as well as a slower RTS. Level of Evidence Level III, retrospective cohort study.","journal":"Arthroscopy Sports Medicine and Rehabilitation","year":2024,"id":461851,"datarank":0.16479184330021646,"base_score":1.0986122886681096,"endowment":1.0986122886681096,"self_citation_contribution":0.16479184330021646,"citation_network_contribution":0.0,"self_endowment_contribution":0.16479184330021646,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":2,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.8798,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2024-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":456345,"name":"Gregory D. Myer","orcid":"0000-0002-9983-8422","position":1,"is_corresponding":false},{"id":327453,"name":"Troy D. Pashuck","orcid":null,"position":2,"is_corresponding":false},{"id":1029965,"name":"Patrick A. Smith","orcid":"0000-0001-6735-1153","position":3,"is_corresponding":false},{"id":1290824,"name":"Adam V. Daniel","orcid":"0000-0002-2367-2702","position":0,"is_corresponding":true}],"reference_count":55,"raw_metadata":{"citation_network_status":"fetched"},"created_at":"2026-07-19T02:04:16.410510Z","pmid":"38274089","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}