Prognostic indicators of social outcomes in persons who sustained an injury in a road traffic crash
Autor: | Christropher G. Maher, Ian D. Cameron, Michael K. Nicholas, Fiona M. Blyth, Ian A. Harris, Petrina Casey, Jagnoor Jagnoor, Bamini Gopinath |
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Rok vydání: | 2015 |
Předmět: |
Adult
Employment Male medicine.medical_specialty Activities of daily living Visual analogue scale Health Status Poison control Occupational safety and health Disability Evaluation Return to Work Quality of life Outcome Assessment Health Care Injury prevention medicine Humans Prospective Studies General Environmental Science business.industry Accidents Traffic Middle Aged Prognosis medicine.disease Compensation and Redress Quality of Life Musculoskeletal injury Physical therapy Wounds and Injuries General Earth and Planetary Sciences Female business Follow-Up Studies Cohort study |
Zdroj: | Injury. 46:909-917 |
ISSN: | 0020-1383 |
Popis: | Introduction There is a lack of longitudinal studies with adequate sample size and follow-up period which have objectively assessed social outcomes among those with mild or moderate musculoskeletal injury or that are not limited to hospital inpatients. We aimed to address this gap by prospectively assessing the potential predictors of return to pre-injury work and daily activities. Methods Persons with mild/moderate musculoskeletal injuries from a vehicle-related crash were surveyed within the first 3 months after the crash (baseline; n = 364), and at 12 (n = 284) and 24 months (n = 252). Participants self-reported return to work, and whether it was return to full or modified duties at work. Analyses were restricted to 170 participants who reported being in pre-injury paid work and had provided information at either 12 months only or at both 12 and 24 months. Return to usual activities was assessed using the European Quality of Life-5 Dimensions (EQ-5D) scale ‘Usual Activities’ dimension. Results Twenty-four months after injury 82% (n = 121) had returned to work. After multivariable adjustment, not being admitted to hospital was associated with 44% higher likelihood of returning to work at 24 months. Not having any pre-injury chronic illness was associated with returning to work after 24 months, multivariable-adjusted risk ratio (RR), 1.21 (95% confidence intervals, CI: 1.02–1.45). Each 1-SD increase in Medical Outcomes Survey Short Form-12 Mental Component Summary (SF-12 MCS) score at baseline was associated with returning to work at 24 months RR 1.13 (95% CI: 1.02–1.25). Younger age, higher SF-12 physical component summary (PCS), and EQ-5D visual analogue scale (VAS) scores were mutually independent predictors of returning to usual activities 24 months later. Conclusion A range of bio-psychosocial factors, particularly quality of life measures, independently predicted social outcomes including return to work and return to usual daily activities. These determinants could be measured early in the recovery process and be potentially amenable to intervention. |
Databáze: | OpenAIRE |
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