Details

Autor(en) / Beteiligte

• Hours, Martine
• Chossegros, Laetitia
• Charnay, Pierrette
• Tardy, Hélène
• Nhac-Vu, Hoang-Thy
• Boisson, Dominique
• Luauté, Jacques
• Laumon, Bernard

Titel

Outcomes one year after a road accident: Results from the ESPARR cohort

Ist Teil von

• Accident analysis and prevention, 2013-01, Vol.50, p.92-102

Ort / Verlag

Kidlington: Elsevier Ltd

Erscheinungsjahr

2013

Link zum Volltext

Quelle

Elsevier ScienceDirect Journals

Beschreibungen/Notizen

• ► A large cohort of injured people in a road accident is followed-up for several years. ► The study gives prevalent rates for diverse consequences, which are uncommon data. ► One year after a road accident, pain remains frequent and impairs daily life for most injured people. ► An elevated rate of chronic PTSD is observed, specifically in patients with traumatic brain injury. ► A non-negligible impact on affective and occupational life is observed, in mild, moderate or severe injured subjects. Reducing the rates of death, trauma and sequelae associated with road accidents is the prime goal of road safety authorities, and success requires having data on victims’ outcomes in the long term. The present study examined the outcome of adult road accident victims one year after their accident. A follow-up study. The cohort comprised 886 injured road-accident victims, aged ≥16 years, and living in the Rhône administrative Département, France (taken from the ESPARR Cohort). Data were collected on victim characteristics at the time of crash, and self-reported outcomes one year later. The population of respondents at the one-year questionnaire follow-up was divided into two categories according to injury severity, as mild-to-moderate (M.AIS<3) or severe (M.AIS 3+). Qualitative variables were compared between these 2 groups using Chi2 or Fisher exact tests. At one year post-accident, 45% of the mild-to-moderate injury group versus only 20% of severely injured subjects reported full recovery of health (p<0.001). 20% of the cohort, as a whole, reported permanent pain. More than half of the severely injured subjects reported that the accident had had an impact on the everyday life of their family; this was twice as many as in the mild-to-moderate injury group (55% vs. 22%). Most of the severely injured reported impact on leisure, projects and emotional life: 20% reported relational difficulties in the couple, 16% reported impaired sexual life, and the rate of separation was significantly higher than in the mild-to-moderate injury group (5% vs. 1%; p<0.001). Mean time off work was significantly longer in the severe injury group: 245±158 days vs. 75±104 days (p<0.001); and 32% of the severe injury group (p<0.001) who had stopped work had not returned at 1 year, compared to 5% of the mild-to-moderate injury group. One year after a road accident, the consequences for victims remain significant. In terms of physical impact, pain frequently persists, impairing daily life for many. There is an elevated rate of chronic PTSD (post-traumatic stress disorder) and a non-negligible impact on affective and occupational life.