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|Title:||Association between perception of fault for the crash and function, return to work and health status 1 year after road traffic injury: a registry-based cohort study.|
|Epworth Authors:||de Steiger, Richard|
|Other Authors:||Gabbe, Belinda|
Ekegren, C. L.
Edwards, E. R.
Regional Trauma Centre
Metropolitan Trauma Centre
Road Traffic Injury
Return To Work
Glasgow Outcome Scale-Extended Score
Adjusted Relative Risk
Musculoskeletal Clinical Institute, Epworth HealthCare, Victoria, Australia
|Citation:||BMJ Open. 2015 Nov 26;5(11):e009907|
|Abstract:||OBJECTIVES: To establish the association between the patient's perception of fault for the crash and 12-month outcomes after non-fatal road traffic injury. SETTING: Two adult major trauma centres, one regional trauma centre and one metropolitan trauma centre in Victoria, Australia. PARTICIPANTS: 2605 adult, orthopaedic trauma patients covered by the state's no-fault third party insurer for road traffic injury, injured between September 2010 and February 2014. OUTCOME MEASURES: EQ-5D-3L, return to work and functional recovery (Glasgow Outcome Scale-Extended score of upper good recovery) at 12 months postinjury. RESULTS: After adjusting for key confounders, the adjusted relative risk (ARR) of a functional recovery (0.57, 95% CI 0.46 to 0.69) and return to work (0.92, 95% CI 0.86 to 0.99) were lower for the not at fault compared to the at fault group. The ARR of reporting problems on EQ-5D items was 1.20-1.35 times higher in the not at fault group. CONCLUSIONS: Patients who were not at fault, or denied being at fault despite a police report of fault, experienced poorer outcomes than the at fault group. Attributing fault to others was associated with poorer outcomes. Interventions to improve coping, or to resolve negative feelings from the crash, could facilitate better outcomes in the future.|
|Journal Title:||BMJ Open|
|Affiliated Organisations:||Farr Institute, Swansea University Medical School, Swansea, Wales, UK.|
Department of Epidemiology and Preventive Medicine, Monash University, Melbourne, Victoria, Australia.
Emergency and Trauma Centre, The Alfred, Melbourne, Victoria, Australia.
Department of Orthopaedic Surgery, The Alfred, Melbourne, Victoria, Australia.
Department of Orthopaedics, University Hospital Geelong, Geelong, Victoria, Australia.
Department of Surgery, Monash University, Melbourne, Victoria, Australia.
Department of Orthopaedics, Royal Melbourne Hospital, Melbourne, Victoria, Australia.
Department of Surgery, University of Melbourne, Parkville, Victoria, Australia.
|Type of Clinical Study or Trial:||Comparative Study|
|Appears in Collections:||Musculoskeletal|
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