Please use this identifier to cite or link to this item: http://hdl.handle.net/11434/633
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
Simpson, Pamela
Cameron, Peter
Ekegren, C. L.
Edwards, E. R.
Page, Richard
Liew, Susan
Bucknill, Andrew
Keywords: Epidemiology
Public Health
Orthopaedic Trauma
Orthopedic
Orthopaedic
Regional Trauma Centre
Metropolitan Trauma Centre
Road Traffic Injury
Functional Recovery
Return To Work
EQ-5D-3L
Glasgow Outcome Scale-Extended Score
Adjusted Relative Risk
ARR
Fault
Musculoskeletal Clinical Institute, Epworth HealthCare, Victoria, Australia
Issue Date: Nov-2015
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.
URI: http://hdl.handle.net/11434/633
DOI: 10.1136/bmjopen-2015-009907
URL: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4663443/pdf/bmjopen-2015-009907.pdf
PubMed URL: http://www.ncbi.nlm.nih.gov/pubmed/26610765
ISSN: 2044-6055
Journal Title: BMJ Open
Type: Journal Article
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
Rehabilitation

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