Please use this identifier to cite or link to this item: http://hdl.handle.net/11434/633
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dc.contributor.authorde Steiger, Richard-
dc.contributor.otherGabbe, Belinda-
dc.contributor.otherSimpson, Pamela-
dc.contributor.otherCameron, Peter-
dc.contributor.otherEkegren, Christina-
dc.contributor.otherEdwards, Elton-
dc.contributor.otherPage, Richard-
dc.contributor.otherLiew, Susan-
dc.contributor.otherBucknill, Andrew-
dc.date.accessioned2016-05-10T23:47:12Z-
dc.date.available2016-05-10T23:47:12Z-
dc.date.issued2015-11-
dc.identifier.citationBMJ Open. 2015 Nov 26;5(11):e009907en_US
dc.identifier.issn2044-6055en_US
dc.identifier.urihttp://hdl.handle.net/11434/633-
dc.description.abstractOBJECTIVES: 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.en_US
dc.relation.urihttp://www.ncbi.nlm.nih.gov/pmc/articles/PMC4663443/pdf/bmjopen-2015-009907.pdf-
dc.subjectEpidemiologyen_US
dc.subjectPublic Healthen_US
dc.subjectOrthopaedic Traumaen_US
dc.subjectOrthopedicen_US
dc.subjectOrthopaedicen_US
dc.subjectRegional Trauma Centreen_US
dc.subjectMetropolitan Trauma Centreen_US
dc.subjectRoad Traffic Injuryen_US
dc.subjectFunctional Recoveryen_US
dc.subjectReturn To Worken_US
dc.subjectEQ-5D-3Len_US
dc.subjectGlasgow Outcome Scale-Extended Scoreen_US
dc.subjectAdjusted Relative Risken_US
dc.subjectARRen_US
dc.subjectFaulten_US
dc.subjectMusculoskeletal Clinical Institute, Epworth HealthCare, Victoria, Australiaen_US
dc.titleAssociation 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.en_US
dc.typeJournal Articleen_US
dc.identifier.doi10.1136/bmjopen-2015-009907en_US
dc.identifier.journaltitleBMJ Openen_US
dc.description.pubmedurihttp://www.ncbi.nlm.nih.gov/pubmed/26610765en_US
dc.description.affiliatesFarr Institute, Swansea University Medical School, Swansea, Wales, UK.en_US
dc.description.affiliatesDepartment of Epidemiology and Preventive Medicine, Monash University, Melbourne, Victoria, Australia.en_US
dc.description.affiliatesEmergency and Trauma Centre, The Alfred, Melbourne, Victoria, Australia.en_US
dc.description.affiliatesDepartment of Orthopaedic Surgery, The Alfred, Melbourne, Victoria, Australia.en_US
dc.description.affiliatesDepartment of Orthopaedics, University Hospital Geelong, Geelong, Victoria, Australia.en_US
dc.description.affiliatesDepartment of Surgery, Monash University, Melbourne, Victoria, Australia.en_US
dc.description.affiliatesDepartment of Orthopaedics, Royal Melbourne Hospital, Melbourne, Victoria, Australia.en_US
dc.description.affiliatesDepartment of Surgery, University of Melbourne, Parkville, Victoria, Australia.en_US
dc.type.studyortrialComparative Studyen_US
dc.type.contenttypeTexten_US
Appears in Collections:Musculoskeletal
Rehabilitation

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