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 post injury.
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.
| Original language | English |
|---|---|
| Article number | e009907 |
| Pages (from-to) | 1 - 8 |
| Number of pages | 8 |
| Journal | BMJ Open |
| Volume | 5 |
| Issue number | 11 |
| DOIs | |
| Publication status | Published - 2015 |
Cite this
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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. / Gabbe, Belinda J.; Simpson, Pamela M.; Cameron, Peter A.; Ekegren, Christina; Edwards, Elton R.; Page, Richard; Liew, Susan; Bucknill, Andrew; De Steiger, Richard.
In: BMJ Open, Vol. 5, No. 11, e009907, 2015, p. 1 - 8.Research output: Contribution to journal › Article › Research › peer-review
TY - JOUR
T1 - Association between perception of fault for the crash and function, return to work and health status 1 year after road traffic injury
T2 - A registry-based cohort study
AU - Gabbe, Belinda J.
AU - Simpson, Pamela M.
AU - Cameron, Peter A.
AU - Ekegren, Christina
AU - Edwards, Elton R.
AU - Page, Richard
AU - Liew, Susan
AU - Bucknill, Andrew
AU - De Steiger, Richard
PY - 2015
Y1 - 2015
N2 - 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 post injury. 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.
AB - 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 post injury. 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.
UR - http://www.scopus.com/inward/record.url?scp=84970929774&partnerID=8YFLogxK
U2 - 10.1136/bmjopen-2015-009907
DO - 10.1136/bmjopen-2015-009907
M3 - Article
VL - 5
SP - 1
EP - 8
JO - BMJ Open
JF - BMJ Open
SN - 2044-6055
IS - 11
M1 - e009907
ER -