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

Belinda J. Gabbe, Pamela M. Simpson, Peter A. Cameron, Christina Ekegren, Elton R. Edwards, Richard Page, Susan Liew, Andrew Bucknill, Richard De Steiger

Research output: Contribution to journalArticleResearchpeer-review

11 Citations (Scopus)

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 languageEnglish
Article numbere009907
Pages (from-to)1 - 8
Number of pages8
JournalBMJ Open
Volume5
Issue number11
DOIs
Publication statusPublished - 2015

Cite this

@article{09a967efc1b54850b179f25f93327077,
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",
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.",
author = "Gabbe, {Belinda J.} and Simpson, {Pamela M.} and Cameron, {Peter A.} and Christina Ekegren and Edwards, {Elton R.} and Richard Page and Susan Liew and Andrew Bucknill and {De Steiger}, Richard",
year = "2015",
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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 journalArticleResearchpeer-review

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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

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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.

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