Impact of comorbidity on health outcome after a transport-related injury

Research output: Contribution to journalArticleResearchpeer-review

Abstract

Introduction: Understanding the impact of comorbidity on health outcomes is important given that comorbidities can affect survival, morbidity, service delivery costs and healthcare utilisation. However, little is known about the types of comorbidities affecting specific health outcomes after minor to moderate road trauma. Methods: This study involved 1574 participants who claimed injury compensation following transport-related injury. Cross sectional data were collected. Health outcomes were assessed using the EQ-5D-3L specific domains and summary score. Twelve self-reported pre-existing chronic conditions were assessed using a multivariate logistic regression, adjusting for demographic and injury characteristics. Results: Out of 1574 participants, only 17 (1%) participants reported no pre-existing comorbidities, 72% reported one, 13% reported two and 14% reported three or more comorbidities. Hypertension (15%), depression (14%) and anxiety (14%) were the most commonly reported comorbidities, followed by arthritis (13%), chronic pain (11%) and asthma (11%). Participants with a history of arthritis (adjusted odds ratio [AOR] 1.90, 95% CI 1.24 to 2.91); chronic back pain (AOR 1.59, 95% CI, 1.04 to 2.43); other chronic pain (AOR 2.73, 95% CI 1.42 to 4.24); depression (AOR 2.55, 95% CI 1.60 to 4.05) and anxiety (AOR 2.08, 95% CI 1.32 to 3.26) were at increased risk of poorer health outcomes, after controlling for age, gender, type of injury and time since injury. Conclusion: This study found that comorbidities such as arthritis, chronic back pain, other chronic pain, depression and anxiety significantly increase the odds of poorer health postinjury, regardless of the time since injury. Regular screening of comorbid conditions may help identify people likely to have poorer outcomes, thereby enabling the implementation of interventions to optimise health despite the presence of comorbidities.

Original languageEnglish
Number of pages8
JournalInjury Prevention
DOIs
Publication statusAccepted/In press - 19 Apr 2019

Keywords

  • comorbidities
  • injury compensation
  • outcome of injury
  • quality of life

Cite this

@article{4640ffebed684a25a7345ffc7c606fba,
title = "Impact of comorbidity on health outcome after a transport-related injury",
abstract = "Introduction: Understanding the impact of comorbidity on health outcomes is important given that comorbidities can affect survival, morbidity, service delivery costs and healthcare utilisation. However, little is known about the types of comorbidities affecting specific health outcomes after minor to moderate road trauma. Methods: This study involved 1574 participants who claimed injury compensation following transport-related injury. Cross sectional data were collected. Health outcomes were assessed using the EQ-5D-3L specific domains and summary score. Twelve self-reported pre-existing chronic conditions were assessed using a multivariate logistic regression, adjusting for demographic and injury characteristics. Results: Out of 1574 participants, only 17 (1{\%}) participants reported no pre-existing comorbidities, 72{\%} reported one, 13{\%} reported two and 14{\%} reported three or more comorbidities. Hypertension (15{\%}), depression (14{\%}) and anxiety (14{\%}) were the most commonly reported comorbidities, followed by arthritis (13{\%}), chronic pain (11{\%}) and asthma (11{\%}). Participants with a history of arthritis (adjusted odds ratio [AOR] 1.90, 95{\%} CI 1.24 to 2.91); chronic back pain (AOR 1.59, 95{\%} CI, 1.04 to 2.43); other chronic pain (AOR 2.73, 95{\%} CI 1.42 to 4.24); depression (AOR 2.55, 95{\%} CI 1.60 to 4.05) and anxiety (AOR 2.08, 95{\%} CI 1.32 to 3.26) were at increased risk of poorer health outcomes, after controlling for age, gender, type of injury and time since injury. Conclusion: This study found that comorbidities such as arthritis, chronic back pain, other chronic pain, depression and anxiety significantly increase the odds of poorer health postinjury, regardless of the time since injury. Regular screening of comorbid conditions may help identify people likely to have poorer outcomes, thereby enabling the implementation of interventions to optimise health despite the presence of comorbidities.",
keywords = "comorbidities, injury compensation, outcome of injury, quality of life",
author = "Stella Samoborec and Pamela Simpson and Behrooz Hassani-Mahmooei and Rasa Ruseckaite and Melita Giummarra and Darshini Ayton and Sue Evans",
year = "2019",
month = "4",
day = "19",
doi = "10.1136/injuryprev-2019-043195",
language = "English",
journal = "Injury Prevention",
issn = "1353-8047",
publisher = "BMJ Publishing Group Ltd",

}

TY - JOUR

T1 - Impact of comorbidity on health outcome after a transport-related injury

AU - Samoborec, Stella

AU - Simpson, Pamela

AU - Hassani-Mahmooei, Behrooz

AU - Ruseckaite, Rasa

AU - Giummarra, Melita

AU - Ayton, Darshini

AU - Evans, Sue

PY - 2019/4/19

Y1 - 2019/4/19

N2 - Introduction: Understanding the impact of comorbidity on health outcomes is important given that comorbidities can affect survival, morbidity, service delivery costs and healthcare utilisation. However, little is known about the types of comorbidities affecting specific health outcomes after minor to moderate road trauma. Methods: This study involved 1574 participants who claimed injury compensation following transport-related injury. Cross sectional data were collected. Health outcomes were assessed using the EQ-5D-3L specific domains and summary score. Twelve self-reported pre-existing chronic conditions were assessed using a multivariate logistic regression, adjusting for demographic and injury characteristics. Results: Out of 1574 participants, only 17 (1%) participants reported no pre-existing comorbidities, 72% reported one, 13% reported two and 14% reported three or more comorbidities. Hypertension (15%), depression (14%) and anxiety (14%) were the most commonly reported comorbidities, followed by arthritis (13%), chronic pain (11%) and asthma (11%). Participants with a history of arthritis (adjusted odds ratio [AOR] 1.90, 95% CI 1.24 to 2.91); chronic back pain (AOR 1.59, 95% CI, 1.04 to 2.43); other chronic pain (AOR 2.73, 95% CI 1.42 to 4.24); depression (AOR 2.55, 95% CI 1.60 to 4.05) and anxiety (AOR 2.08, 95% CI 1.32 to 3.26) were at increased risk of poorer health outcomes, after controlling for age, gender, type of injury and time since injury. Conclusion: This study found that comorbidities such as arthritis, chronic back pain, other chronic pain, depression and anxiety significantly increase the odds of poorer health postinjury, regardless of the time since injury. Regular screening of comorbid conditions may help identify people likely to have poorer outcomes, thereby enabling the implementation of interventions to optimise health despite the presence of comorbidities.

AB - Introduction: Understanding the impact of comorbidity on health outcomes is important given that comorbidities can affect survival, morbidity, service delivery costs and healthcare utilisation. However, little is known about the types of comorbidities affecting specific health outcomes after minor to moderate road trauma. Methods: This study involved 1574 participants who claimed injury compensation following transport-related injury. Cross sectional data were collected. Health outcomes were assessed using the EQ-5D-3L specific domains and summary score. Twelve self-reported pre-existing chronic conditions were assessed using a multivariate logistic regression, adjusting for demographic and injury characteristics. Results: Out of 1574 participants, only 17 (1%) participants reported no pre-existing comorbidities, 72% reported one, 13% reported two and 14% reported three or more comorbidities. Hypertension (15%), depression (14%) and anxiety (14%) were the most commonly reported comorbidities, followed by arthritis (13%), chronic pain (11%) and asthma (11%). Participants with a history of arthritis (adjusted odds ratio [AOR] 1.90, 95% CI 1.24 to 2.91); chronic back pain (AOR 1.59, 95% CI, 1.04 to 2.43); other chronic pain (AOR 2.73, 95% CI 1.42 to 4.24); depression (AOR 2.55, 95% CI 1.60 to 4.05) and anxiety (AOR 2.08, 95% CI 1.32 to 3.26) were at increased risk of poorer health outcomes, after controlling for age, gender, type of injury and time since injury. Conclusion: This study found that comorbidities such as arthritis, chronic back pain, other chronic pain, depression and anxiety significantly increase the odds of poorer health postinjury, regardless of the time since injury. Regular screening of comorbid conditions may help identify people likely to have poorer outcomes, thereby enabling the implementation of interventions to optimise health despite the presence of comorbidities.

KW - comorbidities

KW - injury compensation

KW - outcome of injury

KW - quality of life

UR - http://www.scopus.com/inward/record.url?scp=85064474863&partnerID=8YFLogxK

U2 - 10.1136/injuryprev-2019-043195

DO - 10.1136/injuryprev-2019-043195

M3 - Article

JO - Injury Prevention

JF - Injury Prevention

SN - 1353-8047

ER -