| A population-based cohort study of longer-term changes in health of car drivers involved in serious crashes. | |
| | |
MedLine Citation:
|
PMID: 16997425 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
STUDY OBJECTIVE: Evidence about the burden of disability after motor vehicle crashes has relied primarily on trauma center-based studies. We examine the impact of serious crashes on the longer-term health of car drivers, independent of natural variation, in a population-based study in Auckland, New Zealand. METHODS: The study population comprised 218 car drivers surviving nonfatal crashes in Auckland, in which at least 1 occupant in the vehicle was admitted to a hospital, and a representative sample of 254 car drivers in the region, recruited from roadside surveys. All participants were interviewed at recruitment (subjects reported their precrash health) and 5 and 18 months later. The drivers' changes in health were obtained with a global health transition indicator and the Short Form-36, with analyses adjusting for potential confounders. RESULTS: Compared with 7% of drivers in the comparison group, 43% of crash drivers admitted to the hospital (adjusted odds ratio 10.4; 95% confidence interval 5.5 to 19.6) and 20% of those not admitted (odds ratio 3.3; 95% confidence interval 1.4 to 8.3) reported that their overall health at 18-month follow-up was worse than at baseline (precrash). Among the drivers reporting worsened health, prospectively ascertained Short Form-36 scores revealed greater reductions in physical health in those admitted after the crash, but these scores improved from 5 to 18 months. In contrast, mental and general health scores worsened from 5 to 18 months in admitted and nonadmitted crash drivers. CONCLUSION: A substantial proportion of drivers surviving serious crashes experience reductions in longer-term health, a burden likely to be underappreciated among those not admitted to a hospital. Emergency departments could serve as useful settings in which to develop and validate clinical decision rules that can help target services for crash survivors at increased risk of adverse outcomes. |
| | |
Authors:
|
Shanthi N Ameratunga; Robyn N Norton; Jennie L Connor; Elizabeth Robinson; Ian Civil; John Coverdale; Derrick Bennett; Rod T Jackson |
Related Documents
:
|
8308855 - Joint hyperlaxity and its long-term effects on joints. 9814335 - Mobility health assessment. 16119525 - Epidemiology of needlestick injuries among health care workers in a secondary care hosp... 20467415 - Surveillance for violent deaths--national violent death reporting system, 16 states, 2007. 11491195 - A comparison of the assessment of quality of life (aqol) with four other generic utilit... 15188165 - Are claims of equivalency in digestive diseases trials supported by the evidence? |
Publication Detail:
|
Type: Journal Article; Research Support, Non-U.S. Gov't Date: 2006-09-25 |
Journal Detail:
|
Title: Annals of emergency medicine Volume: 48 ISSN: 1097-6760 ISO Abbreviation: Ann Emerg Med Publication Date: 2006 Dec |
Date Detail:
|
Created Date: 2006-11-20 Completed Date: 2006-12-15 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 8002646 Medline TA: Ann Emerg Med Country: United States |
Other Details:
|
Languages: eng Pagination: 729-36 Citation Subset: AIM; IM |
Affiliation:
|
Section of Epidemiology and Biostatistics, School of Population Health, Faculty of Medical and Health Sciences, University of Auckland, Auckland, New Zealand. s.ameratunga@auckland.ac.nz |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Accidents, Traffic
/
statistics & numerical data* Adolescent Adult Age Distribution Aged Case-Control Studies Cohort Studies Female Health Status* Hospitalization Humans Injury Severity Score Male Mental Health* Middle Aged New Zealand / epidemiology Time Factors Wounds and Injuries / classification*, psychology |
| Comments/Corrections | |
Comment In:
|
Ann Emerg Med. 2006 Dec;48(6):737-8
[PMID:
16997420
]
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Missed and delayed diagnoses in the emergency department: a study of closed malpractice claims from ...
Next Document: Feasibility of using near-infrared spectroscopy to diagnose testicular torsion: an experimental stud...