TY  - JOUR
PY  - 2018//
TI  - Road casualties in work-related and private contexts: occupational medical impact: results from the ESPARR cohort
JO  - Work
A1  - Fort, E.
A1  - Pélissier, C.
A1  - Fanjas, A.
A1  - Charnay, P.
A1  - Charbotel, B.
A1  - Bergeret, A.
A1  - Fontana, L.
A1  - Hours, M.
SP  - 117
EP  - 128
VL  - 60
IS  - 1
N2  - BACKGROUND: Road accidents may impact victims' physical and/or mental health and socio-occupational life, notably including return to work. <br><br>OBJECTIVES: To assess whether the occupational medical consequences sustained by subjects injured in road accidents occurring in a work-related context differ from those associated with private accidents. <br><br>METHODS: 778 adults who were in work or occupational training at the time of their accident were included. Two groups were distinguished: 354 (45.5%) injured in road accidents occurring in a work-related context (commuting or on duty) and 424 (54.5%) injured in a private accident. The groups were compared on medical and occupational factors assessed on prospective follow-up at 6 months and 1 and 3 years. Multivariate analysis explored for factors associated at 6 months and 1 year with sick leave following the accident and duration of sick leave. <br><br>RESULTS: There were no significant differences between groups for demographic data apart from a slightly higher injury severity in private accidents (32.5% of private accidents with MAIS3+(Maximum Abbreviated Injury Scale greater or equal to 3) vs. 23.7% for work-related accidents, p = 0.007). Victims of work-related accidents were more often on sick leave (OR = 1.8; 95% CI, 1.1-2.9). Although the length of sick leave is higher for work-related accidents that for private accidents, multivariate analysis showed that the injury severity and the post-traumatic stress disorder (PTSD) are significant factors to explain the time to return to work. There were no significant differences according to occupational impact during follow-up, notably including sick-leave duration, number of victims returning to work within 3 years and number of victims out of work due to incapacity. <br><br>CONCLUSIONS: In the ESPARR (follow-up study of a road-accident population in the Rhône administrative county: Etude de Suivi d'une Population d'Accidentés de la Route dans le Rhône) cohort, the fact that a road accident occurred in a work-related context did not affect the occupational consequences.<p />  <p>Language: en</p>
LA  - en
SN  - 1051-9815
UR  - http://dx.doi.org/10.3233/WOR-182720
ID  - ref1
ER  -