TY  - JOUR
PY  - 2019//
TI  - Predictors of health-related quality of life after non-catastrophic injury sustained in a road traffic crash
JO  - Annals of physical and rehabilitation medicine
A1  - Gopinath, Bamini
A1  - Jagnoor, Jagnoor
A1  - Kifley, Annette
A1  - Dinh, Michael
A1  - Craig, Ashley
A1  - Cameron, Ian D.
SP  - ePub
EP  - ePub
VL  - ePub
IS  - ePub
N2  - BACKGROUND: Health-related quality of life (HRQoL) is an important patient-reported outcome that warrants greater attention in individuals who sustained a non-catastrophic injury in a road traffic crash. Additional robust data on HRQoL outcomes after a non-catastrophic injury are needed to effectively identify potential targets for studies of tertiary prevention of poor recovery after a crash. <br><br>OBJECTIVE: We assessed the association between non-catastrophic road traffic crash injuries and HRQoL and factors that independently affect long-term HRQoL. <br><br>METHODS: In this inception cohort study, injured participants (≥17 years old) were identified from various sources including hospital emergency departments by a medical examination by a registered healthcare professional in New South Wales (Australia) and followed up after 12 months. HRQoL was measured by the European Quality of Life-5 Dimensions (EQ-5D-3L) and Medical Outcomes Survey Short Form 12 items (SF-12). A range of socio-demographic, pre-injury health, psychological, and injury-related factors were considered potential predictors of HRQoL in regression analyses. <br><br>RESULTS: Among 2019 individuals identified, 1201 (59.5%) were followed up after 12 months. HRQoL significantly improved between baseline and 12-month follow-up: EQ-5D-3L summary score (0.41-unit difference); SF-12 physical component summary score (PCS; 13.6-unit difference) and mental component summary score (MCS; 3.5-unit difference). Over 12 months, HRQoL score was lower for people claiming compensation than others (p <0.0001). Key predictors of better 12-month EQ-5D-3L summary score and visual analogue scale score for pain were age, not claiming compensation, reduced body mass index, less pain severity, less pain-related disability, and less general psychological distress. Significant predictors of SF-12 PCS score were injury to the neck (p=0.02) or head or face (p=0.01), being a driver or passenger at the time of the crash (p<0.0001), hospital admission (p<0.0001) and pain severity (p<0.0001). Baseline variables associated with 12-month SF-12 MCS scores were head or face injury (p=0.02), pre-injury health (p=0.04), pre-injury psychological conditions (p=0.04), trauma-related distress (p=0.0002) and general psychological distress (p<0.0001). <br><br>CONCLUSIONS: A wide spectrum of biopsychosocial factors contribute to HRQoL after a road traffic crash injury. These epidemiological data are potentially important because they could identify potential targets for studies of tertiary prevention of persistently poor HRQoL after such an injury.<br><br>Copyright © 2019. Published by Elsevier Masson SAS.<p />  <p>Language: en</p>
LA  - en
SN  - 1877-0657
UR  - http://dx.doi.org/10.1016/j.rehab.2019.10.001
ID  - ref1
ER  -