Epidemiological Research and Surveillance Unit in Transport, Occupation and Environment UMRT9405-INRETS, Université Lyon I, InVS, INRETS, Université de Lyon, F-69500 Bron, France.
Accid Anal Prev. 2010 Mar;42(2):412-21. doi: 10.1016/j.aap.2009.09.002. Epub 2009 Oct 8.
It is essential to know about the long-term consequences of road crashes involving corporal injury in order to adopt relevant public health measures.
The ESPARR cohort comprises 1168 road-crash victims, aged 16 or over, managed in hospitals in the Rhône administrative départment (France). It is based on the Registry of Road Traffic Casualties, which has been collecting exhaustive data since 1995. Two groups are monitored: mild to moderate (M-AIS 1 or 2) and severe (M-AIS > or =3). Patients were interviewed at the point of primary care, between 1 October 2004 and 31 July 2006. 6 months later, their state of health and presence of pain were compared. Multivariate analysis (logistic regression) was performed to identify factors related to residual pain.
Adults of the cohort were compared to the road crash population as a whole recorded over the same period in the same area. At 6 months post-accident, only 31.9% of victims deemed their health status to have entirely returned to normal; 63.8% of mild to moderate and 89.2% of severe cases reported residual pain, but neither pain frequency nor intensity correlated with M-AIS. Residual pain was related to lower limb injuries (OR=1.6; 95% CI=1.1-2.4). After adjustment, pain was essentially related to age, seriousness of the lesions and a stay in a rehabilitation unit.
The ESPARR cohort provides a unique opportunity in France to describe the trajectory of a road crash victim, in terms both of care and rehabilitation and of resumption of work and personal activity.
了解涉及身体伤害的道路碰撞事故的长期后果，对于采取相关公共卫生措施至关重要。
ESPARR 队列包括在罗纳行政部门（法国）医院接受治疗的 1168 名 16 岁或以上的道路碰撞事故受害者。它基于道路交通事故登记处，该登记处自 1995 年以来一直在收集详尽的数据。监测了两个组：轻度至中度（M-AIS 1 或 2）和重度（M-AIS≥3）。在初级保健点对患者进行了访谈，时间为 2004 年 10 月 1 日至 2006 年 7 月 31 日。6 个月后，比较了他们的健康状况和疼痛情况。使用多变量分析（逻辑回归）来确定与残留疼痛相关的因素。
将队列中的成年人与同一地区同一时期记录的整个道路碰撞人群进行了比较。在事故发生后 6 个月，只有 31.9%的受害者认为他们的健康状况完全恢复正常；31.9%的轻度至中度和 89.2%的重度病例报告有残留疼痛，但疼痛频率和强度均与 M-AIS 无关。残留疼痛与下肢损伤有关（OR=1.6；95%CI=1.1-2.4）。调整后，疼痛主要与年龄、损伤严重程度和康复病房住院有关。
ESPARR 队列为法国提供了一个独特的机会，可以从护理和康复以及重返工作和个人活动的角度描述道路碰撞事故受害者的轨迹。
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