Gopinath Bamini, Harris Ian A, Nicholas Michael, Casey Petrina, Blyth Fiona, Maher Christopher G, Cameron Ian D
John Walsh Centre for Rehabilitation Research, Sydney Medical School, University of Sydney, Sydney, Australia.
Ingham Institute for Applied Medical Research and South Western Sydney Clinical School, University of New South Wales, Kensington, Australia.
PLoS One. 2015 Apr 1;10(4):e0122732. doi: 10.1371/journal.pone.0122732. eCollection 2015.
Given the aging demographics of most developed countries, understanding the public health impact of mild/moderate road traffic crash injuries in older adults is important. We aimed to determine whether health outcomes (pain severity and quality of life measures) over 24 months differ significantly between older (65+) and younger adults (18-64).
Prospective cohort study of 364, 284 and 252 participants with mild/moderate injury following a vehicle collision at baseline, 12 and 24 months, respectively. A telephone-administered questionnaire obtained information on socio-economic, pre- and post-injury psychological and heath characteristics.
At baseline, there were 55 (15.1%) and 309 (84.9%) participants aged ≥65 and 18-64 years, respectively. At 12- and 24-month follow-up, older compared to younger participants who had sustained a mild/moderate musculoskeletal injury had lower physical functioning (3.9-units lower Short Form-12 Physical Composite Score, multivariable-adjusted p = 0.03 at both examinations). After multivariable adjustment, older (n = 45) versus younger (n = 207) participants had lower self-perceived health status (8.1-units lower European Quality of Life-5 Dimensions Visual Acuity Scale scores at 24 months, p = 0.03), 24 months later.
Older compared to younger participants who sustained a mild/moderate injury following a road-traffic crash demonstrated poorer physical functioning and general health at 24 months.
鉴于大多数发达国家的人口老龄化，了解老年人中轻度/中度道路交通碰撞伤害对公共卫生的影响非常重要。我们旨在确定24个月内老年（65岁及以上）和年轻成年人（18 - 64岁）的健康结局（疼痛严重程度和生活质量指标）是否存在显著差异。
对364名、284名和252名参与者进行前瞻性队列研究，他们在基线、12个月和24个月时分别因车辆碰撞而受到轻度/中度伤害。通过电话问卷调查获取社会经济、受伤前后心理和健康特征方面的信息。
在基线时，分别有55名（15.1%）年龄≥65岁和309名（84.9%）年龄在18 - 64岁的参与者。在12个月和24个月的随访中，与遭受轻度/中度肌肉骨骼损伤的年轻参与者相比，老年参与者的身体功能较低（简短健康调查问卷-12身体综合评分低3.9分，两次检查的多变量调整p值均为0.03）。经过多变量调整后，24个月后，老年（n = 45）与年轻（n = 207）参与者的自我感知健康状况较低（欧洲生活质量-5维度视力量表评分低8.1分，p = 0.03）。
与道路交通事故后遭受轻度/中度伤害的年轻参与者相比，老年参与者在24个月时身体功能和总体健康状况较差。
