Jagnoor Jagnoor, De Wolf Annelies, Nicholas Michael, Maher Chris G, Casey Petrina, Blyth Fiona, Harris Ian A, Cameron Ian D
John Walsh Centre for Rehabilitation Research, University of Sydney, Sydney, Australia.
University of Sydney, Sydney, Australia.
Inj Epidemiol. 2015 Dec;2(1):8. doi: 10.1186/s40621-015-0042-7. Epub 2015 May 21.
We sought to identify the role of pre-injury socio-demographic and health characteristics, and injury severity in determining health-related quality-of-life outcomes for mild to moderate injuries 2 months after a motor vehicle crash in a compensable setting.
People aged 17 years and older, injured with a New Injury Severity Score of 8 or less, in a motor vehicle crash in New South Wales and who had registered a claim with the Compulsory Third Party Insurance scheme from March to December 2010 were contacted to participate in the study. Information for 364 eligible participants was primarily collected through telephone interview, approximately 2 months after injury.
Substantial proportions of participants continued to have adverse outcomes approximately 2 months after their injury with mean Short Form Health Survey (SF-12) physical component score of 36.7 (SD ±10.3), SF-12 mental component score of 46.6 (SD ±11), Euro Qol (EQ) analogue scale score of 65.8 (SD ±18) and Euro Qol five dimension (EQ-5D) summary score of 0.70 (SD ±10). Key factors predicting adverse outcomes were prior chronic illness, obesity, hospitalisation and self-perceived threat to life due to injury.
This study highlights the substantial impact of apparently "minor" motor vehicle crash injuries in a compensable setting and suggests targets for studies of tertiary prevention to improve health-related quality-of-life outcomes.
我们试图确定受伤前的社会人口统计学和健康特征以及损伤严重程度在可补偿环境下机动车碰撞事故发生2个月后对轻度至中度损伤的健康相关生活质量结果的影响。
联系了2010年3月至12月在新南威尔士州发生机动车碰撞事故、年龄在17岁及以上、新损伤严重程度评分8分及以下且已向强制第三方保险计划提出索赔的人员参与研究。约364名符合条件的参与者的信息主要通过受伤后约2个月的电话访谈收集。
相当比例的参与者在受伤后约2个月仍有不良后果，简短健康调查问卷（SF - 12）身体成分平均得分为36.7（标准差±10.3），SF - 12心理成分平均得分为46.6（标准差±11），欧洲五维度健康量表（EQ）模拟量表得分为65.8（标准差±18），欧洲五维度健康量表（EQ - 5D）总结评分为0.70（标准差±10）。预测不良后果的关键因素是既往慢性病、肥胖、住院治疗以及因伤对生命的自我感知威胁。
本研究强调了在可补偿环境下看似“轻微”的机动车碰撞损伤的重大影响，并提出了三级预防研究的目标，以改善健康相关生活质量结果。
