John Walsh Centre for Rehabilitation Research, Sydney Medical School, Kolling Medical Research Institute, University of Sydney, Sydney, Australia.
John Walsh Centre for Rehabilitation Research, Sydney Medical School, Kolling Medical Research Institute, University of Sydney, Sydney, Australia; The George Institute for Global Health, University of New South Wales, Sydney, Australia.
Ann Phys Rehabil Med. 2021 Mar;64(2):101368. doi: 10.1016/j.rehab.2020.02.007. Epub 2020 Mar 12.
In this inception cohort study, we investigated differences in health outcomes for bicyclists (cyclists) and car occupants (car driver and passengers) at 12months after a non-catastrophic traffic injury. We also aimed to determine the independent predictors of key health outcomes among cyclists.
Of the 2019 participants at baseline, 299 were cyclists and 927 were car occupants; 229 cyclists and 489 car occupants were followed up 12months after the injury. A telephone-administered questionnaire was used to obtain information on socio-economic, pre-injury health and injury-related characteristics. The survey also included tools on health outcomes: quality of life (SF-36 and EQ-5D-3L scales), pain severity, general psychological distress, trauma-related distress and pain catastrophizing.
After adjusting for all potential confounders, general psychological distress scores and trauma-related distress scores were 2.05 and 0.60 units lower for cyclists than car occupants (P=0.01 and P<0.0001, respectively) at 12-month follow-up. Cyclists showed greater improvement than car occupants over 12months in mean pain severity ratings and SF-12 physical component summary (PCS) score (both P<0.0001) but had lower mean pain severity and similar PCS scores at baseline. However, cyclists showed less improvement in SF-12 mental component summary (MCS) scores (P=0.03) than car occupants but had higher mean MCS scores at baseline. Pre-injury and baseline quality-of-life scores and pain catastrophizing as well as injury involving the head or face were significant predictors of overall psychological functioning, general psychological distress and trauma-related distress in cyclists at 12months.
Cyclists demonstrated better recovery than car occupants at 12months after sustaining a traffic crash injury. Prognostic indicators of long-term physical functioning and psychological well-being in cyclists were related to pre-injury and baseline quality of life and pain factors and injury location.
在这项起始队列研究中，我们调查了非灾难性交通伤害后 12 个月，自行车手（骑手）和汽车乘客（汽车驾驶员和乘客）的健康结果差异。我们还旨在确定骑手关键健康结果的独立预测因素。
在基线时的 2019 名参与者中，299 名为骑手，927 名为汽车乘客；229 名骑手和 489 名汽车乘客在受伤后 12 个月接受了随访。使用电话管理问卷获取社会经济、受伤前健康和与受伤相关的特征信息。该调查还包括健康结果工具：生活质量（SF-36 和 EQ-5D-3L 量表）、疼痛严重程度、一般心理困扰、创伤相关困扰和疼痛灾难化。
在调整所有潜在混杂因素后，与汽车乘客相比，骑手的一般心理困扰评分和创伤相关困扰评分在 12 个月随访时分别低 2.05 和 0.60 个单位（P=0.01 和 P<0.0001）。与 12 个月相比，骑手在平均疼痛严重程度评分和 SF-12 生理成分综合评分（均 P<0.0001）上表现出更大的改善，但在基线时疼痛严重程度和相似的 PCS 评分更高。然而，与汽车乘客相比，骑手在 SF-12 心理成分综合评分（MCS）上的改善较小（P=0.03），但在基线时的 MCS 评分更高。受伤前和基线生活质量评分和疼痛灾难化以及头部或面部受伤是骑手 12 个月时整体心理功能、一般心理困扰和创伤相关困扰的重要预测因素。
与汽车乘客相比，骑手在遭受交通事故伤害后 12 个月时表现出更好的恢复。骑手长期身体功能和心理健康的预后指标与受伤前和基线生活质量以及疼痛因素和受伤部位有关。
