Pozzato Ilaria, Tran Yvonne, Arora Mohit, McBain Candice, Middleton James W, Cameron Ian D, Craig Ashley
Kolling Institute, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW, Australia.
John Walsh Centre Rehabilitation Research, Northern Sydney Local Health District, St Leonards, Sydney, NSW, Australia.
BMC Med. 2025 Jul 1;23(1):384. doi: 10.1186/s12916-025-04084-0.
To investigate the cumulative health burden and complex challenges to adjustment following road traffic injuries (RTIs), this study examined multiple environmental, personal, and health-related factors and outcomes over 12 months in a comprehensive and holistic way, comparing these outcomes between injured and non-injured controls.
A longitudinal controlled cohort study was conducted with two groups: adults with mild to moderate RTIs and non-injured controls. Assessments occurred at 1, 3, 6, and 12 months post-injury. The study involved 120 RTI participants and 112 controls. Data on physiological, psychological, cognitive, and social factors were collected and analyzed using the World Health Organization International Classification of Functioning, Disability, and Health (ICF) framework. The ICF Components-Impairments in Body Functions and Structures, Limitations in Activity, Restrictions to Participation, Environmental and Personal Contextual Factors-were used to link and categorize data and compare outcomes, allowing comprehensive evaluation of RTI-related burden and adjustment challenges.
The RTI group exhibited significantly worse outcomes across all measured ICF Components, including higher pain, fatigue, psychological distress, and cognitive impairment. Despite some improvements over time, the RTI group continued to experience elevated symptoms, functional limitations, and restricted participation compared to controls at 12 months.
RTIs lead to sustained, multidimensional challenges to adjustment, emphasizing the need for early, comprehensive, and ongoing interventions for at least 1-year post-injury. These findings highlight the importance of evaluating multiple biopsychosocial factors and adopting a holistic framework to fully understand recovery patterns. Addressing these factors simultaneously across multiple systems is essential to improve recovery outcomes.
ACTRN12616001445460.
为了调查道路交通伤害（RTIs）后的累积健康负担和调整过程中面临的复杂挑战，本研究以全面、整体的方式，在12个月内考察了多种环境、个人及与健康相关的因素和结果，并对受伤组和未受伤对照组的这些结果进行了比较。
进行了一项纵向对照队列研究，分为两组：轻度至中度道路交通伤害的成年人和未受伤的对照组。在受伤后1、3、6和12个月进行评估。该研究纳入了120名道路交通伤害参与者和112名对照组。使用世界卫生组织的《国际功能、残疾和健康分类》（ICF）框架收集并分析了生理、心理、认知和社会因素的数据。ICF的组成部分——身体功能和结构的损伤、活动受限、参与受限、环境和个人背景因素——被用于关联和分类数据并比较结果，从而全面评估与道路交通伤害相关的负担和调整挑战。
在所有测量的ICF组成部分中，道路交通伤害组的结果明显更差，包括更高的疼痛、疲劳、心理困扰和认知障碍。尽管随着时间推移有一些改善，但与12个月时的对照组相比，道路交通伤害组仍持续存在症状加重、功能受限和参与受限的情况。
道路交通伤害导致持续的、多维度的调整挑战，强调在受伤后至少1年内需要早期、全面和持续的干预。这些发现凸显了评估多种生物心理社会因素并采用整体框架以充分理解恢复模式的重要性。同时在多个系统中解决这些因素对于改善恢复结果至关重要。
ACTRN12616001445460。
