Burden of road traffic injuries: Disability-adjusted life years in relation to hospitalization and the maximum abbreviated injury scale

Polinder, Suzanne; Haagsma, Juanita A.; Bos, N M; Panneman, M.J.M.; Wolt, Karin Klein; Brugmans, Marco J. P.; Weijermars, Wendy; Beeck, Ed van

doi:10.1016/j.aap.2015.04.013

“…Traffic injuries have a huge global impact and result in substantial (co)morbidity [1], but the limited focus of past research on specific injuries like whiplash and mental disorders like PTSD we believe, has resulted in a deficit in knowledge about how to improve recovery outcomes. There exists a critical need for large prospective research to examine comorbidity of multiple mental health symptoms and associations with pain related trajectories in traffic injury populations, especially minor-to-moderate injuries [3], given troubling prevalence of mental health symptoms following these injuries and related worldwide health burden [46]. Therefore, the current study aimed to investigate: (i) trajectories of DM and PTS and any PI over a 12 month-period post-injury; (ii) the association between DM and PTS; (iii) the association of DM/PTS with PI; and (iv) bio-psychosocial predictors of membership in a mental health trajectory.…”

Section: Introductionmentioning

confidence: 99%

Outcomes after traffic injury: mental health comorbidity and relationship with pain interference

Pozzato

¹

,

Craig

²

,

Gopinath

³

et al. 2020

Preprint

View full text Add to dashboard Cite

Background: Mental health symptoms, like depressive mood (DM) and post-traumatic stress (PTS), and pain interference (PI) with daily functioning often co-occur following traffic injury and their comorbidity can complicate recovery. This study aimed to map the course and overlapping trajectories of mental health symptoms, and associations with PI in a traffic injury population. Methods: In total, 2019 adults sustaining minor-to-moderate traffic injury were recruited within 28 days post-injury and assessed using phone interviews at 1, 6 and 12-months post-injury. Trajectories of DM, PTS and PI were established and relationships between DM, PTS and PI trajectories were explored using dual trajectory modelling. Bio-psychosocial predictors (e.g. pre-injury health, catastrophizing, acute distress, quality of life, social support) of mental health trajectories were investigated.Results: Up to five typical post-trauma trajectories were identified for DM, PTS and PI. Most people were in a resilient mental health trajectory (over 60%, DM or PTS), or in a chronic PI trajectory (almost 60%) 12 months post-injury. While recovery/resilient mental health trajectories were strongly interrelated (73.4% joint probability and >94% conditional probabilities), DM/PTS comorbidity in chronic trajectories was not straightforward, suggesting a possibly asymmetric relationship. That is, persistent DM was more likely associated with persistent PTS (90.4%), than vice versa (31.9%), with a 22.5% probability that persistent PTS was associated with none or milder depression (i.e. following a recovery/resilient DM trajectory). An asymmetrical relationship was also found between mental health and PI. The majority of those with persistent PI were likely to be in a recovery/resilient DM/PTS trajectory (almost 70%), but those in a non-resilient DM/PTS trajectory showed a high risk of persistent PI. Predictors of non-resilient mental health trajectories included poorer pre-injury health and social support, and shared factors like acute psychological distress and pain catastrophizing. Conclusions: Strong interrelations were confirmed between mental health symptoms and PI following traffic injury. However, persistent DM was more strongly linked to persistent PTS, than vice versa. Persistent PI was only linked with persistent DM/PTS in vulnerable subgroups. Early psychiatric/psychological interventions should target elevated psychological distress and negative appraisals in vulnerable individuals, to reduce long-term mental health morbidity/comorbidity and PI. Trial registration: ACTRN12613000889752.

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“…Burden of disease was estimated from years of life lost (YLLs) and years lived with disability (YLDs), and these were summed up to produce disability-adjusted life years (DALYs) (6). GBD data is useful for understanding health state, set priorities, and the evaluate effects of public health programs (89). It covers a wide range of diseases and regions, that is, up to 291 diseases and 21 regions.…”

Section: Introductionmentioning

confidence: 99%

Disability-Adjusted Life Years (DALYs) for Injuries Using Death Certificates and Hospital Discharge Survey by the Korean Burden of Disease Study 2012

Lee

¹

,

Lim

²

,

Park

³

2016

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A system for assessing the burdens imposed by disease and injury was developed to meet healthcare, priority setting, and policy planning needs. The first such system, the Global Burden of Disease (GBD), was implemented in 1990. However, problems associated with limited data and assumed disability weightings remain to be resolved. The purpose of the present study was to estimate national burdens of injuries in Korea using more reliable data and disability weightings. The incidences of injuries were estimated using the Korean National Hospital Discharge Survey and the mortality data from the Korean National Statistical Office in 2010. Additionally, durations of injuries and age at injury onset were used to calculate disability-adjusted life years (DALY) using disability weightings derived from the Korean Burden of Disease (KBD) study. Korea had 1,581,072 DALYs resulting from injuries (3,170 per 100,000), which was 22.9% higher than found by the GBD 2010 study. Males had almost twice as heavy an injury burden as females. Road injury, fall, and self-harm ranked 1st, 2nd, and 3rd in terms of burden of injury in 2010. Total injury burden peaked in the forties, while burden per person declined gradually from early adulthood. We hope that this study contributes to the reliable evaluation of injury burden and a better understanding of injury-related health status using nation-specific, dependable data.

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“…Traffic injuries have a huge global impact and result in substantial (co)morbidity [1], but the limited focus of past research on specific injuries like whiplash and mental disorders like PTSD we believe, has resulted in a deficit in knowledge about how to improve recovery outcomes. There exists a critical need for large prospective research to examine comorbidity of multiple mental health symptoms and associations with pain related trajectories in traffic injury populations, especially minor-to-moderate injuries [3], given troubling prevalence of mental health symptoms following these injuries and related worldwide health burden [46]. Therefore, the current study aimed to investigate: (i) trajectories of DM and PTS and any PI over a 12 monthperiod post-injury; (ii) the association between DM and PTS; (iii) the association of DM/PTS with PI; and (iv) bio-psychosocial predictors of membership in a mental health trajectory.…”

Section: Introductionmentioning

confidence: 99%

Outcomes after traffic injury: mental health comorbidity and relationship with pain interference

Pozzato

¹

,

Craig

²

,

Gopinath

³

et al. 2020

Preprint

0

View full text Add to dashboard Cite

Background: Mental health symptoms, like depressive mood (DM) and post-traumatic stress (PTS), and pain interference (PI) with daily functioning often co-occur following traffic injury and their comorbidity can complicate recovery. This study aimed to map the course and overlapping trajectories of mental health symptoms, and associations with PI in a traffic injury population. Methods: In total, 2019 adults sustaining minor-to-moderate traffic injury were recruited within 28 days post-injury and assessed using phone interviews at 1, 6 and 12-months post-injury. Trajectories of DM, PTS and PI were established and relationships between DM, PTS and PI trajectories were explored using dual trajectory modelling. Bio-psychosocial predictors (e.g. pre-injury health, catastrophizing, acute distress, quality of life, social support) of mental health trajectories were investigated.Results: Up to five typical post-trauma trajectories were identified for DM, PTS and PI. Most people were in a resilient mental health trajectory (over 60%, DM or PTS), or in a chronic PI trajectory (almost 60%) 12 months post-injury. While recovery/resilient mental health trajectories were strongly interrelated (73.4% joint probability and >94% conditional probabilities), DM/PTS comorbidity in chronic trajectories was not straightforward, suggesting a possibly asymmetric relationship. That is, persistent DM was more likely associated with persistent PTS (90.4%), than vice versa (31.9%), with a 22.5% probability that persistent PTS was associated with none or milder depression (i.e. following a recovery/resilient DM trajectory). An asymmetrical relationship was also found between mental health and PI. The majority of those with persistent PI were likely to be in a recovery/resilient DM/PTS trajectory (almost 70%), but those in a non-resilient DM/PTS trajectory showed a high risk of persistent PI. Predictors of non-resilient mental health trajectories included poorer pre-injury health and social support, and shared factors like acute psychological distress and pain catastrophizing. Conclusions: Strong interrelations were confirmed between mental health symptoms and PI following traffic injury. However, persistent DM was more strongly linked to persistent PTS, than vice versa. Persistent PI was only linked with persistent DM/PTS in vulnerable subgroups. Early psychiatric/psychological interventions should target elevated psychological distress and negative appraisals in vulnerable individuals, to reduce long-term mental health morbidity/comorbidity and PI. Trial registration: ACTRN12613000889752.

show abstract

Burden of road traffic injuries: Disability-adjusted life years in relation to hospitalization and the maximum abbreviated injury scale

Cited by 47 publications

References 23 publications

Outcomes after traffic injury: mental health comorbidity and relationship with pain interference

Outcomes after traffic injury: mental health comorbidity and relationship with pain interference

Disability-Adjusted Life Years (DALYs) for Injuries Using Death Certificates and Hospital Discharge Survey by the Korean Burden of Disease Study 2012

Outcomes after traffic injury: mental health comorbidity and relationship with pain interference

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