Prognosis of Outcome in Adult Survivors of Road Accidents in France: One-Year Follow-Up in the ESPARR Cohort

Abstract

One year after the crash, victims may still be experiencing multiple problems in terms of not only physical health but also of mental health, social life, and environment. Poor outcome may be predicted from both accident-related factors and socioeconomic fragility. Our results are useful in catching the attention of both clinicians and the public administration regarding victims at risk of suffering from important consequences after an accident. If those suffering head injuries are recognized, it would be very important to better consider and treat posttraumatic stress disorder (PTSD) or PCS. Furthermore, subjects from lower socioeconomic backgrounds, with or without lower limb injuries, have numerous difficulties after an accident, notably for returning to work. An objective would be to provide them with more specific support. Supplemental materials are available for this article. Go to the publisher's online edition of Traffic Injury Prevention to view the supplemental file.

Analysis of bicycle crashes in Sweden involving injuries with high risk of health loss

“…Bicycling for transportation is associated with health benefits for the individual as well as environment (Hartog et al 2011). However, safety concerns are often given as a reason not to cycle (Manaugh et al 2017); indeed, cyclists are vulnerable road users (VRUs) who have higher risk of injury in case of a crash compared to car occupants. Compared to car occupants, Swedish cyclists have been reported to have 10 times higher fatality risk and 20 times higher risk for hospital-reported injury per million kilometers traveled (Nilsson et al 2017).…”

Survivors’ experiences of consequences and recovery five years after a major bus crash

“…Approximately 21%–57% of injured car occupants who are admitted to a hospital experience long‐term health problems such as mobility impairments, impaired function due to pain and impact on domestic and work life . Survivors of RTCs or mass casualty incidents who are uninjured or have sustained only minor physical injuries can still encounter negative health impacts and may suffer from mental problems that can require long‐term treatment . However, those who do not seek medical attention are seldom included in research , for example, in regard to post‐traumatic stress disorder (PTSD) .…”

Psychological Distress After Orthopedic Trauma: Prevalence in Patients and Implications for Rehabilitation

“…Patients must cope with physical disability, financial hardships [8], persistent pain [9], social isolation, and strain on personal relationships [10]. These difficulties contribute to a protracted or complicated recovery over years and a poor QOL [10,11]. Depression, anxiety, and post‐traumatic stress are among the predictors of poor long‐term QOL and reliance on pain medication [7,12].…”

“…Depression, anxiety, and post‐traumatic stress are among the predictors of poor long‐term QOL and reliance on pain medication [7,12]. Negative outlook affects the ability to return to work, perception of physical recovery [13], and personal fulfillment [11]. Overwhelming suffering from trauma evokes strong emotions that shape the trajectory of the recovery process [14].…”