The influence of fault on health in the immediate post-crash period following road traffic crashes

Littleton, Susannah; Hughes, David; Poustie, Stephanie J; Robinson, B J; Neeman, Teresa; Smith, Paul N.; Cameron, Ian D.

doi:10.1016/j.injury.2011.03.002

Cited by 33 publications

(37 citation statements)

References 39 publications

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“…At-fault drivers (who are not compensable) were not included in this study; only individuals who could establish that they were not at fault in the RTC were included. The influence of feelings of injustice and blame experienced by those not at fault needs to be acknowledged in future analyses, with previous research finding that those not at fault demonstrate more emotional and mental problems than those at fault (Littleton et al, 2012). …”

Section: Discussionmentioning

confidence: 96%

“…It seems plausible that involvement in litigation/compensation may increase the likelihood of developing PTSD due to the increased frequency of reminders of the RTC and the need to recount aspects of the trauma and continuing symptoms in what may be considered an unsupportive or stressful environment (i.e., with insurance managers or lawyers) (National Collaborating Centre for Mental Health, 2005). It is also possible that the influence of feelings of injustice and blame experienced by those not at fault is relevant in this sample, with previous research finding that those not at fault demonstrate more emotional and mental problems than those at fault (Littleton et al, 2012). …”

mentioning

confidence: 89%

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The University of Queensland study of physical and psychological outcomes for claimants with minor and moderate injuries following a road traffic crash (UQ SuPPORT): design and methods

Kenardy

Heron-Delaney

Bellamy

et al. 2014

European Journal of Psychotraumatology

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BackgroundTo date research investigating how mental health impacts physical recovery following a road traffic crash (RTC) has focused on cohorts with severe injuries. The UQ SuPPORT study aims to study the physical and psychological outcomes of claimants with minor injuries following an RTC under the Queensland common law compulsory insurance scheme.ObjectivesThis paper outlines the protocols of this study as a platform for future publications.MethodsThe 2-year longitudinal cohort study collected interview and survey data from claimants at 6, 12, and 24 months post-RTC. Measures used in the telephone interview included the DSM-IV Composite International Diagnostic Interview for posttraumatic stress disorder, generalized anxiety disorder, major depressive episode, panic attacks, agoraphobia; and self-reported disability (WHO-DAS-II). Quality of life (SF-36v2), alcohol use (AUDIT), social support (MSPSS), quality-adjusted life years (EQ-5D), and return to work outcomes were assessed via postal questionnaires.ResultsA total of 382 claimants consented to participate at the beginning of the study, and these participants were approached at each wave. Retention was high (65%). The average age of participants at Wave 1 was 48.6 years, with 65% of the sample sustaining minor injuries (Injury Severity Score=1–3).ConclusionsThis study has collected a unique sample of data to investigate recovery patterns of claimants with minor injuries. Future publications will more fully assess the effects of the collected measures on recovery rates 2 years post-RTC.

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Section: Discussionmentioning

confidence: 96%

mentioning

confidence: 89%

The University of Queensland study of physical and psychological outcomes for claimants with minor and moderate injuries following a road traffic crash (UQ SuPPORT): design and methods

Kenardy

Heron-Delaney

Bellamy

et al. 2014

European Journal of Psychotraumatology

View full text Add to dashboard Cite

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“…In addition, the sample group does not represent the entire possible RTC cohort. At-fault drivers (who are not compensable) were not eligible for inclusion in this study and these groups may differ in the factors affecting their RTW 74 . Future research should endeavour to assess a larger sample, including at-fault non-compensable drivers, to improve the generalisability of the results.…”

Section: Discussionmentioning

confidence: 99%

Predictors of non-return to work 2 years post-injury in road traffic crash survivors: Results from the UQ SuPPORT study

Heron-Delaney

Warren

Kenardy

2017

Injury

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Non-return to work following road traffic crash 2 Abstract Purpose: Individuals who have sustained an injury from a road traffic crash (RTC) are at increased risk for long lasting health problems and non-return to work (NRTW). Determining the predictors of NRTW is necessary to develop screening tools to identify at-risk individuals and to provide early targeted intervention for successful return to work (RTW). The aim of this study was to identify factors that can predict which individuals will not RTW following minor or moderate injuries sustained from a RTC.Method: Participants were 194 claimants (63.4% female) within a common-law "fault-based" system from the UQ SuPPORT cohort who were working prior to their RTC. Participants were assessed at 6 months on a variety of physical and mental health measures and RTW status was determined at 2 years post-RTC. RTW rate was 78.4%.Results: Univariate predictors of NRTW included being the driver or passenger, having a prior psychiatric diagnosis, high disability level, low mental or physical quality of life, predicted non-recovery, high pain, low function, high expectations of pain persistency, low expectations about RTW, having a psychiatric diagnosis, elevated depression or anxiety. The final multivariable logistic regression model included only two variables: disability level and expectations about RTW. Seventy-five percent of individuals who will not RTW by 2 years can be identified accurately at an early stage, using only these two predictors. Conclusion:The results are promising, because they suggest that having information about two factors, which are easily obtainable, can predict with accuracy those who will require additional support to facilitate RTW. Keywords: Motor Vehicles; Traffic Accidents; Return to Work; Mental Health; HealthNon-return to work following road traffic crash 3 Predictors of non-return to work 2 years post-injury in road traffic crash survivors: results from the UQ SuPPORT studyThe annual cost of road traffic crashes (RTCs) in Australia is estimated at $27 billion 1 and Australia reports spending 3.6% of its gross domestic product on RTCs 2 . The World Health Organization 3 anticipates that RTC injuries will be the third leading cause of disabilityadjusted life years lost (DALYs) by 2020. One of the major factors contributing to these costs is non-return to work (NRTW) following injury. NRTW is also problematic because working is associated with better health, self-esteem and social connectedness 4,5 , as well as improved quality of life and overall longevity 6 .Previous research on return to work (RTW) rates and predictors in RTC cohorts have produced varied results, most likely due to the differences in the nature of injuries in the samples assessed, the variance in severity of injury (mild through to catastrophic), the timeframe for follow-up, the compensation scheme and other sociocultural factors that vary across countries, such as the health care system. Rates of RTW range from 42%-69% at 9 to 12 months post-RTC for more serious inju...

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“…One prospective cohort study using SF-36 showed worse post-injury scores, especially for mental health [41]. Another study reported the impact of back, head, and neck injuries on self-assessed physical and mental health which was significant up to 10 years after the event [19].…”

Section: Discussionmentioning

confidence: 99%

The Effect of Injuries on Health Measured by Short Form 8 among a Large Cohort of Thai Adults

et al. 2014

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IntroductionWe investigate the links between health and injury in Thailand. This is important because of the high burden of injury in transitional countries and limited information for public health.MethodsWe analyse 2005 baseline and 2009, 4-year follow-up data from distance learning students of Sukhothai Thammathirat Open University residing nationwide (n = 60569). Injury was reported for the past year in both periods. Medical Outcome Study Short-Form (SF-8™) health status was reported and Physical and Mental Component Summary Scores (PCS and MCS) were calculated. Analyses used covariate-adjusted multivariate linear regression.ResultsIn 2009, increasing numbers of traffic injuries (0, 1, 2, 3, 4+) associated with declining PCS scores (49.8, 48.4, 46.9, 46.2, 44.0), along with a similar monotonic decline for MCS scores (47.6, 46.0, 44.2, 42.7, 40.6). A similar (but smaller) dose-response gradient was found between non-traffic injuries and SF-8 scores. Longitudinal analyses showed those with incident injury (no injury 2005, injury 2009) had lower PCS and MCS scores compared to those with no injury in both periods. Individuals with reverting injury status (injury 2005, no injury 2009) reported improvement in PCS and MCS scores over the four-year period.ConclusionWe found significant and epidemiologically important associations between increasing injury frequency and worse health in the past year, especially traffic injuries. Longitudinal 2005–2009 results were supportive and revealed statistically significant adverse 4-year effects of incident injury on health. If injury reverted over four years, low initial scores improved greatly. Findings highlight the importance of injury prevention as a public health priority.

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The influence of fault on health in the immediate post-crash period following road traffic crashes

Cited by 33 publications

References 39 publications

The University of Queensland study of physical and psychological outcomes for claimants with minor and moderate injuries following a road traffic crash (UQ SuPPORT): design and methods

The University of Queensland study of physical and psychological outcomes for claimants with minor and moderate injuries following a road traffic crash (UQ SuPPORT): design and methods

Predictors of non-return to work 2 years post-injury in road traffic crash survivors: Results from the UQ SuPPORT study

The Effect of Injuries on Health Measured by Short Form 8 among a Large Cohort of Thai Adults

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