A few seconds to have an accident, a long time to recover: Consequences for road accident victims from the ESPARR cohort 2 years after the accident
•Most victims report unrecovered health status 2 years after the accident.•Some victims still experience socioeconomic consequences.•Global severity is the main predictive factor for the outcomes studied.•Cyclists recover better than other types of user.•The type of lesion is an important predictive...
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| Veröffentlicht in: | Accident analysis and prevention 2014-11, Vol.72, p.422-432 |
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| creator | Tournier, Charlène Charnay, Pierrette Tardy, Hélène Chossegros, Laetitia Carnis, Laurent Hours, Martine |
| description | •Most victims report unrecovered health status 2 years after the accident.•Some victims still experience socioeconomic consequences.•Global severity is the main predictive factor for the outcomes studied.•Cyclists recover better than other types of user.•The type of lesion is an important predictive factor for consequences.
The aim of the present study was to describe the consequences of a road accident in adults, taking account of the type of road user, and to determine predictive factors for consequences at 2 years.
Prospective follow-up study.
The cohort was composed of 1168 victims of road traffic accidents, aged ≥16 years. Two years after the accident, 912 victims completed a self-administered questionnaire. Weighted logistic regression models were implemented to compare casualties still reporting impact related to the accident versus those reporting no residual impact. Five outcomes were analysed: unrecovered health status, impact on occupation or studies, on familial or affective life, on leisure or sport activities and but also the financial difficulties related to the accident.
46.1% of respondents were motorised four-wheel users, 29.6% motorised two-wheel (including quad) users, 13.3% pedestrians (including inline skate and push scooter users) and 11.1% cyclists. 53.3% reported unrecovered health status, 32.0% persisting impact on occupation or studies, 25.2% on familial or affective life, 46.9% on leisure or sport activities and 20.2% still had accident-related financial difficulties. Type of user, adjusted on age and gender, was linked to unrecovered health status and to impact on leisure or sport activities. When global severity (as measured by NISS) was integrated in the previous model, type of user was also associated with impact on occupation or studies. Type of user was further associated with impact on occupation or studies and on leisure or sport activities when global severity and the sociodemographic data obtained at inclusion were taken into account. It was not, however, related to any of the outcomes studied here, when the models focused on the injured body region. Finally, type of road user did not seem, on the various predictive models, to be related to financial difficulties due to the accident or to impact on familial or affective life.
Overall, victims were affected by their accident even 2 years after it occurred. The severity of lesions induced by the accident was the main predictive factor. However, considering lesion as inte |
| doi_str_mv | 10.1016/j.aap.2014.07.011 |
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The aim of the present study was to describe the consequences of a road accident in adults, taking account of the type of road user, and to determine predictive factors for consequences at 2 years.
Prospective follow-up study.
The cohort was composed of 1168 victims of road traffic accidents, aged ≥16 years. Two years after the accident, 912 victims completed a self-administered questionnaire. Weighted logistic regression models were implemented to compare casualties still reporting impact related to the accident versus those reporting no residual impact. Five outcomes were analysed: unrecovered health status, impact on occupation or studies, on familial or affective life, on leisure or sport activities and but also the financial difficulties related to the accident.
46.1% of respondents were motorised four-wheel users, 29.6% motorised two-wheel (including quad) users, 13.3% pedestrians (including inline skate and push scooter users) and 11.1% cyclists. 53.3% reported unrecovered health status, 32.0% persisting impact on occupation or studies, 25.2% on familial or affective life, 46.9% on leisure or sport activities and 20.2% still had accident-related financial difficulties. Type of user, adjusted on age and gender, was linked to unrecovered health status and to impact on leisure or sport activities. When global severity (as measured by NISS) was integrated in the previous model, type of user was also associated with impact on occupation or studies. Type of user was further associated with impact on occupation or studies and on leisure or sport activities when global severity and the sociodemographic data obtained at inclusion were taken into account. It was not, however, related to any of the outcomes studied here, when the models focused on the injured body region. Finally, type of road user did not seem, on the various predictive models, to be related to financial difficulties due to the accident or to impact on familial or affective life.
Overall, victims were affected by their accident even 2 years after it occurred. The severity of lesions induced by the accident was the main predictive factor. However, considering lesion as intermediary factors between the accident and the recovery status at 2 year post-accident, impact on health status was lower for cyclists than M4W users or M2W users.</description><identifier>ISSN: 0001-4575</identifier><identifier>EISSN: 1879-2057</identifier><identifier>DOI: 10.1016/j.aap.2014.07.011</identifier><identifier>PMID: 25146496</identifier><language>eng</language><publisher>Kidlington: Elsevier Ltd</publisher><subject>Abbreviated Injury Scale ; Accident analysis ; Accidental impacts ; Accidents ; Accidents, Traffic - economics ; Accidents, Traffic - psychology ; Accidents, Traffic - statistics & numerical data ; Adolescent ; Adult ; Age Factors ; Biological and medical sciences ; Cohort Studies ; Cohort study ; Cost of Illness ; Employment ; ESPARR ; Female ; Follow-Up Studies ; France ; Health ; Health Status ; Humans ; Injury Severity Score ; Leisure Activities ; Logistic Models ; Male ; Mathematical models ; Medical sciences ; Middle Aged ; Miscellaneous ; Occupation ; Prevention and actions ; Prospective Studies ; Public health. Hygiene ; Public health. Hygiene-occupational medicine ; Recovery of Function ; Reporting ; Road accident ; Roads ; Sex Factors ; Surveys and Questionnaires ; Two years’ follow-up ; Wounds and Injuries - economics ; Wounds and Injuries - psychology ; Wounds and Injuries - rehabilitation ; Young Adult</subject><ispartof>Accident analysis and prevention, 2014-11, Vol.72, p.422-432</ispartof><rights>2014</rights><rights>2015 INIST-CNRS</rights><rights>Copyright © 2014. Published by Elsevier Ltd.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c477t-5e1d13fcc207e66b640d61a4ec7e770d6b0845f17f8ce2921071759ab3800f723</citedby><cites>FETCH-LOGICAL-c477t-5e1d13fcc207e66b640d61a4ec7e770d6b0845f17f8ce2921071759ab3800f723</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.aap.2014.07.011$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=28848456$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25146496$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Tournier, Charlène</creatorcontrib><creatorcontrib>Charnay, Pierrette</creatorcontrib><creatorcontrib>Tardy, Hélène</creatorcontrib><creatorcontrib>Chossegros, Laetitia</creatorcontrib><creatorcontrib>Carnis, Laurent</creatorcontrib><creatorcontrib>Hours, Martine</creatorcontrib><title>A few seconds to have an accident, a long time to recover: Consequences for road accident victims from the ESPARR cohort 2 years after the accident</title><title>Accident analysis and prevention</title><addtitle>Accid Anal Prev</addtitle><description>•Most victims report unrecovered health status 2 years after the accident.•Some victims still experience socioeconomic consequences.•Global severity is the main predictive factor for the outcomes studied.•Cyclists recover better than other types of user.•The type of lesion is an important predictive factor for consequences.
The aim of the present study was to describe the consequences of a road accident in adults, taking account of the type of road user, and to determine predictive factors for consequences at 2 years.
Prospective follow-up study.
The cohort was composed of 1168 victims of road traffic accidents, aged ≥16 years. Two years after the accident, 912 victims completed a self-administered questionnaire. Weighted logistic regression models were implemented to compare casualties still reporting impact related to the accident versus those reporting no residual impact. Five outcomes were analysed: unrecovered health status, impact on occupation or studies, on familial or affective life, on leisure or sport activities and but also the financial difficulties related to the accident.
46.1% of respondents were motorised four-wheel users, 29.6% motorised two-wheel (including quad) users, 13.3% pedestrians (including inline skate and push scooter users) and 11.1% cyclists. 53.3% reported unrecovered health status, 32.0% persisting impact on occupation or studies, 25.2% on familial or affective life, 46.9% on leisure or sport activities and 20.2% still had accident-related financial difficulties. Type of user, adjusted on age and gender, was linked to unrecovered health status and to impact on leisure or sport activities. When global severity (as measured by NISS) was integrated in the previous model, type of user was also associated with impact on occupation or studies. Type of user was further associated with impact on occupation or studies and on leisure or sport activities when global severity and the sociodemographic data obtained at inclusion were taken into account. It was not, however, related to any of the outcomes studied here, when the models focused on the injured body region. Finally, type of road user did not seem, on the various predictive models, to be related to financial difficulties due to the accident or to impact on familial or affective life.
Overall, victims were affected by their accident even 2 years after it occurred. The severity of lesions induced by the accident was the main predictive factor. However, considering lesion as intermediary factors between the accident and the recovery status at 2 year post-accident, impact on health status was lower for cyclists than M4W users or M2W users.</description><subject>Abbreviated Injury Scale</subject><subject>Accident analysis</subject><subject>Accidental impacts</subject><subject>Accidents</subject><subject>Accidents, Traffic - economics</subject><subject>Accidents, Traffic - psychology</subject><subject>Accidents, Traffic - statistics & numerical data</subject><subject>Adolescent</subject><subject>Adult</subject><subject>Age Factors</subject><subject>Biological and medical sciences</subject><subject>Cohort Studies</subject><subject>Cohort study</subject><subject>Cost of Illness</subject><subject>Employment</subject><subject>ESPARR</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>France</subject><subject>Health</subject><subject>Health Status</subject><subject>Humans</subject><subject>Injury Severity Score</subject><subject>Leisure Activities</subject><subject>Logistic Models</subject><subject>Male</subject><subject>Mathematical models</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Miscellaneous</subject><subject>Occupation</subject><subject>Prevention and actions</subject><subject>Prospective Studies</subject><subject>Public health. Hygiene</subject><subject>Public health. Hygiene-occupational medicine</subject><subject>Recovery of Function</subject><subject>Reporting</subject><subject>Road accident</subject><subject>Roads</subject><subject>Sex Factors</subject><subject>Surveys and Questionnaires</subject><subject>Two years’ follow-up</subject><subject>Wounds and Injuries - economics</subject><subject>Wounds and Injuries - psychology</subject><subject>Wounds and Injuries - rehabilitation</subject><subject>Young Adult</subject><issn>0001-4575</issn><issn>1879-2057</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkc-O0zAQhy0EYrsLD8AF-YLEYRPGTmwncKqq5Y-0EmiBs-U6Y-oqiYudFu1z8MI4tLvcgJNtzfcbjecj5BmDkgGTr7alMbuSA6tLUCUw9oAsWKPagoNQD8kCAFhRCyXOyHlK2_xUjRKPyRkXrJZ1Kxfk55I6_EET2jB2iU6BbswBqRmpsdZ3OE6X1NA-jN_o5AecgZjZA8bXdBXGhN_3OFpM1IVIYzDdfY4evM2RXIlhoNMG6dXnT8ubG2rDJsSJcnqLJiZq3ITxd_0u-YQ8cqZP-PR0XpCvb6--rN4X1x_ffVgtrwtbKzUVAlnHKmctB4VSrmUNnWSmRqtQqXxfQ1MLx5RrLPKWM1BMidasqwbAKV5dkJfHvrsY8jfSpAefLPa9GTHsk2ay5RUXvBL_gSpZiUYB_BsVUja5q5AZZUfUxpBSRKd30Q8m3moGejastzob1rNhDUpnwznz_NR-vx6wu0_cKc3AixNgkjW9i2a0Pv3hmqbOa5m5N0cO84oPHqNO1s8uO58NT7oL_i9j_AJtLsGk</recordid><startdate>20141101</startdate><enddate>20141101</enddate><creator>Tournier, Charlène</creator><creator>Charnay, Pierrette</creator><creator>Tardy, Hélène</creator><creator>Chossegros, Laetitia</creator><creator>Carnis, Laurent</creator><creator>Hours, Martine</creator><general>Elsevier Ltd</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>7T2</scope><scope>7U2</scope><scope>C1K</scope><scope>7TB</scope><scope>8FD</scope><scope>FR3</scope><scope>KR7</scope></search><sort><creationdate>20141101</creationdate><title>A few seconds to have an accident, a long time to recover: Consequences for road accident victims from the ESPARR cohort 2 years after the accident</title><author>Tournier, Charlène ; Charnay, Pierrette ; Tardy, Hélène ; Chossegros, Laetitia ; Carnis, Laurent ; Hours, Martine</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c477t-5e1d13fcc207e66b640d61a4ec7e770d6b0845f17f8ce2921071759ab3800f723</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Abbreviated Injury Scale</topic><topic>Accident analysis</topic><topic>Accidental impacts</topic><topic>Accidents</topic><topic>Accidents, Traffic - economics</topic><topic>Accidents, Traffic - psychology</topic><topic>Accidents, Traffic - statistics & numerical data</topic><topic>Adolescent</topic><topic>Adult</topic><topic>Age Factors</topic><topic>Biological and medical sciences</topic><topic>Cohort Studies</topic><topic>Cohort study</topic><topic>Cost of Illness</topic><topic>Employment</topic><topic>ESPARR</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>France</topic><topic>Health</topic><topic>Health Status</topic><topic>Humans</topic><topic>Injury Severity Score</topic><topic>Leisure Activities</topic><topic>Logistic Models</topic><topic>Male</topic><topic>Mathematical models</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Miscellaneous</topic><topic>Occupation</topic><topic>Prevention and actions</topic><topic>Prospective Studies</topic><topic>Public health. Hygiene</topic><topic>Public health. Hygiene-occupational medicine</topic><topic>Recovery of Function</topic><topic>Reporting</topic><topic>Road accident</topic><topic>Roads</topic><topic>Sex Factors</topic><topic>Surveys and Questionnaires</topic><topic>Two years’ follow-up</topic><topic>Wounds and Injuries - economics</topic><topic>Wounds and Injuries - psychology</topic><topic>Wounds and Injuries - rehabilitation</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Tournier, Charlène</creatorcontrib><creatorcontrib>Charnay, Pierrette</creatorcontrib><creatorcontrib>Tardy, Hélène</creatorcontrib><creatorcontrib>Chossegros, Laetitia</creatorcontrib><creatorcontrib>Carnis, Laurent</creatorcontrib><creatorcontrib>Hours, Martine</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>Safety Science and Risk</collection><collection>Environmental Sciences and Pollution Management</collection><collection>Mechanical & Transportation Engineering Abstracts</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>Civil Engineering Abstracts</collection><jtitle>Accident analysis and prevention</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Tournier, Charlène</au><au>Charnay, Pierrette</au><au>Tardy, Hélène</au><au>Chossegros, Laetitia</au><au>Carnis, Laurent</au><au>Hours, Martine</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A few seconds to have an accident, a long time to recover: Consequences for road accident victims from the ESPARR cohort 2 years after the accident</atitle><jtitle>Accident analysis and prevention</jtitle><addtitle>Accid Anal Prev</addtitle><date>2014-11-01</date><risdate>2014</risdate><volume>72</volume><spage>422</spage><epage>432</epage><pages>422-432</pages><issn>0001-4575</issn><eissn>1879-2057</eissn><abstract>•Most victims report unrecovered health status 2 years after the accident.•Some victims still experience socioeconomic consequences.•Global severity is the main predictive factor for the outcomes studied.•Cyclists recover better than other types of user.•The type of lesion is an important predictive factor for consequences.
The aim of the present study was to describe the consequences of a road accident in adults, taking account of the type of road user, and to determine predictive factors for consequences at 2 years.
Prospective follow-up study.
The cohort was composed of 1168 victims of road traffic accidents, aged ≥16 years. Two years after the accident, 912 victims completed a self-administered questionnaire. Weighted logistic regression models were implemented to compare casualties still reporting impact related to the accident versus those reporting no residual impact. Five outcomes were analysed: unrecovered health status, impact on occupation or studies, on familial or affective life, on leisure or sport activities and but also the financial difficulties related to the accident.
46.1% of respondents were motorised four-wheel users, 29.6% motorised two-wheel (including quad) users, 13.3% pedestrians (including inline skate and push scooter users) and 11.1% cyclists. 53.3% reported unrecovered health status, 32.0% persisting impact on occupation or studies, 25.2% on familial or affective life, 46.9% on leisure or sport activities and 20.2% still had accident-related financial difficulties. Type of user, adjusted on age and gender, was linked to unrecovered health status and to impact on leisure or sport activities. When global severity (as measured by NISS) was integrated in the previous model, type of user was also associated with impact on occupation or studies. Type of user was further associated with impact on occupation or studies and on leisure or sport activities when global severity and the sociodemographic data obtained at inclusion were taken into account. It was not, however, related to any of the outcomes studied here, when the models focused on the injured body region. Finally, type of road user did not seem, on the various predictive models, to be related to financial difficulties due to the accident or to impact on familial or affective life.
Overall, victims were affected by their accident even 2 years after it occurred. The severity of lesions induced by the accident was the main predictive factor. However, considering lesion as intermediary factors between the accident and the recovery status at 2 year post-accident, impact on health status was lower for cyclists than M4W users or M2W users.</abstract><cop>Kidlington</cop><pub>Elsevier Ltd</pub><pmid>25146496</pmid><doi>10.1016/j.aap.2014.07.011</doi><tpages>11</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0001-4575 |
| ispartof | Accident analysis and prevention, 2014-11, Vol.72, p.422-432 |
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| language | eng |
| recordid | cdi_proquest_miscellaneous_1692325235 |
| source | MEDLINE; ScienceDirect Journals (5 years ago - present) |
| subjects | Abbreviated Injury Scale Accident analysis Accidental impacts Accidents Accidents, Traffic - economics Accidents, Traffic - psychology Accidents, Traffic - statistics & numerical data Adolescent Adult Age Factors Biological and medical sciences Cohort Studies Cohort study Cost of Illness Employment ESPARR Female Follow-Up Studies France Health Health Status Humans Injury Severity Score Leisure Activities Logistic Models Male Mathematical models Medical sciences Middle Aged Miscellaneous Occupation Prevention and actions Prospective Studies Public health. Hygiene Public health. Hygiene-occupational medicine Recovery of Function Reporting Road accident Roads Sex Factors Surveys and Questionnaires Two years’ follow-up Wounds and Injuries - economics Wounds and Injuries - psychology Wounds and Injuries - rehabilitation Young Adult |
| title | A few seconds to have an accident, a long time to recover: Consequences for road accident victims from the ESPARR cohort 2 years after the accident |
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