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Association between perception of fault for the crash and function, return to work and health status 1 year after road traffic injury: a registry-based cohort study

Gabbe, Belinda J., Simpson, Pamela M., Cameron, Peter A., Ekegren, Christina L., Edwards, Elton R., Page, Richard S., Liew, Susan, Bucknill, Andrew and de Steiger, Richard 2015, Association between perception of fault for the crash and function, return to work and health status 1 year after road traffic injury: a registry-based cohort study, BMJ Open, vol. 5, no. 11, e009907, pp. 1-7, doi: 10.1136/bmjopen-2015-009907.

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Title Association between perception of fault for the crash and function, return to work and health status 1 year after road traffic injury: a registry-based cohort study
Author(s) Gabbe, Belinda J.
Simpson, Pamela M.
Cameron, Peter A.
Ekegren, Christina L.
Edwards, Elton R.
Page, Richard S.ORCID iD for Page, Richard S. orcid.org/0000-0002-2225-7144
Liew, Susan
Bucknill, Andrew
de Steiger, Richard
Journal name BMJ Open
Volume number 5
Issue number 11
Season e009907
Start page 1
End page 7
Total pages 7
Publisher BMJ Open
Place of publication London, Eng.
Publication date 2015-11-26
ISSN 2044-6055
Summary Objectives To establish the association between the patient's perception of fault for the crash and 12-month outcomes after non-fatal road traffic injury.Setting Two adult major trauma centres, one regional trauma centre and one metropolitan trauma centre in Victoria, Australia.Participants 2605 adult, orthopaedic trauma patients covered by the state's no-fault third party insurer for road traffic injury, injured between September 2010 and February 2014.Outcome measures EQ-5D-3L, return to work and functional recovery (Glasgow Outcome Scale—Extended score of upper good recovery) at 12 months postinjury.Results After adjusting for key confounders, the adjusted relative risk (ARR) of a functional recovery (0.57, 95% CI 0.46 to 0.69) and return to work (0.92, 95% CI 0.86 to 0.99) were lower for the not at fault compared to the at fault group. The ARR of reporting problems on EQ-5D items was 1.20–1.35 times higher in the not at fault group. Conclusions Patients who were not at fault, or denied being at fault despite a police report of fault, experienced poorer outcomes than the at fault group. Attributing fault to others was associated with poorer outcomes. Interventions to improve coping, or to resolve negative feelings from the crash, could facilitate better outcomes in the future.
Language eng
DOI 10.1136/bmjopen-2015-009907
Field of Research 110305 Emergency Medicine
Socio Economic Objective 920409 Injury Control
HERDC Research category C1.1 Refereed article in a scholarly journal
Copyright notice ©2015, BMJ Publishing Group
Free to Read? Yes
Persistent URL http://hdl.handle.net/10536/DRO/DU:30079946

Document type: Journal Article
Collections: School of Medicine
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Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au.