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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

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Version 2 2024-06-03, 16:35
Version 1 2015-11-30, 18:44
journal contribution
posted on 2024-06-03, 16:35 authored by BJ Gabbe, PM Simpson, PA Cameron, CL Ekegren, ER Edwards, Richard PageRichard Page, S Liew, A Bucknill, R de Steiger
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.

History

Journal

BMJ Open

Volume

5

Article number

e009907

Pagination

1-7

Location

London, Eng.

Open access

  • Yes

ISSN

2044-6055

Language

eng

Publication classification

C Journal article, C1.1 Refereed article in a scholarly journal

Copyright notice

2015, BMJ Publishing Group

Issue

11

Publisher

BMJ Open