TY - JOUR AU - Jagnoor J. AU - Nicholas M. AU - Blyth F. AU - Cameron I. AU - Gopinath B. AU - Harris I. AU - Casey P. AU - Sindhusake D. AU - Maher C. AB -

OBJECTIVES: This prospective cohort study aimed to investigate whether there are differences in health outcomes among persons with mild or moderate injuries who were hospitalised compared with those not hospitalised following a road traffic crash. SETTING: Sydney Metropolitan, New South Wales, Australia. PARTICIPANTS: Persons aged >/=18 years involved in a motor vehicle crash were surveyed at baseline (n=364), and at 12 (n=284) and 24 months (n=252). A telephone-administered questionnaire obtained information on a range of socioeconomic, and preinjury and postinjury psychological and heath characteristics of all participants. PRIMARY OUTCOME MEASURE: Participants who reported admission to hospital for 24 h or more (but less than 7 days) after the crash were classified as being hospitalised; those admitted for less than 24 h were classified as non-hospitalised. RESULTS: Around 1 in 5 participants (19.0%) were hospitalised for >/=24 h after the crash. After adjusting for age and sex, hospitalised participants compared with those not hospitalised had approximately 2.6 units (p=0.01) lower Short Form-12 Physical Component Summary (SF-12 PCS) scores (poorer physical well-being) and approximately 4.9 units lower European Quality of Life visual analogue scale (EQ-VAS) scores (p=0.05), 12 months later. After further adjusting for education level, whiplash, fracture and injury severity score, participants who were hospitalised had approximately 3.3 units lower SF-12 PCS (p=0.04), 12 months later. The association with EQ-VAS did not persist after multivariable adjustment. No significant differences were observed between the 2 groups in health outcomes at 24-month follow-up. CONCLUSIONS: These findings indicate that long-term health status is unlikely to be influenced by hospitalisation status after sustaining a mild/moderate injury in a vehicle-related crash.

AD - John Walsh Centre for Rehabilitation Research, Sydney Medical School, The University of Sydney, Sydney, New South Wales, Australia.
Ingham Institute for Applied Medical Research, South Western Sydney Clinical School, UNSW, Sydney, New South Wales, Australia.
Pain Management Research Institute, Sydney Medical School, The University of Sydney, Sydney, New South Wales, Australia.
George Institute for Global Health, Sydney Medical School, The University of Sydney, Sydney, New South Wales, Australia.
Medical Imaging, Faculty of Medicine, University of Western Sydney, Sydney, New South Wales, Australia. AN - 26408286 BT - BMJ Open DP - NLM ET - 2015/09/27 LA - Eng LB - MSK
INJ
FY16
AUS M1 - 9 N1 - Gopinath, Bamini
Jagnoor, Jagnoor
Harris, Ian A
Nicholas, Michael
Maher, Christopher G
Casey, Petrina
Blyth, Fiona
Sindhusake, Doungkamol
Cameron, Ian D
BMJ Open. 2015 Sep 24;5(9):e009303. doi: 10.1136/bmjopen-2015-009303. N2 -

OBJECTIVES: This prospective cohort study aimed to investigate whether there are differences in health outcomes among persons with mild or moderate injuries who were hospitalised compared with those not hospitalised following a road traffic crash. SETTING: Sydney Metropolitan, New South Wales, Australia. PARTICIPANTS: Persons aged >/=18 years involved in a motor vehicle crash were surveyed at baseline (n=364), and at 12 (n=284) and 24 months (n=252). A telephone-administered questionnaire obtained information on a range of socioeconomic, and preinjury and postinjury psychological and heath characteristics of all participants. PRIMARY OUTCOME MEASURE: Participants who reported admission to hospital for 24 h or more (but less than 7 days) after the crash were classified as being hospitalised; those admitted for less than 24 h were classified as non-hospitalised. RESULTS: Around 1 in 5 participants (19.0%) were hospitalised for >/=24 h after the crash. After adjusting for age and sex, hospitalised participants compared with those not hospitalised had approximately 2.6 units (p=0.01) lower Short Form-12 Physical Component Summary (SF-12 PCS) scores (poorer physical well-being) and approximately 4.9 units lower European Quality of Life visual analogue scale (EQ-VAS) scores (p=0.05), 12 months later. After further adjusting for education level, whiplash, fracture and injury severity score, participants who were hospitalised had approximately 3.3 units lower SF-12 PCS (p=0.04), 12 months later. The association with EQ-VAS did not persist after multivariable adjustment. No significant differences were observed between the 2 groups in health outcomes at 24-month follow-up. CONCLUSIONS: These findings indicate that long-term health status is unlikely to be influenced by hospitalisation status after sustaining a mild/moderate injury in a vehicle-related crash.

PY - 2015 SN - 2044-6055 (Electronic) EP - e009303 T2 - BMJ Open TI - Comparison of health outcomes between hospitalised and non-hospitalised persons with minor injuries sustained in a road traffic crash in Australia: a prospective cohort study VL - 5 Y2 - FY16 ER -