Quality of life one year after a road accident

Khati, Inès; Hours, Martine; Charnay, Pierrette; Chossegros, Laetitia; Tardy, Hélène; Nhac-Vu, H.-T.; Boisson, Dominique; Laumon, Bernard

doi:10.1097/ta.0b013e318270d967

Cited by 24 publications

(22 citation statements)

References 18 publications

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“…We also examined whether the identification of subclinical PTSD could identify participants at risk of future psychological disorders. Although our sample size was small (n = 13), we found that early subclinical PTSD was similar to clinical PTSD in terms of its relationship to having any Research has reported that premorbid psychiatric problems is associated with poor post-injury outcomes [38][39][40]. In the current study, 25% of respondents reported a history of psychological diagnosis, which is similar to the 12-month prevalence of psychological disorders in the Australian general population [41].…”

Section: Influence Of Early Psychological Diagnosis On Later Psycholosupporting

confidence: 67%

Changing patterns in the prevalence of posttraumatic stress disorder, major depressive episode and generalized anxiety disorder over 24 months following a road traffic crash: Results from the UQ SuPPORT study

Kenardy

Edmed

Shourie

et al. 2018

Journal of Affective Disorders

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Section: Influence Of Early Psychological Diagnosis On Later Psycholosupporting

confidence: 67%

Changing patterns in the prevalence of posttraumatic stress disorder, major depressive episode and generalized anxiety disorder over 24 months following a road traffic crash: Results from the UQ SuPPORT study

Kenardy

Edmed

Shourie

et al. 2018

Journal of Affective Disorders

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“…The SF-36 Summary Scores increased over time and can show the health development of injured patients toward an improvement of physical and mental status. Outcomes research on injured patients has shown that health-related quality of life increases in the long run 1,2,5,6,8,18,52–55. Compared to the healthy population, the level of our study patients’ health-related quality of life 12 months after discharge from the hospital was still low, which is characteristic of accident victims at this date 1,6,8,56.…”

Section: Discussionmentioning

confidence: 62%

Short- and long-term subjective medical treatment outcome of trauma surgery patients: the importance of physician empathy

Steinhausen¹,

Ommen²,

Antoine³

et al. 2014

PPA

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PurposeTo investigate accident casualties’ long-term subjective evaluation of treatment outcome 6 weeks and 12 months after discharge and its relation to the experienced surgeon’s empathy during hospital treatment after trauma in consideration of patient-, injury-, and health-related factors. The long-term results are compared to the 6-week follow-up outcomes.Patients and methodsTwo hundred and seventeen surgery patients were surveyed at 6 weeks, and 206 patients at 12 months after discharge from the trauma surgical general ward. The subjective evaluation of medical treatment outcome was measured 6 weeks and 12 months after discharge with the respective scale from the Cologne Patient Questionnaire. Physician Empathy was assessed with the Consultation and Relational Empathy Measure. The correlation between physician empathy and control variables with the subjective evaluation of medical treatment outcome 12 months after discharge was identified by means of logistic regression analysis under control of sociodemographic and injury-related factors.ResultsOne hundred and thirty-six patients were included within the logistic regression analysis at the 12-month follow-up. Compared to the 6-week follow-up, the level of subjective evaluation of medical treatment outcome was slightly lower and the association with physician empathy was weaker. Compared to patients who rated the empathy of their surgeon lower than 31 points, patients with ratings of 41 points or higher had a 4.2-fold higher probability to be in the group with a better medical treatment outcome (3.5 and above) on the Cologne Patient Questionnaire scale 12 months after discharge from hospital (P=0.009, R2=33.5, 95% confidence interval: 1.440–12.629).ConclusionPhysician empathy is the strongest predictor for a higher level of trauma patients’ subjective evaluation of treatment outcome 6 weeks and 12 months after discharge from the hospital. Interpersonal factors between surgeons and their patients are possible key levers for improving patient outcomes in an advanced health system. Communication trainings for surgeons might prepare them to react appropriately to their patients’ needs and lead to satisfactory outcomes for both parties.

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“…Poor physical well-being can additionally impact economic well-being, given the high cost of health care in the United States. Serious-injury vehicle accidents are especially financially damaging for victims due to the burden of medical costs and potential lost income from the interruption of work (Khati et al, 2013). …”

Section: A Framework For Transportation-related Quality Of Lifementioning

confidence: 99%

Transportation planning and quality of life: Where do they intersect?

2016

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Policy makers and researchers are increasingly recognizing the connections between public health and transportation, but health improvements are typically framed from a physical health perspective rather than considering broader quality of life (QOL) impacts. Currently, there is a limited understanding of the ways in which transportation and QOL intersect, and little is known about how metropolitan planning organizations (MPOs) in the United States are addressing QOL outcomes. This study addressed these gaps by developing a conceptual framework holistically linking transportation to QOL. The proposed framework identified four transportation-related QOL dimensions—physical, mental, social, and economic well-being—which are predominantly influenced by three components of the transportation system: mobility/accessibility, the built environment, and vehicle traffic. This framework then formed the basis for a content analysis of 148 long-range transportation plans in the United States to evaluate the extent to which QOL is being considered in the planning process. The results of the analysis and a follow-up examination of 13 plans revealed that MPOs are inconsistently addressing QOL. Plans primarily targeted QOL enhancement from the perspective of physical well-being, while mental and social well-being were rarely considered. Policy recommendations were provided to more comprehensively integrate QOL into the transportation planning process.

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Quality of life one year after a road accident

Abstract: Prognostic study, level II.

Cited by 24 publications

References 18 publications

Changing patterns in the prevalence of posttraumatic stress disorder, major depressive episode and generalized anxiety disorder over 24 months following a road traffic crash: Results from the UQ SuPPORT study

Changing patterns in the prevalence of posttraumatic stress disorder, major depressive episode and generalized anxiety disorder over 24 months following a road traffic crash: Results from the UQ SuPPORT study

Short- and long-term subjective medical treatment outcome of trauma surgery patients: the importance of physician empathy

Transportation planning and quality of life: Where do they intersect?

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