Recovery from injury: the UK Burden of Injury Multicentre Longitudinal Study

Kendrick, Denise; Vinogradova, Yana; Coupland, Carol; Mulvaney, Caroline; Christie, Nicola; Lyons, Ronan A.; Towner, Elizabeth

doi:10.1136/injuryprev-2012-040658

Cited by 26 publications

(27 citation statements)

References 41 publications

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“…In accordance with previous work [13, 25], we found that most children’s summary HRQoL score had returned to within one standard deviation of baseline by four months post injury. Hospitalization status and age were the only variables associated with a significant change in the rate of recovery, with children who were admitted and older children having a faster rate (steeper slope) to recovery relative to those who were seen in the ED and younger children.…”

Section: Discussionsupporting

confidence: 93%

A longitudinal study on quality of life after injury in children

Schneeberg

Ishikawa

Kruse

et al. 2016

Health Qual Life Outcomes

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BackgroundIn high income countries, injuries account for 40 % of all child deaths, representing the leading cause of child mortality and a major source of morbidity. The need for studies across age groups, and use of health related quality of life measures that assess functional limitations in multiple health domains, with sampling at specific post-injury time points has been identified. The objective of this study was to describe the impact of childhood injury and recovery on health related quality of life (HRQoL) for the 12 months after injury.MethodsIn this prospective cohort study parents of children 0-16 years old attending British Columbia Children’s Hospital for an injury were surveyed over 12 months post-injury. Surveys assessed HRQoL at four points: baseline (pre-injury), one month, four to six months and 12 months post injury. Generalized estimating equation models identified factors associated with changes in HRQoL over time.ResultsA total of 256 baseline surveys were completed. Response rates for follow-ups at one, four and twelve months were 74 % (186), 67 % (169) and 64 % (161), respectively. The mean age of participants was 7.9 years and 30 % were admitted to the hospital. At baseline, a retrospective measure of pre-injury health, the mean HRQoL score was 90.7. Mean HRQoL ratings at one, four and 12 months post injury were 77.8, 90.3 and 91.3, respectively. Both being older and being hospitalized were associated with a steeper slope to recovery.ConclusionsAlthough injuries are prevalent, the long term impacts of most childhood injuries are limited. Regardless of injury severity, most injured children recuperated quickly, and had regained total baseline status by four month post-injury. However, although hospitalization did not appear to impact long term psychosocial recovery, at four and 12 months post injury a greater proportion of hospitalized children continued to have depressed physical HRQoL scores. Both older and hospitalized children reported greater impact to HRQoL at one month post injury, and both had a steeper slope to recovery and were on par with their peers by four month.

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Section: Discussionsupporting

confidence: 93%

A longitudinal study on quality of life after injury in children

Schneeberg

Ishikawa

Kruse

et al. 2016

Health Qual Life Outcomes

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“…Participants of the UKBOI study (Kendrick et al, 2013), of whom 304 (out of 1517 at baseline) subjects were injured in a road accident, had fully recovered to 28% of respondents at 1 month, 54% at 4 months and 71% at 1 year, which is much higher than in the ESPARR study. However, the results of the ESPARR cohort were coherent with those of the POIS cohort (Wilson et al, 2012) (health status fully recovered for 23% of participants at 5 months and for 36% of participants at 1 year).…”

Section: Interpretation Of Resultsmentioning

confidence: 74%

“…Kendrick et al (2012Kendrick et al ( , 2013 showed that road accidents have generally more consequences at 1 year in terms of health status than other type of user in the UK. Present information related to sequelae is essentially based on the Injury Impairment Scale (IIS (AAAM, 1994)), which is derived from the Abbreviated Injury Scale (AIS (AAAM, 1990)), predicting 1-year post-trauma impairment for each specific lesion.…”

Section: Introductionmentioning

confidence: 98%

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

Tournier

Charnay

Tardy

et al. 2014

Accident Analysis & Prevention

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“…1 Increased survival rates 3 and reduced lengths of hospital stay 4 are shifting care for injured patients, some of whom have complex needs, into the community. Recovery is often prolonged or incomplete: 5,6 only 49% of injured adults are fully recovered 12 months after injury 7 and two-fifths of working-age adults have not fully returned to work 4 months after injury, with pain, mobility limitations, anxiety, and depression being commonly reported. 8 Discharge home after an injury can be a difficult time and many patients report feeling inadequately prepared.…”

Section: Introductionmentioning

confidence: 99%

Seeking support after hospitalisation for injury: a nested qualitative study of the role of primary care

et al. 2015

Self Cite

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BackgroundIn the UK, studies suggest that the transition from hospital to home after an injury can be a difficult time and many patients report feeling inadequately prepared. Patients often use primary care services after hospital discharge. These consultations provide opportunities to consider problems that patients experience and to facilitate recovery. Little is known, however, about how patients and service providers view care after hospital discharge and the role played by primary care services, specifically GPs. AimTo identify good practice and unmet needs in respect of post-discharge support for injured patients. Design and settingQualitative study using semi-structured interviews at four sites (Bristol, Leicester/ Loughborough, Nottingham, and Surrey). MethodQualitative interviews with 40 service providers and 45 hospitalised injured patients. ResultsAlthough there were examples of wellmanaged hospital discharges, many patients felt they were not provided with the information they needed about their injury, what to expect in terms of recovery, pain control, return to work, psychological problems, and services to help meet their needs. They also described difficulty accessing services such as physiotherapy or counselling. Service providers identified problems with communication between secondary and primary care, lack of access to physiotherapy, poor communication about other services that may help patients, GP service and resource constraints, and difficulties in providing information to patients concerning likely prognosis. ConclusionDischarge from hospital after an injury can be problematic for patients. Changes in both secondary and primary care are required to resolve this problem.

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Recovery from injury: the UK Burden of Injury Multicentre Longitudinal Study

Abstract: A range of factors was found to predict recovery among injured people. These could be used to identify those at risk of delayed recovery and to inform the design of interventions to maximise recovery.

Cited by 26 publications

References 41 publications

A longitudinal study on quality of life after injury in children

A longitudinal study on quality of life after injury in children

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

Seeking support after hospitalisation for injury: a nested qualitative study of the role of primary care

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