Sickness absence, disability pension and permanent medical impairment among 64 000 injured car occupants of working ages: A two-year prospective cohort study

Elrud, Rasmus; Friberg, Emilie; Alexanderson, Kristina; Stigson, Helena

doi:10.1016/j.aap.2019.02.019

Cited by 14 publications

(12 citation statements)

References 60 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…No differences were found in the sex distribution, which is consistent with some studies [ 12 , 13 ]. However, others found some differences, albeit some finding male predominance in RTAs [ 3 , 4 , 8 , 14–22 ] and other female predominance [ 23 , 24 ].…”

Section: Discussionsupporting

confidence: 93%

“…Another study [ 13 ] reported that very young and old individuals tend to have the highest risk for low quality of life compared to victims between those ages. However, several authors have found that women experience more sequelae than men in all age groups [ 4 , 12 , 13 , 20 , 23 ], and one study stated that the risk of disability related to traffic injury was higher in women [ 37 ].…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Trauma Outcomes in Nonfatal Road Traffic Accidents: A Portuguese Medico-Legal Approach

Cunha-Diniz

Taveira-Gomes

Teixeira³

et al. 2022

Forensic Sciences Research

View full text Add to dashboard Cite

The objective of this study was to compare the outcomes of nonfatal road traffic accidents by the victims’ age group and sex. We used the Portuguese medico-legal rules for personal injury assessment, in the scope of the Civil Law in that country, which includes a three-dimensional methodology. This was a retrospective study including 667 victims of road traffic accidents aged 3–94 years old. Their final medico-legal reports all used the Portuguese methodology for personal injury assessment. Outcomes were analysed by the victims’ age group (children, working-age adults, and older people) and sex. Road traffic accidents were generally serious (ISS mean 9.5), with higher severity in children and older people. The most frequent body sequelae were musculoskeletal (64.8%), which were associated with functional and situational outcomes. Temporary damage resulted in an average length of impairment of daily life of 199.6 days, 171.7 days to return to work, and an average degree of quantum doloris (noneconomic damage related to physical and psychological harm) of 3.7/7. The average permanent damage was 7.3/100 points for Permanent Functional Deficit, 0.43/3 for Permanent Professional Repercussion, 2/7 for Permanent Aesthetic Damage, 3.9/7 for Permanent Repercussion on Sexual Activity and 3.2/7 for Permanent Repercussion on Sport and Leisure Activities. Overall, 19% of people became permanently dependent (10.6% needed third-party assistance). The medico-legal methodology used, considering victims’ real-life situation, allows a comprehensive assessment. There were several significant differences among the three age groups but none between sexes. These differences and the impact of the more severe cases justify further detailed medico-legal studies in these specific situations on children, older people, and severely injured victims. Key points: This was a retrospective study of accident mechanisms and injury outcomes in Portugal, and considered the outcomes in the victims’ real-life situation. Lesions from road traffic accidents were generally serious, with higher severity among children and older people. The most frequent sequels were musculoskeletal, and associated with functional and situational outcomes. Both temporary and permanent outcomes had repercussions for the victims. There were significant differences between children, working-age adults and older people, but none between sexes.

show abstract

Section: Discussionsupporting

confidence: 93%

Section: Discussionmentioning

confidence: 99%

Trauma Outcomes in Nonfatal Road Traffic Accidents: A Portuguese Medico-Legal Approach

Cunha-Diniz

Taveira-Gomes

Teixeira³

et al. 2022

Forensic Sciences Research

View full text Add to dashboard Cite

show abstract

“…Other perspective of health loss after a crash such as sickness absence/disability pension have been found to correlate with PMI. Individuals with a higher PMI had a higher proportion of disability pension (Elrud et al 2019), showing that injuries often effected a wider spectrum of health. Long-term effects of road traffic injuries in terms of temporary and permanent impairment are less known than the impact on health in terms of deaths and initial consequences.…”

Section: Discussionmentioning

confidence: 99%

“…Vulnerable road users that sustained an injury not involving a motor vehicle will be handled by a specific non-mandatory accident insurance. The policy holders of Folksam can be considered representative of the general population (Elrud et al 2019). In total 7922 individuals were identified.…”

Section: Methodsmentioning

confidence: 99%

Health status and quality of life among road users with permanent medical impairment several years after the crash

Stigson

Boström

Kullgren

2020

Traffic Injury Prevention

Self Cite

View full text Add to dashboard Cite

Objective: Improvements in road infrastructure and vehicle safety have been achieved in many countries during the last decades. As the number of fatalities have dropped, the consequences of non-fatal injuries have been brought into focus. Therefore, the objective was to investigate selfreported health status and health-related quality of life several years after the crash for road-users that sustained injuries resulting in permanent medical impairment (PMI). Methods: A self-administered questionnaire using instruments to measure if health, health-related quality of life and physical activity had been affected by the crash, were used. The injured roadusers were identified from insurance policy holders of the Folksam Insurance Group. The response rate was 29%, a total of 2078 responses were received from the 7174 road-users with PMI that received the questionnaire. Results: In total 85% were still suffering from the injuries several years after the crash (8-18 year after the crash). Furthermore, road-users with injuries to the spine were having highest pain intensity. Older road-users had poorer self-reported health status than younger road-users. Although, younger road-users had the greatest change in physical activity when comparing before and after the crash. Before the crash in total 63% were physically active while only 34% after the crash. The higher the PMI the higher it affected health several years after the crash. Conclusions: The Swedish definition of serious injury, an injury leading to PMI, was found to correlate with self-reported health loss; 85% of the injured road-users reported that they still had remaining symptoms several years after the accident. The injured body region leading to PMI after an accident can vary from the body regions reported to cause long-term health loss. It was found that the higher the degree of PMI the higher the health loss. Sustaining a PMI regardless severity and injured body region has the same effects on general health for men and women. Sustaining a PMI will both lower the health-related quality of life and physical activity after the crash compared to before.

show abstract

“…There is only limited scientific knowledge about SA and DP following a bicycle crash. Sickness absence has been shown to be a relatively common outcome after a road traffic injury [7][8][9][10][11]. However, there are only a few studies on bicyclists' injuries and their future risk of SA [9,[12][13][14][15], and only one study considering this with a long-term perspective, in this case, the duration of the SA spell starting in connection to the bicycle crash [14].…”

Section: Introductionmentioning

confidence: 99%

Sequence analysis of sickness absence and disability pension in the year before and the three years following a bicycle crash; a nationwide longitudinal cohort study of 6353 injured individuals

et al. 2020

Self Cite

View full text Add to dashboard Cite

Background Bicyclists are the road user group with the highest number of severe injuries in the EU, yet little is known about sickness absence (SA) and disability pension (DP) following such injuries. Aims To explore long-term patterns of SA and DP among injured bicyclists, and to identify characteristics associated with the specific patterns. Methods A longitudinal register-based study was conducted, including all 6353 individuals aged 18–59 years and living in Sweden in 2009, who in 2010 had incident in-patient or specialized out-patient healthcare after a bicycle crash. Information about sociodemographic factors, the injury, SA (SA spells > 14 days), and DP was obtained from nationwide registers. Weekly SA/DP states over 1 year before through 3 years after the crash date were used in sequence and cluster analyses. Multinomial logistic regression was used to estimate odds ratios (OR) and 95% confidence intervals (CI) for factors associated with each identified sequence cluster. Results Seven clusters were identified: “No SA or DP” (58.2% of the cohort), “Low SA or DP” (7.4%), “Immediate SA” (20.3%), “Episodic SA” (5.9%), “Long-term SA” (1.7%), “Ongoing part-time DP” (1.7%), and “Ongoing full-time DP” (4.8%). Compared to the cluster “No SA or DP”, all other clusters had higher ORs for women, and higher age. All clusters but “Low SA and DP” had higher ORs for inpatient healthcare. The cluster “Immediate SA” had a higher OR for: fractures (OR 4.3; CI 3.5–5.2), dislocation (2.8; 2.0–3.9), sprains and strains (2.0; 1.5–2.7), and internal injuries (3.0; 1.3–6.7) compared with external injuries. The cluster “Episodic SA” had higher ORs for: traumatic brain injury, not concussion (4.2; 1.1–16.1), spine and back (4.5; 2.2–9.5), torso (2.5; 1.4–4.3), upper extremities (2.9; 1.9–4.5), and lower extremities (3.5; 2.2–5.5) compared with injuries to the head, face, and neck (not traumatic brain injuries). The cluster “Long-term SA” had higher ORs for collisions with motor vehicles (1.9;1.1–3.2) and traumatic brain injury, not concussion (18.4;2.2–155.2). Conclusion Sequence analysis enabled exploration of the large heterogeneity of SA and DP following a bicycle crash. More knowledge is needed on how to prevent bicycle crashes and especially those crashes/injuries leading to long-term consequences.

show abstract

Sickness absence, disability pension and permanent medical impairment among 64 000 injured car occupants of working ages: A two-year prospective cohort study

Cited by 14 publications

References 60 publications

Trauma Outcomes in Nonfatal Road Traffic Accidents: A Portuguese Medico-Legal Approach

Trauma Outcomes in Nonfatal Road Traffic Accidents: A Portuguese Medico-Legal Approach

Health status and quality of life among road users with permanent medical impairment several years after the crash

Sequence analysis of sickness absence and disability pension in the year before and the three years following a bicycle crash; a nationwide longitudinal cohort study of 6353 injured individuals

Contact Info

Product

Resources

About