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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Date
2015
Authors
Gabbe, B.J.
Simpson, P.M.
Cameron, P.A.
Ekegren, C.L.
Edwards, E.R.
Page, R.
Liew, S.
Bucknill, A.
De Steiger, R.
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Journal article
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BMJ Open, 2015; 5(11):e009907-1-e009907-7
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Belinda J Gabbe, Pamela M Simpson, Peter A Cameron, Christina L Ekegren, Elton R Edwards, Richard Page, Susan Liew, Andrew Bucknill, Richard de Steiger
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Abstract
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.
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Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/ This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/