Factors associated with non-return to work in the severely injured victims 3 years after a road accident: A prospective study.
Identifieur interne : 000C32 ( Main/Exploration ); précédent : 000C31; suivant : 000C33Factors associated with non-return to work in the severely injured victims 3 years after a road accident: A prospective study.
Auteurs : C. Pélissier [France] ; E. Fort [France] ; L. Fontana [France] ; B. Charbotel [France] ; M. Hours [France]Source :
- Accident; analysis and prevention [ 1879-2057 ] ; 2017.
Descripteurs français
- KwdFr :
- Accidents de la route (psychologie), Adolescent (MeSH), Adulte (MeSH), Adulte d'âge moyen (MeSH), Facteurs temps (MeSH), Femelle (MeSH), France (MeSH), Humains (MeSH), Jeune adulte (MeSH), Loi du khi-deux (MeSH), Mâle (MeSH), Plaies et blessures (épidémiologie), Qualité de vie (MeSH), Reprise du travail (psychologie), Reprise du travail (statistiques et données numériques), Troubles de stress post-traumatique (épidémiologie), Échelle abrégée des traumatismes (MeSH), État de santé (MeSH), Études cas-témoins (MeSH), Études longitudinales (MeSH), Études prospectives (MeSH).
- MESH :
- psychologie : Accidents de la route, Reprise du travail.
- statistiques et données numériques : Reprise du travail.
- épidémiologie : Plaies et blessures, Troubles de stress post-traumatique.
- Adolescent, Adulte, Adulte d'âge moyen, Facteurs temps, Femelle, France, Humains, Jeune adulte, Loi du khi-deux, Mâle, Qualité de vie, Échelle abrégée des traumatismes, État de santé, Études cas-témoins, Études longitudinales, Études prospectives.
English descriptors
- KwdEn :
- Abbreviated Injury Scale (MeSH), Accidents, Traffic (psychology), Adolescent (MeSH), Adult (MeSH), Case-Control Studies (MeSH), Chi-Square Distribution (MeSH), Female (MeSH), France (MeSH), Health Status (MeSH), Humans (MeSH), Longitudinal Studies (MeSH), Male (MeSH), Middle Aged (MeSH), Prospective Studies (MeSH), Quality of Life (MeSH), Return to Work (psychology), Return to Work (statistics & numerical data), Stress Disorders, Post-Traumatic (epidemiology), Time Factors (MeSH), Wounds and Injuries (epidemiology), Young Adult (MeSH).
- MESH :
- epidemiology : Stress Disorders, Post-Traumatic, Wounds and Injuries.
- psychology : Accidents, Traffic, Return to Work.
- statistics & numerical data : Return to Work.
- Abbreviated Injury Scale, Adolescent, Adult, Case-Control Studies, Chi-Square Distribution, Female, France, Health Status, Humans, Longitudinal Studies, Male, Middle Aged, Prospective Studies, Quality of Life, Time Factors, Young Adult.
Abstract
Road accidents may impact victims' physical and/or mental health and socio-occupational life, particularly the capacity to return to work. The purpose of our study is to assess modifiable medical and socio-occupational factors of non-return to work in the severely injured 3 years after a road accident. Among1,168 road accidents casualties in the Rhône administrative Département of France followed for five years, 141 of the 222 severely injured (Maximal Abbreviated Injury Scale ≥ 3) aged more than 16 years who were in work at the time of the accident, reported whether they had returned to work in the 3 years following the accident. The subgroups of those who had (n=113) and had not returned to work (n=28) were compared for socio-occupational (gender, age, educational level, marital status, socio-occupational group) accident-related medical factors (type of road user, type of journey, responsibility in the accident, initial care) and post-accident medical factors (pain intensity, post-traumatic stress disorder, physical sequelae, quality of life) by using standardized tools. Severity of initial head, face and lower-limb injury, intense persistent pain, post-traumatic stress disorder, poor self-assessed quality of life and health status at 3 years were associated with non-return to work on univariate analysis. On multivariate analysis, severity of initial head and lower-limb injury, intense persistent pain at 3 years and post-traumatic stress disorder were significantly associated with non-return to work 3 years following severe road-accident injury. Post-traumatic stress disorder and chronic pain were essential modifiable medical determinants of non-return to work in the severely injured after a road accident: early adapted management could promote return to work in the severely injured. Improve early adapted treatment of pain and PTSD in the rehabilitation team should help the severely injured return to work following a road accident.
DOI: 10.1016/j.aap.2017.06.020
PubMed: 28728063
Affiliations:
Links toward previous steps (curation, corpus...)
Le document en format XML
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<term>Adult (MeSH)</term>
<term>Case-Control Studies (MeSH)</term>
<term>Chi-Square Distribution (MeSH)</term>
<term>Female (MeSH)</term>
<term>France (MeSH)</term>
<term>Health Status (MeSH)</term>
<term>Humans (MeSH)</term>
<term>Longitudinal Studies (MeSH)</term>
<term>Male (MeSH)</term>
<term>Middle Aged (MeSH)</term>
<term>Prospective Studies (MeSH)</term>
<term>Quality of Life (MeSH)</term>
<term>Return to Work (psychology)</term>
<term>Return to Work (statistics & numerical data)</term>
<term>Stress Disorders, Post-Traumatic (epidemiology)</term>
<term>Time Factors (MeSH)</term>
<term>Wounds and Injuries (epidemiology)</term>
<term>Young Adult (MeSH)</term>
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<keywords scheme="KwdFr" xml:lang="fr"><term>Accidents de la route (psychologie)</term>
<term>Adolescent (MeSH)</term>
<term>Adulte (MeSH)</term>
<term>Adulte d'âge moyen (MeSH)</term>
<term>Facteurs temps (MeSH)</term>
<term>Femelle (MeSH)</term>
<term>France (MeSH)</term>
<term>Humains (MeSH)</term>
<term>Jeune adulte (MeSH)</term>
<term>Loi du khi-deux (MeSH)</term>
<term>Mâle (MeSH)</term>
<term>Plaies et blessures (épidémiologie)</term>
<term>Qualité de vie (MeSH)</term>
<term>Reprise du travail (psychologie)</term>
<term>Reprise du travail (statistiques et données numériques)</term>
<term>Troubles de stress post-traumatique (épidémiologie)</term>
<term>Échelle abrégée des traumatismes (MeSH)</term>
<term>État de santé (MeSH)</term>
<term>Études cas-témoins (MeSH)</term>
<term>Études longitudinales (MeSH)</term>
<term>Études prospectives (MeSH)</term>
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<term>Wounds and Injuries</term>
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<term>Reprise du travail</term>
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<keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Accidents, Traffic</term>
<term>Return to Work</term>
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<keywords scheme="MESH" qualifier="statistiques et données numériques" xml:lang="fr"><term>Reprise du travail</term>
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<keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Plaies et blessures</term>
<term>Troubles de stress post-traumatique</term>
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<term>Adolescent</term>
<term>Adult</term>
<term>Case-Control Studies</term>
<term>Chi-Square Distribution</term>
<term>Female</term>
<term>France</term>
<term>Health Status</term>
<term>Humans</term>
<term>Longitudinal Studies</term>
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<term>Adulte d'âge moyen</term>
<term>Facteurs temps</term>
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<front><div type="abstract" xml:lang="en">Road accidents may impact victims' physical and/or mental health and socio-occupational life, particularly the capacity to return to work. The purpose of our study is to assess modifiable medical and socio-occupational factors of non-return to work in the severely injured 3 years after a road accident. Among1,168 road accidents casualties in the Rhône administrative Département of France followed for five years, 141 of the 222 severely injured (Maximal Abbreviated Injury Scale ≥ 3) aged more than 16 years who were in work at the time of the accident, reported whether they had returned to work in the 3 years following the accident. The subgroups of those who had (n=113) and had not returned to work (n=28) were compared for socio-occupational (gender, age, educational level, marital status, socio-occupational group) accident-related medical factors (type of road user, type of journey, responsibility in the accident, initial care) and post-accident medical factors (pain intensity, post-traumatic stress disorder, physical sequelae, quality of life) by using standardized tools. Severity of initial head, face and lower-limb injury, intense persistent pain, post-traumatic stress disorder, poor self-assessed quality of life and health status at 3 years were associated with non-return to work on univariate analysis. On multivariate analysis, severity of initial head and lower-limb injury, intense persistent pain at 3 years and post-traumatic stress disorder were significantly associated with non-return to work 3 years following severe road-accident injury. Post-traumatic stress disorder and chronic pain were essential modifiable medical determinants of non-return to work in the severely injured after a road accident: early adapted management could promote return to work in the severely injured. Improve early adapted treatment of pain and PTSD in the rehabilitation team should help the severely injured return to work following a road accident.</div>
</front>
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<Abstract><AbstractText>Road accidents may impact victims' physical and/or mental health and socio-occupational life, particularly the capacity to return to work. The purpose of our study is to assess modifiable medical and socio-occupational factors of non-return to work in the severely injured 3 years after a road accident. Among1,168 road accidents casualties in the Rhône administrative Département of France followed for five years, 141 of the 222 severely injured (Maximal Abbreviated Injury Scale ≥ 3) aged more than 16 years who were in work at the time of the accident, reported whether they had returned to work in the 3 years following the accident. The subgroups of those who had (n=113) and had not returned to work (n=28) were compared for socio-occupational (gender, age, educational level, marital status, socio-occupational group) accident-related medical factors (type of road user, type of journey, responsibility in the accident, initial care) and post-accident medical factors (pain intensity, post-traumatic stress disorder, physical sequelae, quality of life) by using standardized tools. Severity of initial head, face and lower-limb injury, intense persistent pain, post-traumatic stress disorder, poor self-assessed quality of life and health status at 3 years were associated with non-return to work on univariate analysis. On multivariate analysis, severity of initial head and lower-limb injury, intense persistent pain at 3 years and post-traumatic stress disorder were significantly associated with non-return to work 3 years following severe road-accident injury. Post-traumatic stress disorder and chronic pain were essential modifiable medical determinants of non-return to work in the severely injured after a road accident: early adapted management could promote return to work in the severely injured. Improve early adapted treatment of pain and PTSD in the rehabilitation team should help the severely injured return to work following a road accident.</AbstractText>
<CopyrightInformation>Copyright © 2017 Elsevier Ltd. All rights reserved.</CopyrightInformation>
</Abstract>
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<ForeName>C</ForeName>
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<Author ValidYN="Y"><LastName>Fontana</LastName>
<ForeName>L</ForeName>
<Initials>L</Initials>
<AffiliationInfo><Affiliation>Université de Lyon, Université Lyon 1, Université de St Etienne, IFSTTAR, UMRESTTE, UMR_T9405, 42005 Saint Etienne, France; Service de Santé au Travail, CHU de Saint-Etienne, France.</Affiliation>
</AffiliationInfo>
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<AffiliationInfo><Affiliation>Université de Lyon, Université Lyon 1, IFSTTAR, UMRESTTE, UMR_T9405, F-69373 Lyon, France; Hospices Civils de Lyon, Service de Santé au Travail, France.</Affiliation>
</AffiliationInfo>
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<Author ValidYN="Y"><LastName>Hours</LastName>
<ForeName>M</ForeName>
<Initials>M</Initials>
<AffiliationInfo><Affiliation>Univ Lyon, IFSTTAR, Univ Lyon 1, UMRESTTE, UMR_T9405, F-69675 Bron, France.</Affiliation>
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<MeshHeading><DescriptorName UI="D008137" MajorTopicYN="N">Longitudinal Studies</DescriptorName>
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<MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D011446" MajorTopicYN="N">Prospective Studies</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D011788" MajorTopicYN="Y">Quality of Life</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D062707" MajorTopicYN="N">Return to Work</DescriptorName>
<QualifierName UI="Q000523" MajorTopicYN="N">psychology</QualifierName>
<QualifierName UI="Q000706" MajorTopicYN="Y">statistics & numerical data</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D013313" MajorTopicYN="N">Stress Disorders, Post-Traumatic</DescriptorName>
<QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D013997" MajorTopicYN="N">Time Factors</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D014947" MajorTopicYN="N">Wounds and Injuries</DescriptorName>
<QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D055815" MajorTopicYN="N">Young Adult</DescriptorName>
</MeshHeading>
</MeshHeadingList>
<KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Non-return to work</Keyword>
<Keyword MajorTopicYN="N">Prospective study</Keyword>
<Keyword MajorTopicYN="N">Risk factors</Keyword>
<Keyword MajorTopicYN="N">Road accident casualties</Keyword>
<Keyword MajorTopicYN="N">Seriously injured</Keyword>
</KeywordList>
</MedlineCitation>
<PubmedData><History><PubMedPubDate PubStatus="received"><Year>2017</Year>
<Month>05</Month>
<Day>10</Day>
</PubMedPubDate>
<PubMedPubDate PubStatus="revised"><Year>2017</Year>
<Month>06</Month>
<Day>07</Day>
</PubMedPubDate>
<PubMedPubDate PubStatus="accepted"><Year>2017</Year>
<Month>06</Month>
<Day>29</Day>
</PubMedPubDate>
<PubMedPubDate PubStatus="pubmed"><Year>2017</Year>
<Month>7</Month>
<Day>21</Day>
<Hour>6</Hour>
<Minute>0</Minute>
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<PubMedPubDate PubStatus="medline"><Year>2018</Year>
<Month>2</Month>
<Day>27</Day>
<Hour>6</Hour>
<Minute>0</Minute>
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<PubMedPubDate PubStatus="entrez"><Year>2017</Year>
<Month>7</Month>
<Day>21</Day>
<Hour>6</Hour>
<Minute>0</Minute>
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</History>
<PublicationStatus>ppublish</PublicationStatus>
<ArticleIdList><ArticleId IdType="pubmed">28728063</ArticleId>
<ArticleId IdType="pii">S0001-4575(17)30234-8</ArticleId>
<ArticleId IdType="doi">10.1016/j.aap.2017.06.020</ArticleId>
</ArticleIdList>
</PubmedData>
</pubmed>
<affiliations><list><country><li>France</li>
</country>
<region><li>Auvergne-Rhône-Alpes</li>
<li>Rhône-Alpes</li>
</region>
<settlement><li>Bron</li>
<li>Lyon</li>
</settlement>
</list>
<tree><country name="France"><noRegion><name sortKey="Pelissier, C" sort="Pelissier, C" uniqKey="Pelissier C" first="C" last="Pélissier">C. Pélissier</name>
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<name sortKey="Charbotel, B" sort="Charbotel, B" uniqKey="Charbotel B" first="B" last="Charbotel">B. Charbotel</name>
<name sortKey="Fontana, L" sort="Fontana, L" uniqKey="Fontana L" first="L" last="Fontana">L. Fontana</name>
<name sortKey="Fort, E" sort="Fort, E" uniqKey="Fort E" first="E" last="Fort">E. Fort</name>
<name sortKey="Hours, M" sort="Hours, M" uniqKey="Hours M" first="M" last="Hours">M. Hours</name>
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</affiliations>
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