One year after mild injury: comparison of health status and quality of life between casualties with whiplash versus other injuries
Identifieur interne : 000167 ( France/Analysis ); précédent : 000166; suivant : 000168One year after mild injury: comparison of health status and quality of life between casualties with whiplash versus other injuries
Auteurs : Martine Hours [France] ; Inès Khati [France] ; Pierrette Charnay [France] ; Laetitia Chossegros [France] ; Hélène Tardy [France] ; Charlène Tournier [France] ; Anne-Laure Perrine [France] ; Jacques Luaute [France] ; Bernard Laumon [France]Source :
- Journal of Rheumatology [ 0315-162X ] ; 2014-01-01.
Abstract
Objectives: To compare health status, family and occupational impact and quality of life one year after an accident between casualties with whiplash versus other mild injuries, and to explore the relation between initial injury (whiplash vs. other) and quality of life. Design: Prospective cohort study. Subjects: The study used data from the ESPARR cohort (a representative cohort of road accident casualties) and included 173 casualties with “pure” whiplash and a population of 207 casualties with other mild injuries (MAIS-1). Quality of life at 1-year follow-up was assessed on the WHOQoL-Bref questionnaire. Methods: Correlations between explanatory variables and quality of life were explored by Poisson regression to provide adjusted relative risks, with analysis of variance for the various quality of life scores explored. Results: One year post-accident, more whiplash than other casualties complained of non-recovery of health status (56% vs. 43%) and of occupational impact of pain (31% vs. 23%). Quality of life and post-traumatic stress disorder were similar in the two groups. Impaired quality of life did not correlate with whiplash when models were adjusted on sociodemographic variables and history of psychological distress. Whatever the initial lesion, post-traumatic stress disorder (PTSD) was a determining factor for poorer quality of life. Conclusions: Sociodemographic factors, pre-accident psychological history prior and post-traumatic stress disorder were the main factors influencing quality of life, rather than whether or not the injury was whiplash. PTSD may also be related to pain.
Url:
DOI: 10.3899/jrheum.130406
Affiliations:
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CS 30122, 69361 Lyon Cedex 07</addrLine> <country key="FR"></country> </address> <ref type="url">https://www.universite-lyon.fr/</ref> </desc> </org></tutelle><tutelle active="#struct-222110" type="direct"><org type="institution" xml:id="struct-222110" status="OLD"> <orgName>Institut Français des Sciences et Technologies des Transports, de l'Aménagement et des Réseaux</orgName> <orgName type="acronym">IFSTTAR</orgName> <date type="end">2019-12-31</date> <desc> <address> <addrLine>14-20 Boulevard Newton - Cité Descartes, Champs sur Marne - F-77447 Marne la Vallée Cedex 2</addrLine> <country key="FR"></country> </address> <ref type="url">http://www.ifsttar.fr/</ref> </desc> </org></tutelle></tutelles></hal:affiliation><country>France</country><placeName><settlement type="city">Lyon</settlement><region type="region" nuts="2">Auvergne-Rhône-Alpes</region><region type="old region" nuts="2">Rhône-Alpes</region></placeName><orgName type="university">Université Claude Bernard Lyon 1</orgName><orgName type="institution" wicri:auto="newGroup">Université de Lyon</orgName></affiliation></author><author><name sortKey="Perrine, Anne Laure" sort="Perrine, Anne Laure" uniqKey="Perrine A" first="Anne-Laure" last="Perrine">Anne-Laure Perrine</name><affiliation wicri:level="1"><hal:affiliation type="laboratory" xml:id="struct-268056" status="INCOMING"> <orgName>Institut National de Veille Sanitaire, Maladies Chroniques</orgName> <desc> <address> <addrLine>St. Maurice</addrLine> <country key="FR"></country> </address> </desc> <listRelation> <relation active="#struct-380096" type="direct"></relation> </listRelation> <tutelles><tutelle active="#struct-380096" type="direct"><org type="institution" xml:id="struct-380096" status="INCOMING"> <orgName>Institut National de Veille Sanitaire, Maladies Chroniques</orgName> <desc> <address> <country key="FR"></country> </address> </desc> </org></tutelle></tutelles></hal:affiliation><country>France</country></affiliation></author><author><name sortKey="Luaute, Jacques" sort="Luaute, Jacques" uniqKey="Luaute J" first="Jacques" last="Luaute">Jacques Luaute</name><affiliation wicri:level="1"><hal:affiliation type="laboratory" xml:id="struct-268057" status="INCOMING"> <orgName>Médecine Physique et Réadaptation</orgName> <desc> <address> <country key="FR"></country> </address> </desc> <listRelation> <relation active="#struct-360584" type="direct"></relation> <relation active="#struct-300074" type="indirect"></relation> </listRelation> <tutelles><tutelle active="#struct-360584" type="direct"><org type="institution" xml:id="struct-360584" status="VALID"> <orgName>Hôpital Henry Gabrielle [CHU - HCL]</orgName> <desc> <address> <addrLine>20 Route de Vourles69230 Saint-Genis-Laval</addrLine> <country key="FR"></country> </address> <ref type="url">http://www.chu-lyon.fr/web/Hopital_Henry-Gabrielle_2344.html</ref> </desc> <listRelation> <relation active="#struct-300074" type="direct"></relation> </listRelation> </org></tutelle><tutelle active="#struct-300074" type="indirect"><org type="regroupinstitution" xml:id="struct-300074" status="VALID"> <idno type="IdRef">026534657</idno> <orgName>Hospices Civils de Lyon</orgName> <orgName type="acronym">HCL</orgName> <desc> <address> <addrLine>3 Quai des Célestins69002 Lyon </addrLine> <country key="FR"></country> </address> <ref type="url">http://www.chu-lyon.fr/fr/hospices-civils-de-lyon-hcl</ref> </desc> </org></tutelle></tutelles></hal:affiliation><country>France</country></affiliation></author><author><name sortKey="Laumon, Bernard" sort="Laumon, Bernard" uniqKey="Laumon B" first="Bernard" last="Laumon">Bernard Laumon</name><affiliation wicri:level="1"><hal:affiliation type="laboratory" xml:id="struct-222007" status="OLD"> <orgName>Département Transport, Santé, Sécurité</orgName> <orgName type="acronym">IFSTTAR/TS2</orgName> <date type="end">2019-12-31</date> <desc> <address> <addrLine>25, avenue François Mitterrand, Case24 Cité des mobilités F-69675 Bron Cedex</addrLine> <country key="FR"></country> </address> <ref type="url">http://www.ifsttar.fr/</ref> </desc> <listRelation> <relation active="#struct-301088" type="direct"></relation> <relation active="#struct-222110" type="direct"></relation> </listRelation> <tutelles><tutelle active="#struct-301088" type="direct"><org type="regroupinstitution" xml:id="struct-301088" status="VALID"> <orgName>Université de Lyon</orgName> <desc> <address> <addrLine>92 rue Pasteur - CS 30122, 69361 Lyon Cedex 07</addrLine> <country key="FR"></country> </address> <ref type="url">https://www.universite-lyon.fr/</ref> </desc> </org></tutelle><tutelle active="#struct-222110" type="direct"><org type="institution" xml:id="struct-222110" status="OLD"> <orgName>Institut Français des Sciences et Technologies des Transports, de l'Aménagement et des Réseaux</orgName> <orgName type="acronym">IFSTTAR</orgName> <date type="end">2019-12-31</date> <desc> <address> <addrLine>14-20 Boulevard Newton - Cité Descartes, Champs sur Marne - F-77447 Marne la Vallée Cedex 2</addrLine> <country key="FR"></country> </address> <ref type="url">http://www.ifsttar.fr/</ref> </desc> </org></tutelle></tutelles></hal:affiliation><country>France</country></affiliation></author></analytic><idno type="DOI">10.3899/jrheum.130406</idno><series><title level="j">Journal of Rheumatology</title><idno type="ISSN">0315-162X</idno><imprint><date type="datePub">2014-01-01</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="mix" xml:lang="es"><term>ACCIDENT DE LA ROUTE</term><term>POST ACCIDENT</term><term>VERTEBRE CERVICALE</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"> <p>Objectives: To compare health status, family and occupational impact and quality of life one year after an accident between casualties with whiplash versus other mild injuries, and to explore the relation between initial injury (whiplash vs. other) and quality of life. Design: Prospective cohort study. Subjects: The study used data from the ESPARR cohort (a representative cohort of road accident casualties) and included 173 casualties with “pure” whiplash and a population of 207 casualties with other mild injuries (MAIS-1). Quality of life at 1-year follow-up was assessed on the WHOQoL-Bref questionnaire. Methods: Correlations between explanatory variables and quality of life were explored by Poisson regression to provide adjusted relative risks, with analysis of variance for the various quality of life scores explored. Results: One year post-accident, more whiplash than other casualties complained of non-recovery of health status (56% vs. 43%) and of occupational impact of pain (31% vs. 23%). Quality of life and post-traumatic stress disorder were similar in the two groups. Impaired quality of life did not correlate with whiplash when models were adjusted on sociodemographic variables and history of psychological distress. Whatever the initial lesion, post-traumatic stress disorder (PTSD) was a determining factor for poorer quality of life. Conclusions: Sociodemographic factors, pre-accident psychological history prior and post-traumatic stress disorder were the main factors influencing quality of life, rather than whether or not the injury was whiplash. PTSD may also be related to pain.</p> </div></front></TEI><affiliations><list><country><li>France</li></country><region><li>Auvergne-Rhône-Alpes</li><li>Rhône-Alpes</li></region><settlement><li>Lyon</li></settlement><orgName><li>Université Claude Bernard Lyon 1</li><li>Université de Lyon</li></orgName></list><tree><country name="France"><region name="Auvergne-Rhône-Alpes"><name sortKey="Hours, Martine" sort="Hours, Martine" uniqKey="Hours M" first="Martine" last="Hours">Martine Hours</name></region><name sortKey="Charnay, Pierrette" sort="Charnay, Pierrette" uniqKey="Charnay P" first="Pierrette" last="Charnay">Pierrette Charnay</name><name sortKey="Chossegros, Laetitia" sort="Chossegros, Laetitia" uniqKey="Chossegros L" first="Laetitia" last="Chossegros">Laetitia Chossegros</name><name sortKey="Khati, Ines" sort="Khati, Ines" uniqKey="Khati I" first="Inès" last="Khati">Inès Khati</name><name sortKey="Laumon, Bernard" sort="Laumon, Bernard" uniqKey="Laumon B" first="Bernard" last="Laumon">Bernard Laumon</name><name sortKey="Luaute, Jacques" sort="Luaute, Jacques" uniqKey="Luaute J" first="Jacques" last="Luaute">Jacques Luaute</name><name sortKey="Perrine, Anne Laure" sort="Perrine, Anne Laure" uniqKey="Perrine A" first="Anne-Laure" last="Perrine">Anne-Laure Perrine</name><name sortKey="Tardy, Helene" sort="Tardy, Helene" uniqKey="Tardy H" first="Hélène" last="Tardy">Hélène Tardy</name><name sortKey="Tournier, Charlene" sort="Tournier, Charlene" uniqKey="Tournier C" first="Charlène" last="Tournier">Charlène Tournier</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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