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首页> 外文期刊>BMJ Open >Comparison of health outcomes between hospitalised and non-hospitalised persons with minor injuries sustained in a road traffic crash in Australia: a prospective cohort study
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Comparison of health outcomes between hospitalised and non-hospitalised persons with minor injuries sustained in a road traffic crash in Australia: a prospective cohort study

机译：一项在澳大利亚发生的交通事故中因轻伤住院和未住院的轻伤患者的健康结局比较：一项前瞻性队列研究

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Objectives This prospective cohort study aimed to investigate whether there are differences in health outcomes among persons with mild or moderate injuries who were hospitalised compared with those not hospitalised following a road traffic crash. Setting Sydney Metropolitan, New South Wales, Australia. Participants Persons aged ≥18?years involved in a motor vehicle crash were surveyed at baseline (n=364), and at 12 (n=284) and 24?months (n=252). A telephone-administered questionnaire obtained information on a range of socioeconomic, and preinjury and postinjury psychological and heath characteristics of all participants. Primary outcome measure Participants who reported admission to hospital for 24?h or more (but less than 7?days) after the crash were classified as being hospitalised; those admitted for less than 24?h were classified as non-hospitalised. Results Around 1 in 5 participants (19.0%) were hospitalised for ≥24?h after the crash. After adjusting for age and sex, hospitalised participants compared with those not hospitalised had approximately 2.6?units (p=0.01) lower Short Form-12 Physical Component Summary (SF-12 PCS) scores (poorer physical well-being) and approximately 4.9?units lower European Quality of Life visual analogue scale (EQ-VAS) scores (p=0.05), 12?months later. After further adjusting for education level, whiplash, fracture and injury severity score, participants who were hospitalised had approximately 3.3?units lower SF-12 PCS (p=0.04), 12?months later. The association with EQ-VAS did not persist after multivariable adjustment. No significant differences were observed between the 2 groups in health outcomes at 24-month follow-up. Conclusions These findings indicate that long-term health status is unlikely to be influenced by hospitalisation status after sustaining a mild/moderate injury in a vehicle-related crash.
机译：目的这项前瞻性队列研究旨在调查因交通事故造成的轻度或中度受伤住院患者与未住院患者的健康结局是否存在差异。设置澳大利亚新南威尔士州悉尼大都会区。参与者在基线（n = 364），12（n = 284）和24个月（n = 252）时，对参与机动车碰撞的年龄≥18岁的人进行了调查。一项电话管理的调查表获得了有关所有参与者的一系列社会经济，伤害前和伤害后心理和健康特征的信息。主要结局指标坠机后报告住院24小时或以上（但少于7天）的参与者被分类为住院;入院时间少于24小时的患者被归类为非住院患者。结果事故发生后，约有五分之一的参与者（占19.0％）住院≥24小时。在调整了年龄和性别后，住院参与者与未住院者相比，其中低中级12身体成分摘要（SF-12 PCS）得分（身体健康状况较差）低约2.6？（p = 0.01），而低4.9。单位在12个月后降低了欧洲生活质量视觉模拟量表（EQ-VAS）得分（p = 0.05）。在进一步调整教育水平，鞭打，骨折和损伤严重程度评分后，住院的参与者在12个月后的SF-12 PCS降低了约3.3个单位（p = 0.04）。多变量调整后，与EQ-VAS的关联并未持续。在24个月的随访中，两组之间在健康结局方面没有观察到显着差异。结论这些发现表明，在与车辆有关的碰撞中受到轻度/中度伤害后，长期健康状况不太可能受住院状况的影响。

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