Longitudinal assessment of quality of life and its change in relation to motor vehicle crashes: the SUN (Seguimiento Universidad de Navarra) Cohort.
نویسندگان
چکیده
BACKGROUND Despite the prevailing notion than injury victims are healthy subjects, there is scarce evidence on their preinjury health status, particularly for motor vehicle crash (MVC) victims, where changes between their preinjury health status (or age- and sex-adjusted standards) have seldom been compared with their postinjury status. METHODS This longitudinal study recorded pre-event self-reported health status (as measured by Short Form-36 scores) of cohort participants who were followed up for 4 years. Differences at the beginning and the end of follow-up as well as differences in Short Form-36 scores changes over time were compared according to the occurrence of a MVC during that time. RESULTS From 3,361 participants included for analysis, 64 had an incident MVC. At baseline, those participants who would not have subsequently a MVC had better health than those who would have it. In addition, those who reported being in a crash lost more health after the crash than their noncrash counterparts, although these differences were only seen in adjusted analyses. Adjusted analyses showed a significantly greater worsening of health in MVC victims, particularly in regards to role physical (adjusted difference in 4 years change, -7.7; 95% CI, -13.6 to -1.9), bodily pain (-5.9; 95% CI, -11.4 to -0.3), and role emotional (-6.2; 95% CI, -12.5 to -0.02). CONCLUSIONS In this cohort, participants who eventually suffered a crash had a worse health status before their MVC than those who did not suffer a MVC. They lost even further health after the injurious event. These findings bear particular relevance when assessing the burden of disease, or when conducting effectiveness evaluation studies at the individual and population level.
منابع مشابه
Physical activity during leisure time and quality of life in a Spanish cohort: SUN (Seguimiento Universidad de Navarra) project.
BACKGROUND Leisure-time physical activity (LTPA) has been associated with better mental and physical health particularly in cross-sectional studies. Purpose To longitudinally assess the association between LTPA, changes in LTPA and health-related quality of life (HRQL). METHODS Cross-sectional and prospective analysis of the Seguimiento Universidad de Navarra Project, a dynamic cohort study. ...
متن کاملTITLE : Self - reported drinking and driving amongst educated adults in Spain : The “ Seguimiento Universidad de Navarra ” ( SUN ) cohort findings
متن کامل
A comparison of information on motor vehicle crashes as reported by written or telephone interviews.
OBJECTIVE To compare information about traffic crash injuries and kilometers driven reported in a written questionnaire with information reported in a telephone interview. DESIGN Telephone and paper surveys. SETTING The Seguimiento Universidad de Navarra (SUN, University of Navarra Follow-up) study, in Spain. The SUN study is an open enrollment cohort study with 17 000 enrolled graduates fo...
متن کاملSelf-reported drinking and driving amongst educated adults in Spain: The "Seguimiento Universidad de Navarra" (SUN) cohort findings
BACKGROUND The role of alcohol as a risk factor for motor vehicle crashes is long known. Yet, reports on the prevalence of drinking and driving suggest values between 20%-30% when the adult driving population is interviewed. We wondered whether these values hold true among European educated citizens and whether there are any significant differences in prevalence by age, gender, type of professi...
متن کاملHypothesis-oriented food patterns and incidence of hypertension: 6-year follow-up of the SUN (Seguimiento Universidad de Navarra) prospective cohort.
OBJECTIVE To study the association between adherence to several a priori-defined healthy food patterns and the risk of hypertension. DESIGN Prospective, multipurpose, dynamic cohort study (recruitment permanently open). We followed up 10 800 men and women (all of them university graduates), who were initially free of hypertension, for a variable period (range 2-6 years, median 4.6 years). Dur...
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ورودعنوان ژورنال:
- The Journal of trauma
دوره 70 5 شماره
صفحات -
تاریخ انتشار 2011