Mortality and return to work in patients transported by emergency ambulance after involvement in a traffic accident
Open Access
- 12 November 2020
- journal article
- research article
- Published by Springer Science and Business Media LLC in BMC Emergency Medicine
- Vol. 20 (1), 1-9
- https://doi.org/10.1186/s12873-020-00382-3
Abstract
Traffic accidents constitute a common reason for injury. Little is known about long-term outcomes for patients following a traffic accident. Therefore, in this present paper, we examine 1-day, 30-day and 1-year mortality, and return to work (RTW) during a 1-year period. Patients (between 18 and 65 years of age) who had an ambulance dispatched to them following a traffic accident and who were employed prior to the accident were identified from the Electronic Prehospital Emergency Patient (amPHI™) database in the North Denmark Region (catchment population ≈600,000) during 2006–2014. Outcomes of 1- and 30- and 365-day mortality and 1-year return to work (RTW), with mortality as competing risk. We stratified by intensive care unit (ICU) admission; and the anatomical region of injury (head/neck, thorax, abdomen, extremities and multiple injuries) is reported. Of 6072 patients in our study population, 59 (1%) died within 1 day and 76 (1.3%) within 30 days; 88 (1.5%) were dead within a year. Thirty-day mortality was 1.7% for the 290 patients admitted to the ICU, and 1.2% for the remaining 5782 patients. Within the study population, RTW rate was 92.7% (N = 5984). RTW was 84.8% among 290 ICU-admitted patients versus 93.1% for the remaining 5782 patients. RTW rate was 94.6% for the 1793 patients discharged with a diagnosis of head/neck injury. Of 671 patients with a discharge diagnosis for the thoracic region, 92.6% returned to work. Of 402 patients with abdominal injury diagnoses, 90.8% returned to work. Of 1603 patients discharged with a diagnosis of extremity injury, the RTW rate was 93.6%. Of 192 patients with a discharge diagnosis of injury in multiple regions, 91.7% returned to work. Overall, mortality rates were low and RTW rates high in patients who had an ambulance dispatched due to a traffic accident. Those admitted to the ICU had the lowest RTW rate, yet still around 80% returned to work.Keywords
This publication has 26 references indexed in Scilit:
- Health burden of road traffic accidents, an analysis of clinical data on disability and mortality exposure rates in Flanders and BrusselsAccident Analysis & Prevention, 2013
- The Danish National Patient RegisterScandinavian Journal of Public Health, 2011
- Danish education registersScandinavian Journal of Public Health, 2011
- The Danish Civil Registration SystemScandinavian Journal of Public Health, 2011
- The Danish National Prescription RegistryScandinavian Journal of Public Health, 2011
- Explorative spatial analysis of traffic accident statistics and road mortality among the provinces of TurkeyJournal of Safety Research, 2009
- Register-based follow-up of social benefits and other transfer payments: Accuracy and degree of completeness in a Danish interdepartmental administrative database compared with a population-based surveyScandinavian Journal of Public Health, 2007
- Determinants of within-country variation in traffic accident mortality in Italy: a geographical analysisInternational Journal of Health Geographics, 2007
- The importance of quality of survival as an outcome measure for an integrated trauma systemInjury, 2006
- A new method of classifying prognostic comorbidity in longitudinal studies: Development and validationJournal of Chronic Diseases, 1987