Document Type : Original Article
Authors
1
Department of Public Health, Khalkhal University of Medical Sciences, Khalkhal, Iran. Department of Health Policy and Management, Iranian Center of Excellence in Health Management, School of Management and Medical Informatics, Tabriz University of Medical Sciences, Tabriz, Iran.
2
Road Traffic Injury Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.
3
Iranian Center of Excellence in Health Management, School of Management and Medical Informatics, Tabriz University of Medical Sciences, Tabriz, Iran.
4
Liver and Pancreatobiliary Diseases Research Center, Digestive Disease Research Institute, Shariati Hospital, Tehran university of Medical Sciences, Tehran, Iran.
5
Road Traffic Injury Research Center, Tabriz University of Medical Sciences, Tabriz, Iran. Injury Epidemiology and Prevention Research Group, Turku Brain Injury Center, Division of Clinical Neurosciences, Turku University Hospital and University of Turku, Turku, Finland.
6
Department of Medical Informatics, School of Management and Medical Informatics, Tabriz University of Medical Sciences, Tabriz, Iran
7
Road Traffic Injury Research Center, Tabriz University of Medical Sciences, Tabriz, Iran Injury Epidemiology and Prevention Research Group, Turku Brain Injury Center, Division of Clinical Neurosciences, Turku University Hospital and
8
Department of Statistics and Epidemiology, Faculty of Health, Tabriz University of Medical Sciences, Tabriz, Iran.
9
Road Traffic Injury Research Center, Tabriz University of Medical Sciences, Tabriz, Iran
10
Department Psychiatry and Human Behavior, Charles R. Drew University of Medicine and Science & David Geffen of Medicine at University of California at Los Angeles, Los Angeles, CA, USA.
Abstract
Introduction: Traffic injuries are one of the main causes of death worldwide. After decreasing mortality rates and improving the recovery of injured patients, long-term functional consequences need to be addressed. The purpose of this study was to assess the functional outcomes of road traffic injuries and their predictors six months after hospital discharge, based on the preliminary results from PTC.
Methods: A cross-sectional study based on PERSIAN Traffic Health and Safety Cohort Study was performed. Data were collected using the 12-item World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0) with six domains (cognition, mobility, self-care, getting along with others, life activities, and participation), filled-in by 180 injured adults (age >18 years) at six-month follow-up after hospital discharge during October 2019. These patients were hospitalized after road accidents at two referral trauma centers, (from 23 September 2018 to 20 March 2019).
Results: The majority of participants were men (82.7%), (Mean age =38.8). The mean score of WHODAS 2.0 was 17.8) SD=9.1). The highest score was estimated for the self-care dimension 3.3 (SD=1.8), and the lowest score for getting along with others 2.4 (SD=1.2). Age, gender, physiotherapy, injury localization including head and face, spinal cord, and upper extremity were predictors of WHODAS 2.0 score in various dimensions (p<0.05).
Conclusion: The current study identified some functional disabilities among patients sustaining road traffic injuries. It is evident from the results that a proportion of patients do not recover six months after the injury and suffer a disability, especially in self-care, mobility, and life activities, which potentially prevent them from returning to normalcy. In addition, age, gender, physiotherapy, injury localization was related to WHODAS 2.0 scores.
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