Mortality and return to work in patients transported by emergency ambulance after involvement in a traffic accident
Abstract Introduction/background 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 peri...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2020-11-01
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| Series: | BMC Emergency Medicine |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s12873-020-00382-3 |
| _version_ | 1831735379969966080 |
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| author | Kristian Bundgaard Ringgren Elisabeth Helen Anna Mills Erika Frischknecht Christensen Rikke Nørmark Mortensen Christian Torp-Pedersen Kristian Hay Kragholm |
| author_facet | Kristian Bundgaard Ringgren Elisabeth Helen Anna Mills Erika Frischknecht Christensen Rikke Nørmark Mortensen Christian Torp-Pedersen Kristian Hay Kragholm |
| author_sort | Kristian Bundgaard Ringgren |
| collection | DOAJ |
| description | Abstract Introduction/background 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. Methods 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. Results 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. Conclusion 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. |
| first_indexed | 2024-12-21T12:25:57Z |
| format | Article |
| id | doaj.art-d161ef2056e34554977bf2406abfd72b |
| institution | Directory Open Access Journal |
| issn | 1471-227X |
| language | English |
| last_indexed | 2024-12-21T12:25:57Z |
| publishDate | 2020-11-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Emergency Medicine |
| spelling | doaj.art-d161ef2056e34554977bf2406abfd72b2022-12-21T19:04:11ZengBMCBMC Emergency Medicine1471-227X2020-11-012011910.1186/s12873-020-00382-3Mortality and return to work in patients transported by emergency ambulance after involvement in a traffic accidentKristian Bundgaard Ringgren0Elisabeth Helen Anna Mills1Erika Frischknecht Christensen2Rikke Nørmark Mortensen3Christian Torp-Pedersen4Kristian Hay Kragholm5Department of Cardiology, Aalborg University HospitalUnit of Epdimemiology and Biostatistics, Aalborg University HospitalCenter for Prehospital and Emergency Research, Department of Clinical Medicine Aalborg University and Clinic of Internal and Emergency Medicine Aalborg University HospitalUnit of Epdimemiology and Biostatistics, Aalborg University HospitalDepartment of Cardiology, Aalborg University HospitalDepartment of Cardiology, Aalborg University HospitalAbstract Introduction/background 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. Methods 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. Results 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. Conclusion 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.http://link.springer.com/article/10.1186/s12873-020-00382-3Road traffic injury (RTI)Road traffic accident (RTA)Return to work (RTW)Long-term outcome |
| spellingShingle | Kristian Bundgaard Ringgren Elisabeth Helen Anna Mills Erika Frischknecht Christensen Rikke Nørmark Mortensen Christian Torp-Pedersen Kristian Hay Kragholm Mortality and return to work in patients transported by emergency ambulance after involvement in a traffic accident BMC Emergency Medicine Road traffic injury (RTI) Road traffic accident (RTA) Return to work (RTW) Long-term outcome |
| title | Mortality and return to work in patients transported by emergency ambulance after involvement in a traffic accident |
| title_full | Mortality and return to work in patients transported by emergency ambulance after involvement in a traffic accident |
| title_fullStr | Mortality and return to work in patients transported by emergency ambulance after involvement in a traffic accident |
| title_full_unstemmed | Mortality and return to work in patients transported by emergency ambulance after involvement in a traffic accident |
| title_short | Mortality and return to work in patients transported by emergency ambulance after involvement in a traffic accident |
| title_sort | mortality and return to work in patients transported by emergency ambulance after involvement in a traffic accident |
| topic | Road traffic injury (RTI) Road traffic accident (RTA) Return to work (RTW) Long-term outcome |
| url | http://link.springer.com/article/10.1186/s12873-020-00382-3 |
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