Health status recovery at one year in children injured in a road accident: A cohort study

Pierre Batailler (1) , Martine Hours (1) , Maud Maza (1) , Pierrette Charnay (1) , Hélène Tardy (1) , Charlène Tournier (1) , Etienne Javouhey (2)

1 UMRESTTE UMR T9405 - Unité Mixte de Recherche Epidémiologique et de Surveillance Transport Travail Environnement
2 Réanimation Pédiatrique Spécialisée - Surveillance Continue

Despite the frequency of traumatic injuries due to road accidents and potential importance of identifying children at risk of impaired recovery one year after a road accident, there is a lack of data on long-term recovery of health status, except in children with severe traumatic brain injury. The aim of the present study was to evaluate predictive factors of recovery in children one year after road traffic injuries. The prospective cohort study was composed of children aged <16 years, admitted to public or private sector hospitals in the Rhone administrative area of France following a road accident. Recovery of health status one year after the accident and information concerning quality of life and the consequences of the accident for the child or family 1 year after the accident were collected by questionnaire, usually completed by the parents. Victims were in majority male (64.6%) and had mild or moderate injuries (81.9% with Maximum Abbreviated Injury Scale (M-AIS) <3). One year after the accident, 75.0% of the mild-to-moderate and 34.8% of the severe cases estimated health status as fully recovered. After adjustment, severity score (M-AIS>/=3) and lower limb injury (AIS>1) were associated with incomplete recovery of health status: weighted odds ratio (ORw), 4.3 [95% confidence interval (95% CI), 1.3-14.6] and ORw, 6.5 [95% CI, 1.9-21.7], respectively. Recovery status correlated significantly with quality of life physical scores (r=0.46), especially body pain (r=0.48) and role/social-physical (r=0.50) and, to a lesser extent, quality of life psychosocial scores (r=0.21). In a cohort of children injured in a road accident, those with high injury severity score and those with lower limb injuries are less likely to recover full health status by 1 year. Impaired health status was associated with a lower physical quality of life score at 1 year.

Mots clés: ENFANT; ACCIDENT DE LA ROUTE; POST ACCIDENT

Domaines: Santé publique et épidémiologie

Pierre Batailler, Martine Hours, Maud Maza, Pierrette Charnay, Hélène Tardy, et al.. Health status recovery at one year in children injured in a road accident: A cohort study. Accident Analysis & Prevention, 2014, 71, pp. 267-272. ⟨10.1016/j.aap.2014.06.001⟩. ⟨hal-01068249⟩