TY - JOUR AU - Nicholas M. AU - Blyth F. AU - Cameron I. AU - Gopinath B. AU - Harris I. AU - Casey P. AU - Maher C. AB -

BACKGROUND: Given the aging demographics of most developed countries, understanding the public health impact of mild/moderate road traffic crash injuries in older adults is important. We aimed to determine whether health outcomes (pain severity and quality of life measures) over 24 months differ significantly between older (65+) and younger adults (18-64). METHODS: Prospective cohort study of 364, 284 and 252 participants with mild/moderate injury following a vehicle collision at baseline, 12 and 24 months, respectively. A telephone-administered questionnaire obtained information on socio-economic, pre- and post-injury psychological and heath characteristics. RESULTS: At baseline, there were 55 (15.1%) and 309 (84.9%) participants aged >/=65 and 18-64 years, respectively. At 12- and 24-month follow-up, older compared to younger participants who had sustained a mild/moderate musculoskeletal injury had lower physical functioning (3.9-units lower Short Form-12 Physical Composite Score, multivariable-adjusted p = 0.03 at both examinations). After multivariable adjustment, older (n = 45) versus younger (n = 207) participants had lower self-perceived health status (8.1-units lower European Quality of Life-5 Dimensions Visual Acuity Scale scores at 24 months, p = 0.03), 24 months later. CONCLUSIONS: Older compared to younger participants who sustained a mild/moderate injury following a road-traffic crash demonstrated poorer physical functioning and general health at 24 months.

AD - John Walsh Centre for Rehabilitation Research, Sydney Medical School, University of Sydney, Sydney, Australia.
Ingham Institute for Applied Medical Research and South Western Sydney Clinical School, University of New South Wales, Kensington, Australia.
Pain Management Research Institute, Sydney Medical School, University of Sydney, Sydney, Australia.
Pain Management Research Institute, Sydney Medical School, University of Sydney, Sydney, Australia; School of Public Health, University of Sydney, Sydney, Australia.
George Institute for Global Health, Sydney Medical School, University of Sydney, Sydney, Australia. AN - 25830702 BT - PLoS One DP - NLM ET - 2015/04/02 LA - eng LB - MSK M1 - 4 N1 - Gopinath, Bamini
Harris, Ian A
Nicholas, Michael
Casey, Petrina
Blyth, Fiona
Maher, Christopher G
Cameron, Ian D
United States
PLoS One. 2015 Apr 1;10(4):e0122732. doi: 10.1371/journal.pone.0122732. eCollection 2015. N2 -

BACKGROUND: Given the aging demographics of most developed countries, understanding the public health impact of mild/moderate road traffic crash injuries in older adults is important. We aimed to determine whether health outcomes (pain severity and quality of life measures) over 24 months differ significantly between older (65+) and younger adults (18-64). METHODS: Prospective cohort study of 364, 284 and 252 participants with mild/moderate injury following a vehicle collision at baseline, 12 and 24 months, respectively. A telephone-administered questionnaire obtained information on socio-economic, pre- and post-injury psychological and heath characteristics. RESULTS: At baseline, there were 55 (15.1%) and 309 (84.9%) participants aged >/=65 and 18-64 years, respectively. At 12- and 24-month follow-up, older compared to younger participants who had sustained a mild/moderate musculoskeletal injury had lower physical functioning (3.9-units lower Short Form-12 Physical Composite Score, multivariable-adjusted p = 0.03 at both examinations). After multivariable adjustment, older (n = 45) versus younger (n = 207) participants had lower self-perceived health status (8.1-units lower European Quality of Life-5 Dimensions Visual Acuity Scale scores at 24 months, p = 0.03), 24 months later. CONCLUSIONS: Older compared to younger participants who sustained a mild/moderate injury following a road-traffic crash demonstrated poorer physical functioning and general health at 24 months.

PY - 2015 SN - 1932-6203 (Electronic)
1932-6203 (Linking) EP - e0122732 T2 - PLoS One TI - A Comparison of Health Outcomes in Older versus Younger Adults following a Road Traffic Crash Injury: A Cohort Study VL - 10 ER -