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Early findings from the NSW motor accident longitudinal cohort study

Early findings from the NSW motor accident longitudinal cohort study. Ian Cameron Rehabilitation Studies Unit University of Sydney, and Royal Rehabilitation Centre Sydney (on behalf of the Study Investigators). 14 October 2011. ian.cameron@sydney.edu.au. Executive Summary.

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Early findings from the NSW motor accident longitudinal cohort study

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  1. Early findings from the NSW motor accident longitudinal cohort study Ian Cameron Rehabilitation Studies Unit University of Sydney, and Royal Rehabilitation Centre Sydney (on behalf of the Study Investigators) 14 October 2011 ian.cameron@sydney.edu.au

  2. Executive Summary • NSW compulsory third party motor vehicle accident insurance scheme • 417 people (who are representative of all claimants, except people with catastrophic injury) • Interviewed, on average, 8 weeks after injury • 45% report current health is fair or poor • 66% report not returned to usual activities • 25% not returned to work • Injured people are experiencing substantial limitations

  3. Background • Seeking to understand health, work and disability in NSW CTP Scheme participants • Initial “Phase 1 Cohort Study" to inform subsequent research • Aim to compare results of similar studies in other states • Recruited from NSW Motor Accidents Authority Personal Injury Register (PIR) database • NSW CTP insurers contribute claims data to MAA • Claims can be ‘minor’ (Accident Notification Forms) or full claims

  4. Design and Methods • Inception cohort of adults • Telephone interviews at baseline, 12 and 24 months • Inclusion criterion - compensable injury in motor vehicle crash within the past 3 months • Exclusion criteria - age < 18 years; Severe brain injury, spinal cord injury, injury requiring hospitalisation for more than 7 days; inability to complete questionnaires by telephone in English. • Standardised health and other outcome measures • Approved by Concord Hospital Research Ethics Committee

  5. Results - demographics

  6. Results – employment pre-injury

  7. Health Status before and after injury

  8. Pain and work absence

  9. Current health related quality of life

  10. Return to work at baseline interview (8 weeks after injury)

  11. The Phase 1 study – impressions so far • The CTP participants continue to experience substantial limitations in health, and life in general, two months after the crash • The profile of pain and disability demonstrated suggest a number of participants will experience longer term problems • It is feasible to conduct research about health outcomes using telephone interviews • Some health outcome measures perform better than others and discussions are needed to develop consensus

  12. Investigators Ian Cameron, Chris Maher, Alex Collie, Michael Nicholas, Ian Harris, Luke Connelly, Nick Bellamy, Fiona Blyth, Sarah Derrett, Justin Kenardy, Maria Crotty, Darnel Murgatroyd, Petrina Casey Research staff Keri Lockwood, Annelies De Wolf, Areen Kayaian, Margaret Mathers Motor Accidents Authority David Andrews, Tina Bidese, Jacquelin Capell , Phuong Dao Funded by the NSW Motor Accidents Authority We acknowledge the assistance of people with injuries in conducting this study We acknowledge the substantial ‘in kind’ support for the study from the NSW Motor Accidents Authority Ian Cameron’s salary is supported by an Australian National Health and Medical Research Council Fellowship The ‘Phase 1’ Cohort Study acknowledgements

  13. Executive Summary • NSW compulsory third party motor vehicle accident insurance scheme • 417 people (who are representative of all claimants, except people with catastrophic injury) • Interviewed, on average, 8 weeks after injury • 45% report current health is fair or poor • 66% report not returned to usual activities • 25% not returned to work • Injured people are experiencing substantial limitations

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