title: Predicting self-reported recovery one year after major road traffic accident trauma.
abstract: OBJECTIVE
  The aim of this study was to examine the self-reported health status of road traffic accident victims and the predictors of self-assessed recovery 1 year after major trauma in a French population.
  
  
  METHODS
  A follow-up study.
  
  
  METHODS
  The cohort comprised 276 seriously injured victims of road traffic accidents, aged > 16 years from the Rhône administrative department, France. Victim characteristics at the time of the crash and self-reported health status 1 year after trauma were collected. Predictive factors for self--assessed recovery were examined using a Poisson regression approach.
  
  
  RESULTS
  The majority of victims were male (76%); most had severe injuries (76%), involving mainly the lower limbs and the head (68% and 55%, respectively). At 1-year follow-up, 80% reported being not fully recovered. Self-reported health status was not significantly associated with age, gender, being in employment, type of road user, or health status during the year preceding the accident, but rather with low socio-economic status, high injury severity, and presence of lower limb injury.
  
  
  CONCLUSIONS
  Care for subjects who are at high risk of not fully recovering (manual workers, the very seriously injured, and those with lower limb injury) needs to be extended and improved. Longer follow-up studies on the risk factors for not fully recovering are needed in order to reduce harmful consequences for victims.
authors.affiliation: Transport Work and Environmental Epidemiology Research and Surveillance Unit - UMRESTTE (UMR T9405) INRETS, Université de Lyon, Bron, France.
authors.forename: Hoang-Thy
authors.initials: HT
authors.lastname: Nhac-Vu
authors.forename: Martine
authors.initials: M
authors.lastname: Hours
authors.forename: Pierrette
authors.initials: P
authors.lastname: Charnay
authors.forename: Laetitia
authors.initials: L
authors.lastname: Chossegros
authors.forename: Dominique
authors.initials: D
authors.lastname: Boisson
authors.forename: Jacques
authors.initials: J
authors.lastname: Luauté
authors.forename: Etienne
authors.initials: E
authors.lastname: Javouhey
authors.forename: Amina
authors.initials: A
authors.lastname: Ndiaye
authors.forename: Bernard
authors.initials: B
authors.lastname: Laumon
mesh_terms: D000063:Accidents, Traffic; D000293:Adolescent; D000328:Adult; D015331:Cohort Studies; D015897:Comorbidity; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D015601:Injury Severity Score; D008297:Male; D017063:Outcome Assessment, Health Care; D011379:Prognosis; D020127:Recovery of Function; D012307:Risk Factors; D057566:Self Report; D014947:Wounds and Injuries / Q000175:diagnosis / Q000503:physiopathology / Q000534:rehabilitation*; D055815:Young Adult