title: A few seconds to have an accident, a long time to recover: consequences for road accident victims from the ESPARR cohort 2 years after the accident.
abstract: OBJECTIVE
  The aim of the present study was to describe the consequences of a road accident in adults, taking account of the type of road user, and to determine predictive factors for consequences at 2 years.
  
  
  METHODS
  Prospective follow-up study.
  
  
  METHODS
  The cohort was composed of 1168 victims of road traffic accidents, aged ≥16 years. Two years after the accident, 912 victims completed a self-administered questionnaire. Weighted logistic regression models were implemented to compare casualties still reporting impact related to the accident versus those reporting no residual impact. Five outcomes were analysed: unrecovered health status, impact on occupation or studies, on familial or affective life, on leisure or sport activities and but also the financial difficulties related to the accident.
  
  
  RESULTS
  46.1% of respondents were motorised four-wheel users, 29.6% motorised two-wheel (including quad) users, 13.3% pedestrians (including inline skate and push scooter users) and 11.1% cyclists. 53.3% reported unrecovered health status, 32.0% persisting impact on occupation or studies, 25.2% on familial or affective life, 46.9% on leisure or sport activities and 20.2% still had accident-related financial difficulties. Type of user, adjusted on age and gender, was linked to unrecovered health status and to impact on leisure or sport activities. When global severity (as measured by NISS) was integrated in the previous model, type of user was also associated with impact on occupation or studies. Type of user was further associated with impact on occupation or studies and on leisure or sport activities when global severity and the sociodemographic data obtained at inclusion were taken into account. It was not, however, related to any of the outcomes studied here, when the models focused on the injured body region. Finally, type of road user did not seem, on the various predictive models, to be related to financial difficulties due to the accident or to impact on familial or affective life.
  
  
  CONCLUSIONS
  Overall, victims were affected by their accident even 2 years after it occurred. The severity of lesions induced by the accident was the main predictive factor. However, considering lesion as intermediary factors between the accident and the recovery status at 2 year post-accident, impact on health status was lower for cyclists than M4W users or M2W users.
authors.affiliation: Université de Lyon, F-69622 Lyon, France; IFSTTAR, UMRESTTE, F-69675 Bron, France; Université Lyon 1, UMRESTTE, F-69373 Lyon, France. Electronic address: tournier.charlene@wanadoo.fr.
authors.forename: Charlène
authors.initials: C
authors.lastname: Tournier
authors.affiliation: Université de Lyon, F-69622 Lyon, France; IFSTTAR, UMRESTTE, F-69675 Bron, France; Université Lyon 1, UMRESTTE, F-69373 Lyon, France. Electronic address: pierrette.charnay@ifsttar.fr.
authors.forename: Pierrette
authors.initials: P
authors.lastname: Charnay
authors.affiliation: Université de Lyon, F-69622 Lyon, France; IFSTTAR, UMRESTTE, F-69675 Bron, France; Université Lyon 1, UMRESTTE, F-69373 Lyon, France. Electronic address: helene.tardy@ifsttar.fr.
authors.forename: Hélène
authors.initials: H
authors.lastname: Tardy
authors.affiliation: Université de Lyon, F-69622 Lyon, France; IFSTTAR, UMRESTTE, F-69675 Bron, France; Université Lyon 1, UMRESTTE, F-69373 Lyon, France. Electronic address: laetitia.chossegros@ifsttar.fr.
authors.forename: Laetitia
authors.initials: L
authors.lastname: Chossegros
authors.affiliation: IFSTTAR, DEST, F-77447 Marne la Vallée, France. Electronic address: laurent.carnis@ifsttar.fr.
authors.forename: Laurent
authors.initials: L
authors.lastname: Carnis
authors.affiliation: Université de Lyon, F-69622 Lyon, France; IFSTTAR, UMRESTTE, F-69675 Bron, France; Université Lyon 1, UMRESTTE, F-69373 Lyon, France. Electronic address: martine.hours@ifsttar.fr.
authors.forename: Martine
authors.initials: M
authors.lastname: Hours
mesh_terms: D015998:Abbreviated Injury Scale; D000063:Accidents, Traffic / Q000191:economics / Q000523:psychology / Q000706:statistics & numerical data*; D000293:Adolescent; D000328:Adult; D000367:Age Factors; D015331:Cohort Studies; D017281:Cost of Illness; D004651:Employment; D005260:Female; D005500:Follow-Up Studies; D005602:France; D006304:Health Status; D006801:Humans; D015601:Injury Severity Score; D007899:Leisure Activities; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D020127:Recovery of Function; D012737:Sex Factors; D011795:Surveys and Questionnaires; D014947:Wounds and Injuries / Q000191:economics / Q000523:psychology / Q000534:rehabilitation*; D055815:Young Adult
keywords: Adult; Cohort study; ESPARR; France; Road accident; Two years’ follow-up