early findings from nsw accident ian cameron achrf 2011

7/17/2019 Early Findings From Nsw Accident Ian Cameron ACHRf 2011

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Early findings from the NSW motoraccident longitudinal cohort study

Ian Cameron

Rehabilitation Studies UnitUniversity of Sydney, and Royal Rehabilitation Centre Sydney

(on behalf of the Study Investigators)

14 October 2011

[email protected]



Executive Summary

NSW compulsory third party motor vehicleaccident insurance scheme

417 people (who are representative of allclaimants, 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



Background

Seeking to understand health, work and disability inNSW CTP Scheme participants

Initial “Phase 1 Cohort Study" to inform subsequentresearch

Aim to compare results of similar studies in otherstates

Recruited from NSW Motor Accidents AuthorityPersonal Injury Register (PIR) database

NSW CTP insurers contribute claims data to MAAClaims can be ‘minor’ (Accident Notification Forms) or

full claims



Design and Methods

Inception cohort of adults

Telephone interviews at baseline, 12 and 24 months

Inclusion criterion - compensable injury in motor vehiclecrash within the past 3 months

Exclusion criteria - age < 18 years; Severe brain injury, spinalcord injury, injury requiring hospitalisation for more than 7days; inability to complete questionnaires by telephone inEnglish.

Standardised health and other outcome measures

Approved by Concord Hospital Research Ethics Committee



Results - demographics

5



Results – employment pre-injury

6



Health Status before and after injury

7



Pain and work absence

8



Current health related quality of l ife

9



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

10



The CTP participants continue to experience substantiallimitations 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 termproblems

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

The Phase 1 study – impressions

so far



The ‘Phase 1’ Cohort Studyacknowledgements

Investigators

• Ian Cameron, Chris Maher, Alex

Collie, Michael Nicholas, Ian

Harris, Luke Connelly, Nick

Bellamy, Fiona Blyth, SarahDerrett, 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 NSWMotor Accidents

Authority

We acknowledge the assistance ofpeople with injuries in conductingthis study

We acknowledge the substantial ‘inkind’ support for the study from theNSW Motor Accidents Authority

Ian Cameron’s salary is supportedby an Australian National Healthand Medical Research CouncilFellowship



Executive Summary

NSW compulsory third party motor vehicleaccident insurance scheme

417 people (who are representative of allclaimants, 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

early findings from nsw accident ian cameron achrf 2011

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