Psychological distress and physical disability in patients sustaining severe injuries in road traffic crashes: Results from a one-year cohort study from three European countries

FERRARO, Ottavia Eleonora
ORSİ, Chiara
OTTE, Dietmar
Von-der-Geest, Marco
Lajunen, Timo
Özkan, Türker
SARRİS, Markos
The current study aimed to follow-up a group of road crash survivors for one year and assesses the impact of injury on their psychological and physical condition. All crash survivors that were admitted to the intensive or sub-intensive care units of selected hospitals in Greece, Germany and Italy over one year period (2013-2014), were invited to participate in the study and were interviewed at three different time-points as follows: (a) at one month (baseline data), (b) at six months, and (c) at twelve months. The study used widely recommended classifications for injury severity (AIS, MAIS) and standardized health outcome measures such as the Disability Assessment Schedule II (WHODAS 2.0) to measure disability, "Impact of Event Scale" (IES-R) to measure Post-Traumatic Stress Disorder (PTSD), Center for Epidemiological Studies Depression Scale (CES-D Scale) to measure depression. A total of 120 patients were enrolled in the study in all the partner countries and 93 completed all follow up questionnaires. The risk of physical disability was 4.57 times higher [CI 1.98-2.27] at the first follow up and 3.43 times higher [CI 1.43-9.42] at the second follow up as compared with the time before the injury. There was a 79% and an 88% lower risk of depression at the first and the second follow up respectively, as compared with the baseline time. There was also a 72% lower risk of Post-Traumatic Stress at the second follow up as compared with the baseline time. A number of factors relevant to the individuals, the road crash and the injury, were shown to distinguish those at higher risk of long-lasting disability and psychological distress including age, marital status, type of road user, severity and type of the injury, past emotional reaction to distress. The study highlights the importance of a comprehensive and holistic understanding of the impact of injury on an individual and further underlines the importance of screening and treating psychological comorbidities in injury in a timely manner.


Etiology of senile osteoporosis - A hypothesis
Atik, O. Sahap; Uslu, M. Murad; Eksioglu, Fatih; Satana, Tolgay (Ovid Technologies (Wolters Kluwer Health), 2006-02-01)
Osteoporosis is a major health problem characterized by compromised bone strength predisposing patients to an increased risk of fracture. It may cause morbidity and mortality in elderly men and women. The etiologic factors that lead to senile osteoporosis still are unclear.
Functional evaluation of intraarticular severely comminuted fractures of the calcaneus with gait analysis
BOZKURT, Murat; Kentel, B. Behzat; Yavuzer, Gunes; Öçgüder, Ali; Heycan, Cengiz; Tönük, Ergin (Elsevier BV, 2004-11-01)
Twenty-one patients (23 feet) treated nonsurgically for severely comminuted intraarticular fractures of the calcaneus were evaluated prospectively with a clinical scoring scale and computerized gait analysis. All patients had Sanders type III and type IV fractures. The treatment protocol consisted of no closed reduction, immobilization in removable splint, physiotherapy after edema subsided, and weightbearing after 8 weeks. All patients had a minimum follow-up of 2 years (mean, 38 months). Clinical results ...
Vibration measurements predict the mechanical properties of human tibia
Bediz, Bekir; Özgüven, Hasan Nevzat; Korkusuz, Feza (Elsevier BV, 2010-05-01)
Background: Vibration analysis is a promising technique in diagnosing metabolic bone diseases such as osteoporosis and monitoring fracture healing. The aim of this study is to observe the structural dynamic property changes of the tibia extracted from the vibration analysis data.
Effects of custom made insole on gait pattern of patients with unilateral displaced intra articular calcaneal fracture evaluation with computerized gait analysis
ÖÇGÜDER, Ali; GÖK, HAYDAR; HEYCAN, Cengiz; O, TECİMEL; Tönük, Ergin; BOZKURT, MURAT (AVES Publishing Co., 2012-01-01)
Objective: The aim of this study was to investigate whether use of custom-fabricated insoles improves the gait pattern in patients with displaced intra-articular calcaneal fractures. Methods: Fourteen patients (7 female, 7 male; mean age: 39±12 years) and 11 healthy individuals (mean age: 42±13 years) were included in the study. Treatment protocol included conservative treatment involving immobilization, with or without closed reduction, active exercises, wear of a customfabricated insole and prospective fo...
Hospitalization costs and estimates of direct and indirect economic losses due to injury sustained in road traffic crashes: Results from a one-year cohort study in three European countries (The REHABILAID project)
PAPADAKAKİ, Maria; Stamouli, Maria-Aggeliki; Ferraro, Ottavia E.; ORSİ, Chiara; OTTE, Dietmar; TZAMALOUKA, Georgia; VONDERGEEST, Marco; Lajunen, Timo; Özkan, Türker; MORANDİ, Anna; KOTSYFOS, Vangelis; CHLİAOUTAKİS, Joannes (SAGE Publications, 2017-10-01)
Introduction: The financial cost of injuries sustained in road traffic crashes is high for victims, families and national budgets, but there is limited information on the cost of injury from the victims' perspective, especially in terms of the hard-to-reach multi-trauma patient population such as those admitted to the intensive care units of hospitals.
Citation Formats
M. PAPADAKAKİ et al., “Psychological distress and physical disability in patients sustaining severe injuries in road traffic crashes: Results from a one-year cohort study from three European countries,” INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED, pp. 297–306, 2017, Accessed: 00, 2020. [Online]. Available: