PMID- 32178844 OWN - NLM STAT- MEDLINE DCOM- 20210208 LR - 20210208 IS - 1879-0267 (Electronic) IS - 0020-1383 (Linking) VI - 51 IP - 4 DP - 2020 Apr TI - Functional status, pain and return to work of injured motorcyclists involved in a motorcycle crash over one-year post-injury in Vietnam. PG - 924-929 LID - S0020-1383(20)30199-6 [pii] LID - 10.1016/j.injury.2020.02.125 [doi] AB - OBJECTIVE: This study aimed to determine changes in functional status, pain, and return to work/study (RTW/study) over 12 months post-injury in motorcyclists admitted to a large hospital in Ho Chi Minh City (HCMC), Vietnam. METHODS: A prospective study was undertaken with adult motorcyclists who were injured due to a crash and were admitted to hospital for more than 24 h. Pain and functional status data were collected at baseline (time of injury), and follow-up at 6 and 12 months post-injury. RTW/study was collected at 6 and 12 months post-injury. Multilevel mixed models and multiple logistic regression models were used to determine the changes in outcomes and predictors of outcomes including age, sex, education, Injury Severity Score, length of stay in the hospital and health-related quality of life. RESULTS: A total of 352 hospitalised motorcyclists were followed-up. The proportion of motorcyclist RTW/study was 60% (n = 165) at 6 months and 82% (n = 210) at 12 months post-injury. After adjusting for covariates, pain scores improved significantly at 6 months (beta = -3.31, 95% CI: -3.61, -3.01) and 12 months post-injury (beta = -3.62, 95% CI: -3.92, -3.32) compared to baseline. Functional status increased significantly by 2.89 points (95% CI: 2.64, 3.13) at 6 months and by 3.51 points (95% CI: 3.27, 3.75) at 12 months compared to baseline. CONCLUSIONS: The study found improvements in outcomes over the study period, although there was ongoing disability at 12 months post-injury (18% had not RTW/study). This study provides further evidence on the burden of motorcycle injuries in Vietnam and priorities for research, and further informs treatment and rehabilitation service planning. CI - Copyright (c) 2020 Elsevier Ltd. All rights reserved. FAU - Doan, Han Thi Ngoc AU - Doan HTN AD - Collaboration for Evidence, Research and Impact in Public Health, School of Public Health, Curtin University, Perth, WA 6845, Australia; Faculty of Public Health, University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, Viet Nam. Electronic address: han.doan@postgrad.curtin.edu.au. FAU - Hobday, Michelle B AU - Hobday MB AD - Epidemiology Branch, Department of Health, WA, Australia. Electronic address: michelle.hobday@health.wa.gov.au. FAU - Leavy, Justine AU - Leavy J AD - Collaboration for Evidence, Research and Impact in Public Health, School of Public Health, Curtin University, Perth, WA 6845, Australia. Electronic address: j.leavy@curtin.edu.au. FAU - Jancey, Jonine AU - Jancey J AD - Collaboration for Evidence, Research and Impact in Public Health, School of Public Health, Curtin University, Perth, WA 6845, Australia. Electronic address: Janceyaj.jancey@curtin.edu.au. LA - eng PT - Journal Article DEP - 20200305 PL - Netherlands TA - Injury JT - Injury JID - 0226040 SB - IM MH - Accidents, Traffic/*statistics & numerical data MH - Adolescent MH - Adult MH - Female MH - *Functional Status MH - Hospitalization/statistics & numerical data MH - Humans MH - Injury Severity Score MH - Logistic Models MH - Male MH - Middle Aged MH - *Motorcycles MH - Pain Measurement MH - Prospective Studies MH - Quality of Life MH - Return to Work/*statistics & numerical data MH - Time Factors MH - Vietnam/epidemiology MH - Wounds and Injuries/*epidemiology/therapy MH - Young Adult OTO - NOTNLM OT - Functional status OT - Long-term outcomes OT - Motorcycle crashes OT - Motorcycle injuries OT - Pain OT - Return to work OT - Vietnam COIS- Declaration of Competing Interest The authors declare no conflicts of interest. EDAT- 2020/03/18 06:00 MHDA- 2021/02/09 06:00 CRDT- 2020/03/18 06:00 PHST- 2019/10/24 00:00 [received] PHST- 2020/02/22 00:00 [revised] PHST- 2020/02/25 00:00 [accepted] PHST- 2020/03/18 06:00 [pubmed] PHST- 2021/02/09 06:00 [medline] PHST- 2020/03/18 06:00 [entrez] AID - S0020-1383(20)30199-6 [pii] AID - 10.1016/j.injury.2020.02.125 [doi] PST - ppublish SO - Injury. 2020 Apr;51(4):924-929. doi: 10.1016/j.injury.2020.02.125. Epub 2020 Mar 5.