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Master Thesis

La récupération de l'état de santé et le stress post-traumatique chez les enfants accidentés de la route‎ : une étude de cohorte

Abstract : The aim of this thesis was to evaluate predictive factors of recovery and post-traumatic stress in children one year after road traffic injuries. This prospective cohort study was composed of 204 children aged < 16 years, hospitalized in public or private health hospitals of the Rhône administrative area following a road accident. One year after the accident, 75.0% of the mild to moderate and 34.8% of the severe cases estimated their health status as fully recovered. After adjustment, severity score (M-AIS≥3) and lower limb injury (AIS≥2) were associated with no full recovery of health status: Weighted Odds Ratio (ORw) : 4.3 [95% Confidence Interval (95% CI) : 1.3-14.6] and ORw : 6.5 [95% CI : 1.9-21.7] respectively. The recovery status was significantly correlated to quality of life Physical scores (r=0.46) especially to Body Pain (r=0.48) and Role/Social - physical (r=0.50) and to a lesser extent to quality of life Psychosocial scores (r=0.21). Important post-traumatic stress symptoms were present in 27.7% of children one year after a road traffic accident. In a cohort of children injured in a road accident, those with high injury severity score and those with lower limb injuries are more likely to not fully recover their health status at 1 year. Altered health status was associated with a lower physical quality of life score at 1 year. It seems important to consider psychological consequences road traffic accidents may have on children even after mild or moderate injuries.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-00862132
Contributor : Jean-Hugues Morneau <>
Submitted on : Monday, September 16, 2013 - 10:18:36 AM
Last modification on : Tuesday, May 11, 2021 - 11:36:17 AM
Long-term archiving on: : Thursday, April 6, 2017 - 8:45:41 PM

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  • HAL Id : dumas-00862132, version 1

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Pierre Batailler. La récupération de l'état de santé et le stress post-traumatique chez les enfants accidentés de la route‎ : une étude de cohorte. Médecine humaine et pathologie. 2013. ⟨dumas-00862132⟩

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