Sickness absence and disability pension among injured working-aged pedestrians - a population-based Swedish register study

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Kjeldgård, Linnea,1985-Karolinska Institutet,Division of Insurance Medicine, Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden (author)

Sickness absence and disability pension among injured working-aged pedestrians - a population-based Swedish register study

Article/chapterEnglish2021

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2021-12-14
Springer Science and Business Media LLC,2021
electronicrdacarrier

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LIBRIS-ID:oai:research.chalmers.se:2b8f605d-df38-4a37-9d59-a84094849878
https://doi.org/10.1186/s12889-021-12312-4DOI
https://research.chalmers.se/publication/527788URI
http://kipublications.ki.se/Default.aspx?queryparsed=id:148339678URI
https://urn.kb.se/resolve?urn=urn:nbn:se:vti:diva-20949URI

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Language:English
Summary in:English

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SwePubSwePub

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Subject category:art swepub-publicationtype
Subject category:ref swepub-contenttype

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Background: The knowledge is scarce about sickness absence (SA) and disability pension (DP) among pedestrians injured in a traffic-related accident, including falls. Thus, the aim was to explore the frequencies of types of accidents and injuries and their association with SA and DP among working-aged individuals. Methods: A nationwide register-based study, including all individuals aged 16-64 and living in Sweden, who in 2010 had in- or specialized outpatient healthcare after a new traffic-related accident as a pedestrian. Information on age, sex, sociodemographics, SA, DP, type of accident, injury type, and injured body region was used. Frequencies of pedestrians with no SA or DP, with ongoing SA or full-time DP already at the time of the accident, and with a new SA spell >14 days in connection to the accident were analyzed. Crude and adjusted odds ratios (ORs) with 95% confidence intervals (CIs) for new SA were estimated by logistic regression. Results: In total, 5576 pedestrians received healthcare due to a traffic-related accident (of which 75% were falls, with half of the falls related to snow and ice). At the time of the accident, 7.5% were already on SA and 10.8% on full-time DP, while 20% started a new SA spell. The most common types of injuries were fractures (45%) and external injuries (30%). The body region most frequently injured was the lower leg, ankle, foot, and other (in total 26%). Older individuals had a higher OR for new SA compared with younger (OR 1.91; 95% CI 1.44-2.53, for ages: 45-54 vs. 25-34). The injury type with the highest OR for new SA, compared with the reference group external injuries, was fractures (9.58; 7.39-12.43). The injured body region with the highest OR for new SA, compared with the reference group head, face, and neck, was lower leg, ankle, foot, and other (4.52; 2.78-7.36). Conclusions: In this explorative nationwide study of the working-aged pedestrians injured in traffic-related accidents including falls, one fifth started a new SA spell >14 days. Fractures, internal injuries, collisions with motor vehicle, and falls related to snow and ice had the strongest associations with new SA.

Subject headings and genre

MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Geriatrik hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine Geriatrics hsv//eng
MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Ortopedi hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine Orthopaedics hsv//eng
MEDICIN OCH HÄLSOVETENSKAP Annan medicin och hälsovetenskap Rättsmedicin hsv//swe
MEDICAL AND HEALTH SCIENCES Other Medical and Health Sciences Forensic Science hsv//eng
MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Allmänmedicin hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine General Practice hsv//eng
TEKNIK OCH TEKNOLOGIER Samhällsbyggnadsteknik Transportteknik och logistik hsv//swe
ENGINEERING AND TECHNOLOGY Civil Engineering Transport Systems and Logistics hsv//eng
Disability pension
Fall accidents
Cross-sectional
Traffic injury
Pedestrians
Insurance medicine
Real-world data
Population-based
Sick leave

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Stigson, Helena,1979Karolinska Institutet,Chalmers tekniska högskola,Chalmers University of Technology,Division of Insurance Medicine, Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden; Division of Vehicle Safety, Mechanics and Maritime Sciences, Chalmers University of Technology, Gothenburg, Sweden; Folksam Research, Folksam Insurance Group, Stockholm, Sweden(Swepub:cth)helena79 (author)
Klingegård, MariaFolksam Research, Folksam Insurance Group, Stockholm, Sweden (author)
Alexanderson, KristinaKarolinska Institutet,Division of Insurance Medicine, Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden (author)
Friberg, EmilieKarolinska Institutet,Division of Insurance Medicine, Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden (author)
Karolinska InstitutetDivision of Insurance Medicine, Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden (creator_code:org_t)

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