{"id":749,"date":"2020-12-15T17:04:22","date_gmt":"2020-12-15T16:04:22","guid":{"rendered":"http:\/\/www.revarrhone.org\/?p=749"},"modified":"2020-12-15T17:04:22","modified_gmt":"2020-12-15T16:04:22","slug":"esparr-etude-et-suivi-dune-population-daccidentes-de-la-route-du-rhone-une-cohorte-representative-des-victimes","status":"publish","type":"post","link":"https:\/\/www.revarrhone.org\/index.php\/2020\/12\/15\/esparr-etude-et-suivi-dune-population-daccidentes-de-la-route-du-rhone-une-cohorte-representative-des-victimes\/","title":{"rendered":"Cohorte repr\u00e9sentative des victimes du Rh\u00f4ne (Esparr)"},"content":{"rendered":"

Rappel m\u00e9thodologique<\/span>\u00a0: Les accidents de la route ont des cons\u00e9quences importantes, pour l\u2019individu et pour la soci\u00e9t\u00e9, mais celles-ci sont peu ou mal \u00e9valu\u00e9es. Le devenir des accidents de la route est un probl\u00e8me de soci\u00e9t\u00e9 dont les chiffres de mortalit\u00e9 ne suffisent pas \u00e0 rendre compte\u00a0; si l\u2019on \u00e9voque souvent les d\u00e9c\u00e8s caus\u00e9s par les accidents, on parle moins souvent des handicaps qui affectent de nombreuses victimes survivantes, et pratiquement jamais des handicaps \u00ab\u00a0invisibles\u00a0\u00bb. Les s\u00e9quelles peuvent avoir une importance suffisante pour retentir sur la victime et sa famille\u00a0constituant ainsi le groupe des bless\u00e9s graves, alors m\u00eame que l\u2019on ne sait pas comment le d\u00e9finir. C\u2019est sur cette question que porte particuli\u00e8rement notre recherche.<\/p>\n

La cohorte prospective ESPARR, fond\u00e9e sur le registre des victimes d\u2019accident de la circulation du Rh\u00f4ne, est l\u2019une des rares au monde \u00e0 traiter du sujet des cons\u00e9quences de l\u2019accident de la route \u00e0 moyen et long terme. Ses objectifs sont d\u2019identifier les facteurs pronostiques du handicap, et des probl\u00e8mes de r\u00e9insertion des victimes d\u2019accidents de la circulation. Du fait de son caract\u00e8re unique, la cohorte ESPARR et les recherches th\u00e9matiques qui pourront en d\u00e9couler, constituent un soutien scientifique fondamental pour d\u00e9finir des mesures concr\u00e8tes et adapt\u00e9es.<\/p>\n

ESPARR ou pourquoi s\u2019int\u00e9resser aux cons\u00e9quences d\u2019un traumatisme caus\u00e9 par un accident de la route ?<\/strong><\/p>\n

\"ESPARR<\/a><\/p>\n

L\u2019objectif de la recherche est d\u2019\u00e9tudier l\u2019\u00e9volution sur 5 ans et le devenir des victimes d\u2019un traumatisme cr\u00e2nien mod\u00e9r\u00e9 ou s\u00e9v\u00e8re en terme d\u2019impact personnel (s\u00e9quelles et handicap physique, retentissement psychique, affectif, professionnel) familial (impact socio\u00e9conomique sur la famille et rupture ou renforcement des liens), et soci\u00e9tal (\u00e9valuation de l\u2019impact pour la collectivit\u00e9).<\/p>\n

Un objectif important d\u2019ESPARR est de r\u00e9pondre \u00e0 la question r\u00e9currente sur le bless\u00e9 grave \u00ab\u00a0Qui est-il\u00a0? Comment peut-on le d\u00e9finir\u00a0?\u00a0\u00bb. Nos r\u00e9sultats devraient nous permettre de lancer cette r\u00e9flexion bas\u00e9e sur la synth\u00e8se des divers indicateurs que nous avons mis en place.<\/p>\n

L\u2019inclusion des sujets dans la cohorte s\u2019est d\u00e9roul\u00e9e sur une p\u00e9riode d\u2019un an entre octobre 2004 et d\u00e9cembre 2005 dans les h\u00f4pitaux publics et priv\u00e9s du d\u00e9partement du Rh\u00f4ne, lors des premiers soins apr\u00e8s l\u2019accident. La cohorte a fait l\u2019objet d\u2019un suivi \u00e0 court terme (6 mois apr\u00e8s l\u2019accident puis 1 an), \u00e0 moyen terme (2 et 3 ans), et \u00e0 long terme (5 ans), avec \u00e0 chaque \u00e9tape une investigation par auto-questionnaire adress\u00e9 \u00e0 tous les sujets.<\/p>\n

Cette information de base a \u00e9t\u00e9 compl\u00e9t\u00e9e pour des sous-groupes particuliers par des informations acquises lors d\u2019une rencontre en t\u00eate \u00e0 t\u00eate (une investigation clinique comprenant une \u00e9valuation fonctionnelle et cognitive) : – patients traumatis\u00e9s graves (ayant au moins une l\u00e9sion AIS3+)\u00a0; – patients traumatis\u00e9s cr\u00e2niens (pr\u00e9sentant au moins une l\u00e9sion \u00e0 la t\u00eate: AIS2 et plus).<\/p>\n

\u00a0ESPARR \u00e0 un site<\/a> d\u00e9di\u00e9.<\/p>\n

\n

P\u00e9lissier C, Fort E, Fontana L, Hours M. Medical and socio-occupational predictive factors of psychological distress 5 years after a road accident: a prospective study. Social Psychiatry and Psychiatric Epidemiology. mars 2020<\/strong>, 55(3): 371-383 10.1007\/s00127-019-01780-0<\/a><\/em><\/span><\/p>\n

Fort E, P\u00e9lissier C, Fanjas A, Charnay P, Charbotel B, Bergeret A, Fontana L, Hours M. Road casualties in work-related and private contexts: occupational medical impact. Results from the ESPARR cohort. WORK: A Journal of Prevention, Assessment, and Rehabilitation. June, 20 2018<\/strong>, 60(1): 117-128 doi: 10.3233\/WOR-182720<\/a><\/span><\/em><\/p>\n

Tavernier B-C, Paire-Ficout L, Charnay P, Tardy H, Izaute M, Silvert L, Hours M. Emotional experiences one year after a traffic accident: An exploratory study of verbatim accounts of the ESPARR cohort. Injury Prevention. <\/em>2017<\/strong>, 48(3): 659-670 doi.org\/10.1016\/j.injury.2017.01.011<\/a><\/span><\/em><\/p>\n

Tournier C, Hours M, Charnay P, Chossegros L, Tardy H. Five years after the accident, whiplash casualties still have poorer quality of life in the physical domain than other mildly injured casualties: analysis of the ESPARR cohort. BMC Public Health. January 5 2016,<\/strong> 16(1): 13 https:\/\/doi.org\/10.1186\/s12889-015-2647-8<\/a>.<\/strong><\/span><\/em><\/p>\n

Tournier C, Charnay P, Tardy H, Chossegros L, Carnis L, Hours M. A few seconds to have an accident, a long time to recover: Consequences for road accident victims from the ESPARR cohort 2 years after the accident. Accident Analysis and Prevention. November 2014<\/strong>, 72C: 422-432<\/span><\/em><\/p>\n

Nhac-Vu H-T, Hours M, Chossegros L, Charnay P, Tardy H, Martin J-L, Mazaux J-M, Laumon B. Prognosis of outcome in adult survivors of road accidents in France: 1-year follow-up in the ESPARR cohort. Traffic Injury Prevention. 2014<\/strong>, 15(2): 138-147.<\/span><\/em><\/p>\n

Hours M, Khati I, Charnay P, Chossegros L, Tardy H, Tournier C, Perrine A-L, Luaut\u00e9 J, Laumon B. One year after mild injury: comparison of health status and quality of life between casualties with whiplash versus other injuries. Journal of Rheumatology. 2014 March 2014<\/strong>, 41(3): 528-538.2013 Dec 15.<\/span><\/em><\/p>\n

Batailler P, Hours M, Maza M, Charnay P, Tardy H, Tournier C, Javouhey E. Health status recovery at one year in children injured in a road accident: a cohort study. Accident Analysis and Prevention. June 2014<\/strong>, 71-C: 267-272.<\/em><\/span><\/p>\n

Nash S, Luaut\u00e9 J, Bar JY, Sancho PO, Hours M, Chossegros L, Tournier C, Charnay P, Mazaux JM, Boisson D. Cognitive and behavioural post-traumatic impairments: What is the specificity of a brain injury ? A study within the ESPARR cohort. Annals of Physical and Rehabilitation Medicine. 01\/09 2014<\/strong>: 17<\/em><\/span><\/p>\n

Hours M, Chossegros L, Charnay P, Tardy H, Nhac-Vu H-T, Boisson D, Luaut\u00e9 J, Laumon B. Outcomes one year after a road accident: results from the ESPARR cohort. Accident Analysis and Prevention. 2013<\/strong>, 50: 92-102.<\/em><\/span><\/p>\n

Nhac-Vu H-T, (sous la direction de Martine Hours et Bernard Laumon). Contribution \u00e0 une meilleure compr\u00e9hension du devenir des bless\u00e9s de la route : \u00e9valuation \u00e0 un an dans la cohorte ESPARR. Universit\u00e9 Claude Bernard Lyon 1, Villeurbanne. Doctorat en \u00e9pid\u00e9miologie, Sant\u00e9 Publique, recherche sur les services de Sant\u00e9, 20 d\u00e9cembre 2012<\/strong>, 182<\/em><\/span><\/p>\n

Nhac-Vu H-T, Hours M, Charnay P, Chossegros L, Boisson D, Luaut\u00e9 J, Laumon B. Evaluation of the Injury Impairment Scale, a tool to predict road crash sequelae, in a French cohort of road crash survivors. Traffic Injury Prevention Jan 2012<\/strong>, 13: 239-248.<\/em><\/span><\/p>\n

Khati I, Hours M, Charnay P, Chossegros L, Tardy H, Nhac-Vu H-T, Boisson D, Laumon B. Quality of life one year after a road accident: results from the adult ESPARR cohort. Journal of Trauma Acute Care Surgery. Jan 2012<\/strong>, 74(1): 301-11.<\/em><\/span><\/p>\n

Hours M, Fort E, Charbotel B, Chiron M. Jobs at risk of work-related road crashes: An analysis of the casualties from the Rh\u00f4ne Road Trauma Registry (France). Safety Science. 2011<\/strong>, 49: 1270-1276.<\/em><\/span><\/p>\n

Chossegros L, Hours M, Charnay P, Bernard M, Fort E, Boisson D, Sancho P-O, Yao SN, Laumon B. Predictive factors of chronic post-traumatic stress disorder 6 months after a road traffic accident. Accident Analysis and Prevention. 2011<\/strong>, 43(1): 471-477.<\/em><\/span><\/p>\n

Fort E, Bouffard E, Charnay P, Bernard M, Boisson D, Laumon B, Hours M. Return to work following a road accident: factors associated with late work resumption. Analysis of the esparr cohort. Journal of Rehabilitation medicine 2011<\/strong>, 43: 283-291.<\/em><\/span><\/p>\n

Nhac-Vu H-T, Hours M, Charnay P, Chossegros L, Boisson D, Luaut\u00e9 J, Javouhey E, Ndiaye A, Laumon B. Predicting self-reported recovery one year after major road traffic accident trauma. Journal of Rehabilitation Medicine. 2011<\/strong>, 43: 776-782.<\/em><\/span><\/p>\n

Hours M, Bernard M, Charnay P, Chossegros L, Javouhey E, Fort E, Boisson D, Sancho P-O, Laumon B. Functional outcome after road-crash injury: Description of the ESPARR victims cohort and 6-month follow-up results. <\/em>Accident Analysis and Prevention. <\/em>2010<\/em><\/strong>, 42: 412-421.<\/em><\/span><\/p>\n

\u00a0<\/em><\/span><\/p>\n

\u00a0<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"

Rappel m\u00e9thodologique\u00a0: Les accidents de la route ont des cons\u00e9quences importantes, pour l\u2019individu et pour la soci\u00e9t\u00e9, mais celles-ci sont peu ou mal \u00e9valu\u00e9es. Le devenir des accidents de la route est un probl\u00e8me de soci\u00e9t\u00e9 dont les chiffres de … <\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[9],"tags":[],"class_list":["post-749","post","type-post","status-publish","format-standard","hentry","category-travaux-de-recherche","latest_post"],"_links":{"self":[{"href":"https:\/\/www.revarrhone.org\/index.php\/wp-json\/wp\/v2\/posts\/749","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.revarrhone.org\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.revarrhone.org\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.revarrhone.org\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.revarrhone.org\/index.php\/wp-json\/wp\/v2\/comments?post=749"}],"version-history":[{"count":1,"href":"https:\/\/www.revarrhone.org\/index.php\/wp-json\/wp\/v2\/posts\/749\/revisions"}],"predecessor-version":[{"id":1909,"href":"https:\/\/www.revarrhone.org\/index.php\/wp-json\/wp\/v2\/posts\/749\/revisions\/1909"}],"wp:attachment":[{"href":"https:\/\/www.revarrhone.org\/index.php\/wp-json\/wp\/v2\/media?parent=749"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.revarrhone.org\/index.php\/wp-json\/wp\/v2\/categories?post=749"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.revarrhone.org\/index.php\/wp-json\/wp\/v2\/tags?post=749"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}