Healthcare and productivity costs among Canadian road trauma survivors over the year following injury
Abstract Understanding the economic burden of road trauma (RT) can support healthcare and traffic policy. This prospective cohort study enrolled 1480 RT survivors in British Columbia, Canada. Healthcare and lost productivity costs were estimated in 2023 Canadian dollars. Productivity loss was measur...
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Nature Portfolio
2025-05-01
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| Series: | Scientific Reports |
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| Online Access: | https://doi.org/10.1038/s41598-025-01233-6 |
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| author | Somayeh Momenyan Herbert Chan John A. Taylor John A. Staples Stirling Bryan Devin R. Harris Jeffrey R. Brubacher |
| author_facet | Somayeh Momenyan Herbert Chan John A. Taylor John A. Staples Stirling Bryan Devin R. Harris Jeffrey R. Brubacher |
| author_sort | Somayeh Momenyan |
| collection | DOAJ |
| description | Abstract Understanding the economic burden of road trauma (RT) can support healthcare and traffic policy. This prospective cohort study enrolled 1480 RT survivors in British Columbia, Canada. Healthcare and lost productivity costs were estimated in 2023 Canadian dollars. Productivity loss was measured at 2, 4, 6, and 12 months post-injury. Potential predictors included sociodemographic, psychological, medical, and trauma factors. Outcomes were analyzed with a generalized linear model and quantile regression. We found that average healthcare costs during the year following RT were $19,280 (median $3,791). Average lost productivity cost for people employed when injured was $4,390 (median $1,011). Older age, lower health-related quality of life (HRQoL), ≥ 2 comorbidities, Injury Severity Score (ISS) ≥ 9, Glasgow Coma Scale ≤ 13, and torso injury were significantly associated with higher healthcare costs. Employed participants had lower healthcare costs. Older age, being female, lower HRQoL, ≥ 2 comorbidities, ISS ≥ 9, spine/back and upper extremity injuries were significantly associated with higher lost productivity costs. These factors were more strongly associated with greater costs at the upper quantiles. This study highlights the economic burden of RT injuries and identifies factors associated with higher costs. |
| format | Article |
| id | doaj-art-e3bf90dbb9f445939e565774f1c5f564 |
| institution | DOAJ |
| issn | 2045-2322 |
| language | English |
| publishDate | 2025-05-01 |
| publisher | Nature Portfolio |
| record_format | Article |
| series | Scientific Reports |
| spelling | doaj-art-e3bf90dbb9f445939e565774f1c5f5642025-08-20T03:08:25ZengNature PortfolioScientific Reports2045-23222025-05-0115111310.1038/s41598-025-01233-6Healthcare and productivity costs among Canadian road trauma survivors over the year following injurySomayeh Momenyan0Herbert Chan1John A. Taylor2John A. Staples3Stirling Bryan4Devin R. Harris5Jeffrey R. Brubacher6Department of Emergency Medicine, University of British ColumbiaDepartment of Emergency Medicine, University of British ColumbiaDepartment of Emergency Medicine, University of British ColumbiaDivision of General Internal Medicine, The University of British ColumbiaSchool of Population & Public Health, University of British ColumbiaDepartment of Emergency Medicine, University of British ColumbiaDepartment of Emergency Medicine, University of British ColumbiaAbstract Understanding the economic burden of road trauma (RT) can support healthcare and traffic policy. This prospective cohort study enrolled 1480 RT survivors in British Columbia, Canada. Healthcare and lost productivity costs were estimated in 2023 Canadian dollars. Productivity loss was measured at 2, 4, 6, and 12 months post-injury. Potential predictors included sociodemographic, psychological, medical, and trauma factors. Outcomes were analyzed with a generalized linear model and quantile regression. We found that average healthcare costs during the year following RT were $19,280 (median $3,791). Average lost productivity cost for people employed when injured was $4,390 (median $1,011). Older age, lower health-related quality of life (HRQoL), ≥ 2 comorbidities, Injury Severity Score (ISS) ≥ 9, Glasgow Coma Scale ≤ 13, and torso injury were significantly associated with higher healthcare costs. Employed participants had lower healthcare costs. Older age, being female, lower HRQoL, ≥ 2 comorbidities, ISS ≥ 9, spine/back and upper extremity injuries were significantly associated with higher lost productivity costs. These factors were more strongly associated with greater costs at the upper quantiles. This study highlights the economic burden of RT injuries and identifies factors associated with higher costs.https://doi.org/10.1038/s41598-025-01233-6Healthcare costsProductivity lossRoad trauma injuryCohort study |
| spellingShingle | Somayeh Momenyan Herbert Chan John A. Taylor John A. Staples Stirling Bryan Devin R. Harris Jeffrey R. Brubacher Healthcare and productivity costs among Canadian road trauma survivors over the year following injury Scientific Reports Healthcare costs Productivity loss Road trauma injury Cohort study |
| title | Healthcare and productivity costs among Canadian road trauma survivors over the year following injury |
| title_full | Healthcare and productivity costs among Canadian road trauma survivors over the year following injury |
| title_fullStr | Healthcare and productivity costs among Canadian road trauma survivors over the year following injury |
| title_full_unstemmed | Healthcare and productivity costs among Canadian road trauma survivors over the year following injury |
| title_short | Healthcare and productivity costs among Canadian road trauma survivors over the year following injury |
| title_sort | healthcare and productivity costs among canadian road trauma survivors over the year following injury |
| topic | Healthcare costs Productivity loss Road trauma injury Cohort study |
| url | https://doi.org/10.1038/s41598-025-01233-6 |
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