RECOVERY risk after road traffic crash

RAPPORT: Risk Assessment for poor Physical and Psychological Outcome in Recovery Tool for injuries sustained in a road traffic crash

What is RAPPORT?

The RAPPORT is a screening tool that has recently been developed and can potentially be used to identify individuals who are at risk of poor physical and/or mental health recovery following minor and moderate road traffic crash-related injuries. The tool can be administered by both health and non-health professionals and could especially be useful for injury case managers.

Smits E, Brakenridge C, Gane E, Warren J, Heron-Delaney M, Kenardy J, Johnston V (2019) Identifying risk of poor physical and mental health recovery following a road traffic crash: An industry-specific screening tool. Accident Analysis and Prevention 132, 105280. https://doi.org/10.1016/j.aap.2019.105280

How to use the tool?

  1. Ask your patient or client the questions listed in the form.
  2. Put their score for each of the questions in the ‘Patient score’ column. Scoring instructions for each question can be found on the form.
  3. Once all patient scores are completed, the risk scores will be displayed on the bottom right of the form.
  4. Compare both scores with their own ‘risk indication figure’ at the bottom of the form to find out if the patient or client may be at risk of poor physical and/or mental health recovery.

How to use the risk indication score provided on the form?

Further research is required to link risk scores to treatment trajectories and health outcomes. We think that providing an indication of risk for both physical and mental health recovery could be beneficial for guiding treatment. For example, if there is an indication that a patient or client is at risk of poor physical health recovery, this could mean that physiotherapy or exercise physiology treatment may be helpful. Risk of poor mental health recovery could suggest that referral to a psychologist could be beneficial.  

What is next?

We would like to learn from your experiences with the tool. Therefore, we kindly ask you to provide feedback and/or your email address to recover@uq.edu.au so that we can contact you.

Background

Road traffic crash injuries are a growing health problem, with up to 50 million non-fatal injuries worldwide per year. This causes an economic burden on society. For example, in Australia the costs associated with road traffic crash injuries are estimated at AU$29 billion per year. Minor and moderate injuries (e.g. whiplash, closed fracture, skin laceration) cover the largest part (approximately 85%) of road traffic crash-related injuries and associated costs (approximately 62%). Even minor injuries can lead to long-term physical and mental health problems, which can have strong impact on daily life. Importantly, not everyone needs treatment and if resources are limited, it is essential to ensure that appropriate resources are used for the most in need. The question is How to identify the most in need?

The RAPPORT is a screening tool that has recently been developed and can potentially be used to identify individuals who are at risk of poor physical and/or mental health recovery following minor and moderate road traffic crash-related injuries. The tool can be administered by both health and non-health professionals and could especially be useful for injury case managers.

Terms of use: The RAPPORT tool has been developed for general information and research purposes only. The information provided in this tool is based on only one cohort of 254 individuals who had minor and moderate road traffic crash-related injuries. Further studies are required to determine the validity of the tool and to link the risk scores to health outcomes and treatment trajectories.

While care has been taken in preparing the content of this tool, RECOVER Injury Research Centre, its employees and related parties do not accept any liability, including for any loss or damage, resulting from the reliance on the content, or for its accuracy, currency and completeness. Use of the RAPPORT is at the user’s own risk. The contents of this material are subject to copyright protection. Enquiries concerning copyright and permissions to use the material should be directed to recover@uq.edu.au

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Infographic

Click image to download RAPPORT infographic PDF (PDF, 115.8 KB):

RAPPORT INFOGRAPHIC

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Contribute to tool validation

[Under development]

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