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Predictors of moderate or severe pain 6 months after orthopaedic injury: a prospective cohort study.
- Source :
-
Journal of orthopaedic trauma [J Orthop Trauma] 2009 Feb; Vol. 23 (2), pp. 139-44. - Publication Year :
- 2009
-
Abstract
- Objective: To determine predictors of moderate or severe pain 6 months after orthopaedic injury.<br />Design: Prospective cohort study.<br />Setting: Two adult level 1 trauma centers in Victoria, Australia.<br />Participants: A total of 1290 adults admitted with orthopaedic injuries and registered by the Victorian Orthopaedic Trauma Outcomes Registry.<br />Main Outcome Measures: Participant self-reported pain and health status using an 11-point numerical rating scale and the 12-item Short-Form health survey, respectively.<br />Results: The prevalence of moderate or severe pain was 48% [95% confidence interval (CI), 45-51] at discharge and 30% (95% CI, 28-33) at 6 months postinjury. Failure to complete high school [adjusted odds ratio (AOR) 1.5 (95% CI, 1.1-1.9)], self-reported preinjury pain-related disability [AOR 1.8 (95% CI, 1.3-2.5)], eligibility for compensation [AOR 2.1 (95% CI, 1.6-2.8)], and moderate or severe pain at discharge from the acute hospital [AOR 2.4 (95% CI, 1.8-3.1)] were found to be independent predictors of moderate or severe pain at 6 months postinjury.<br />Conclusions: Moderate or severe pain is commonly reported 6 months after orthopaedic trauma. Pain intensity at discharge and the effects of a "no-fault" compensation system are potentially modifiable factors that might be addressed through intervention studies to reduce the burden of persistent pain after orthopaedic trauma.
- Subjects :
- Adolescent
Adult
Aged
Aged, 80 and over
Cohort Studies
Female
Fractures, Bone complications
Fractures, Bone physiopathology
Health Status
Humans
Male
Middle Aged
Odds Ratio
Pain etiology
Pain physiopathology
Pain Measurement
Predictive Value of Tests
Prevalence
Prospective Studies
Self-Examination
Trauma Centers
Trauma Severity Indices
Wounds and Injuries complications
Wounds and Injuries physiopathology
Young Adult
Fractures, Bone epidemiology
Pain epidemiology
Registries
Wounds and Injuries epidemiology
Subjects
Details
- Language :
- English
- ISSN :
- 1531-2291
- Volume :
- 23
- Issue :
- 2
- Database :
- MEDLINE
- Journal :
- Journal of orthopaedic trauma
- Publication Type :
- Academic Journal
- Accession number :
- 19169107
- Full Text :
- https://doi.org/10.1097/BOT.0b013e3181962e29