It still hurts! Persistent pain and use of pain medication one year after injury - 17/10/19
, Juan P. Herrera-Escobar b, Syeda S. Al Rafai b, Shelby Chun Fat b, Haytham Kaafarani c, Deepika Nehra b, George Kasotakis d, Ali Salim b, Adil H. Haider bAbstract |
Background |
Given the scarce literature data on chronic post-traumatic pain, we aim to identify early predictors of long-term pain and pain medication use after major trauma.
Methods |
Major trauma patients (Injury Severity Score ≥ 9) from three Level I Trauma Centers at 12 months after injury were interviewed for daily pain using the Trauma Quality of Life questionnaire. Multivariate logistic regression models identified patient- and injury-related independent predictors of pain and use of pain medication.
Results |
Of 1238 patients, 612 patients (49%) felt daily pain and 300 patients (24%) used pain medication 1 year after injury. Of a total of 8 independent predictors for chronic pain and 9 independent predictors for daily pain medication, 4 were common (pre-injury alcohol use, pre-injury drug use, hospital stay ≥ 5 days, and education limited to high school). Combinations of independent predictors yielded weak predictability for both outcomes, ranging from 20% to 72%.
Conclusions |
One year after injury, approximately half of trauma patients report daily pain and one-fourth use daily pain medication. These outcomes are hard to predict.
Le texte complet de cet article est disponible en PDF.Highlights |
• | Almost 1 in 2 trauma patients feel daily pain, one year after injury. |
• | Approximately 1 in 4 trauma patients utilize pain medication at one year. |
• | ISS was not correlated with chronic pain or long-term use of pain medication. |
• | The power of predictors of pain and pain medication use was limited. |
Keywords : Chronic pain, Pain medication, Trauma, Patient outcomes
Plan
Vol 218 - N° 5
P. 864-868 - novembre 2019 Retour au numéro
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