Differential Predictors of Pain Severity Over 12 Months Following Noncatastrophic Injury Sustained in a Road Traffic Crash

There is paucity of prospective studies that have examined rates and prognostic indicators of pain severity after a road traffic crash injury. This cohort study involved 1,854 participants aged >=17 years with a noncatastrophic injury. Primary analyses of pain severity involved 1604 individuals who reported any pain since the injury at baseline. Of these, 1,188 and 972 participants were reexamined at the 6- and 12-month follow-up, respectively. The mean pain severity (primary study outcome) was assessed using a numeric rating scale (NRS), and a range of possible pain predictors were assessed. A mean pain NRS score of 4.9 was observed at baseline, and the mean NRS score was 2.1 at the 12-month follow-up. At the 6- and 12-month follow-up, 21% and 17.5% reported clinically significant pain (NRS score of >=5), respectively. After multivariable adjustment, key predictors of pain severity ratings over the 12 months included the following, which were measured at baseline: age, sex, education, claim compensation, spine/back injury, being a bicyclist, physical well-being, pain-related catastrophizing, pain-related disability, and trauma-related and general psychological distress. Clinically significant pain was experienced by just >1 in 6 participants 12 months after injury. Several independent contributors to chronic pain identified in this study are modifiable, reinforcing their inclusion as targets in pain management programs. PERSPECTIVE: This cohort study involving participants who sustained a noncatastrophic injury in a road traffic crash established the predictors of pain severity over 12 months. Study findings reiterate and reinforce the importance of being cognizant of a wide spectrum of biopsychosocial predictors both in the management and rehabilitation of injured persons.

• Record URL:
  • http://dx.doi.org/10.1016/j.jpain.2018.11.011
• Record URL:
  • https://www.sciencedirect.com/science/article/abs/pii/S1526590018309635
• Availability:
  • Find a library where document is available. Order URL: http://worldcat.org/issn/15265900
• Supplemental Notes:
  • Copyright © 2018 the American Pain Society. Published by Elsevier Inc. All rights reserved. Abstract reprinted with permission of Elsevier.
• Authors:
  • Gopinath, Bamini
  • Jagnoor, Jagnoor
  • Kifley, Annette
  • Nicholas, Michael
  • Blyth, Fiona
  • Kenardy, Justin
  • Craig, Ashley
  • Cameron, Ian D
• Publication Date: 2019

Language

• English

Media Info

• Media Type: Web
• Features: References;
• Pagination: pp 676-684
• Serial:
  • The Journal of Pain
  • Volume: 20
  • Issue Number: 6
  • Publisher: Elsevier
  • ISSN: 1526-5900
  • Serial URL: https://www.sciencedirect.com/journal/the-journal-of-pain

Subject/Index Terms

• TRT Terms: Crash injuries; Crash victims; Posttraumatic stress disorder; Stress (Psychology)
• Subject Areas: Highways; Safety and Human Factors;

Filing Info

• Accession Number: 01765600
• Record Type: Publication
• Files: TRIS
• Created Date: Feb 22 2021 10:21AM