OBJECTIVE: To determine predictors of moderate or severe pain 6 months after orthopaedic injury. DESIGN: Prospective cohort study. SETTING: Two adult level 1 trauma centers in Victoria, Australia. PARTICIPANTS: A total of 1290 adults admitted with orthopaedic injuries and registered by the Victorian Orthopaedic Trauma Outcomes Registry. 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. 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. 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.
OBJECTIVE: To determine predictors of moderate or severe pain 6 months after orthopaedic injury. DESIGN: Prospective cohort study. SETTING: Two adult level 1 trauma centers in Victoria, Australia. PARTICIPANTS: A total of 1290 adults admitted with orthopaedic injuries and registered by the Victorian Orthopaedic Trauma Outcomes Registry. 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. 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. 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.
Authors: Renan C Castillo; Yanjie Huang; Daniel Scharfstein; Katherine Frey; Michael J Bosse; Andrew N Pollak; Heather A Vallier; Kristin R Archer; Robert A Hymes; Anna B Newcomb; Ellen J MacKenzie; Stephen Wegener; Joseph R Hsu; Madhav A Karunakar; Rachel B Seymour; Stephen H Sims; Eileen Flores; Christine Churchill; David J Hak; Corey E Henderson; Hassan R Mir; Daniel S Chan; Anjan R Shah; Barbara Steverson; Jerald Westberg; Joshua L Gary; Timothy S Achor; Andrew Choo; John W Munz; Melissa Porrey; Sarah Hendrickson; Mary A Breslin; Todd O McKinley; Greg E Gaski; Laurence B Kempton; Anthony T Sorkin; Walter W Virkus; Lauren C Hill; Clifford B Jones; Debra L Sietsema; Robert V O'Toole; Katherine Ordonio; Andrea L Howe; Timothy J Zerhusen; William Obremskey; Robert H Boyce; A Alex Jahangir; Cesar S Molina; Manish K Sethi; Susan W Vanston; Eben A Carroll; Danielle Yemiola Drye; Martha B Holden; Susan C Collins; Elizabeth Wysocki Journal: JAMA Surg Date: 2019-02-20 Impact factor: 14.766
Authors: Mari A Griffioen; Joel D Greenspan; Meg Johantgen; Kathryn Von Rueden; Robert V O'Toole; Susan G Dorsey; Cynthia L Renn Journal: Biol Res Nurs Date: 2017-07-24 Impact factor: 2.522
Authors: M Bérubé; C Gélinas; N Feeley; G Martorella; J Côté; G Y Laflamme; D M Rouleau; M Choinière Journal: Pain Med Date: 2019-10-01 Impact factor: 3.750
Authors: Mari A Griffioen; Joel D Greenspan; Meg Johantgen; Kathryn Von Rueden; Robert V O'Toole; Susan G Dorsey; Cynthia L Renn Journal: Pain Manag Nurs Date: 2016-12-10 Impact factor: 1.929