Predictors of Pain 12 Months after Serious Injury

Abstract

Factors present at the time of injury can allocate patients into high- or low-risk groups. The majority of cases of chronic pain emerging from the high-risk group warrant more intense clinical attention. We recommend recording these factors in discharge documentation as indicators of persistent pain.

A pilot randomized controlled trial of an early multidisciplinary model to prevent disability following traumatic injury

“…Only 6 published studies that we are aware of have attempted to identify predictors of both pain and psychological outcomes following traumatic injury using a prospective design [3,4,[25][26][27][28] (See Table I). Physical factors including acute pain intensity and previous disability, psychological factors such as depression, anxiety and alcohol use behaviour, and socio-demographic factors including education and compensation status have been linked to pain outcomes post injury [3,4,[25][26][27][28].…”

“…Physical factors including acute pain intensity and previous disability, psychological factors such as depression, anxiety and alcohol use behaviour, and socio-demographic factors including education and compensation status have been linked to pain outcomes post injury [3,4,[25][26][27][28]. Outcome measures used across these studies included self-report pain intensity measures, unstructured clinical interviews, and the SF-36 [29], a brief measure of quality of life that taps various domains including psychological and physical function.…”

Early abdominal closure improves long-term outcomes after damage-control laparotomy

“…The existence of chronic pain in late-closure patients was 2.5 times higher than in patients who underwent early abdominal closure despite no differences in preinjury pain. Holmes et al 15 performed one of the largest follow-up studies (n = 238) to assess factors associated with chronic pain in injured patients. Preinjury employment status and injury severity were two factors that predicted the presence of chronic pain.…”

The Prevalence Of Acute Neuropathic Pain After Surgery In Hospital Of Lithuanian University Of Health Sciences Kaunas Clinics

“…The type of surgery will also affect the severity of acute pain. More than 50 % of patients report severe pain during the first three post -operative days and this can predispose to CPSP [15].Emotional and attentional mechanisms of pain processing already known to play a role in chronic pain conditions have recently attracted interest in perioperative conditions [16,17]. Investigators found out that depression or anxiety are related with occurrence of neuropathic pain, but other diseases (for example, diabetes mellitus)are not related to nerve injuries.…”