Pain distribution and predictors of widespread pain in the immediate aftermath of motor vehicle collision.
Pain distribution and predictors of widespread pain in the immediate aftermath of motor vehicle collision.
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DOI：
10.1002/j.1532-2149.2013.00285.x
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发表时间：
2013-09
影响因子：
3.6
通讯作者：
McLean, S. A.
中科院分区：
文献类型：
--
作者：
Bortsov, A. V.;Platts-Mills, T. F.;Peak, D. A.;Jones, J. S.;Swor, R. A.;Domeier, R. M.;Lee, D. C.;Rathlev, N. K.;Hendry, P. L.;Fillingim, R. B.;McLean, S. A.
Musculoskeletal pain is common after motor vehicle collision. The study objective was to evaluate distribution of pain and predictors of widespread musculoskeletal pain in the early aftermath (within 48h) of collision. European American adults aged 18–65 years presenting to the emergency department after collision who were discharged to home after evaluation were eligible. Evaluation included an assessment of reported pre-collision psychological characteristics, crash characteristics, current pain severity and location, and current psychological symptoms. Adjusted risk ratios were estimated using generalized linear models. Among 890 participants included in the study, 589/890 (66%) had pain in three or more regions, and 192/890 (22%) had widespread musculoskeletal pain (pain in 7 or more regions). In adjusted analyses, the presence of widespread pain was strongly associated with depressive and somatic symptoms prior to collision, pain catastrophizing, and acute psychological symptoms, and was not associated with most collision characteristics (road speed limit, extent of vehicle damage, collision type, driver vs. passenger, airbag deployment). The reported number of body regions that struck an object during the collision was associated with both reported pre-collision depressive symptoms and with widespread pain. More than one in five individuals presenting to the emergency department in the hours after motor vehicle collision have widespread pain. Widespread pain is strongly associated with patient characteristics known to be modulated by supraspinal mechanisms, suggesting that stress-induced hyperalgesia may influence acute widespread pain after collision.
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影响因子：
1.8
作者：
Platts-Mills TF;Burke GF;Lee YM;Swor RA;Zaleski EZ;Clauw DJ;McLean SA
通讯作者：
McLean SA
影响因子：
3
作者：
Holm, Lena W.;Carroll, Linda J.;Haldeman, Scott
通讯作者：
Haldeman, Scott
DOI：
10.1097/00005373-197403000-00001
发表时间：
1974-01-01
影响因子：
--
作者：
BAKER, SP;ONEILL, B;LONG, WB
通讯作者：
LONG, WB
影响因子：
2.5
作者：
Platts-Mills TF;Ballina L;Bortsov AV;Soward A;Swor RA;Jones JS;Lee DC;Peak DA;Domeier RM;Rathlev NK;Hendry PL;McLean SA
通讯作者：
McLean SA
影响因子：
1.2
作者：
RADLOFF L S
通讯作者：
RADLOFF L S