Predictors of Pain Severity 3 Months after Serious Injury
Predictors of Pain Severity 3 Months after Serious Injury
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DOI：
10.1111/j.1526-4637.2010.00890.x
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发表时间：
2010-01-01
期刊：
影响因子：
3.1
通讯作者：
O'Donnell, Meaghan
中科院分区：
文献类型：
--
作者：
Holmes, Alex;Williamson, Owen;O'Donnell, Meaghan
目的：损伤是持续性疼痛的常见起始事件。将受伤的病人送到医院是一个机会，可以识别出持续性疼痛的高风险病人，并将他们分类到早期干预。虽然一系列的身体，心理和社会风险因素已被牵连在从急性疼痛到持续性疼痛的过渡，这些因素尚未在前瞻性研究中同时进行测试。本研究的目的是确定3个月时疼痛严重程度可以在损伤时预测，以及哪些独立因素预测疼痛严重程度。设计：一项大型前瞻性队列研究，从两家创伤医院招募急性入院的患者。对患者进行了一系列已知和可能的持续性疼痛风险因素的综合评估。在过去的24小时内，在3 months.Results.Two九十例患者被招募，242人在3个月随访的视觉模拟量表上的疼痛严重程度进行了评估。年龄较大、女性、既往酒精依赖、较低的身体功能、疼痛严重程度、评估当天给予的吗啡当量量和疼痛控制态度可预测3个月时的疼痛严重程度。这些因素导致的差异为22%。结论：有这些因素的受伤患者可能需要增加监测和早期分诊到专科疼痛服务。
Objective.Injury is a common initiating event for persistent pain. The presentation of injured patients to hospital represents an opportunity to identify patients at high risk of persistent pain and triage them to early intervention. Although a range of physical, psychological, and social risk factors have been implicated in the transition from acute to persistent pain, these factors have not been tested concurrently in a prospective study. This study aimed to determine the degree to which pain severity at 3 months can be predicted at the time of injury and which independent factors predicted pain severity.Design.A large prospective cohort study was conducted recruiting patients from two trauma hospitals during their acute admission. Patients were assessed with a comprehensive battery of known and possible risk factors for persistent pain. Patients were assessed for pain severity on a visual analog scale over the past 24 hours at 3 months.Results.Two hundred ninety patients were recruited, and 242 were followed up at 3 months. Older age, female gender, past alcohol dependence, lower physical role function, pain severity, amount of morphine equivalents administered on the day of assessment, and pain control attitudes predicted pain severity at 3 months. The variance attributed to these factors was 22%.Conclusions.Injured patients with a number of these factors may warrant increased monitoring and early triage to specialist pain services.