The burden and determinants of neck pain in whiplash-associated disorders after traffic collisions -: Results of the bone and joint decade 2000-2010 task force on neck pain and its associated disorders
The burden and determinants of neck pain in whiplash-associated disorders after traffic collisions -: Results of the bone and joint decade 2000-2010 task force on neck pain and its associated disorders
复制标题
DOI：
10.1097/brs.0b013e3181643ece
复制
发表时间：
2008-02-15
期刊：
影响因子：
3
通讯作者：
Haldeman, Scott
中科院分区：
文献类型：
--
作者：
Holm, Lena W.;Carroll, Linda J.;Haldeman, Scott
研究设计.最佳证据综合。对交通事故后颈部扭伤相关疾病（WAD）的负担和决定因素进行最佳证据综合。背景数据摘要。之前关于WAD的最佳证据综合报告指出，缺乏关于WAD发生率和风险因素的证据。因此，有必要重新分析这一研究机构。对Medline进行了系统检索。评审员查找了1980-2006年发表的关于颈部疼痛及其相关疾病的研究。每项相关研究都由轮换的评审员进行独立和严格的评审。从被判定为具有可接受的内部效度（科学上可接受）的研究中获得的数据被抽象到证据表中，并提供最佳证据合成的主体。作者发现了32项与WAD的负担和决定因素有关的科学上可接受的研究。在西方世界，由于WAD而到急诊室就诊的人数在过去30年中有所增加。WAD的年度累积发病率在各国之间差异很大。他们在一项研究中发现，乘员座椅位置和碰撞冲击方向与WAD相关。在一项研究中，取消对疼痛和痛苦的保险支付与WAD伤害索赔的发生率降低有关。年轻的年龄和女性都与提出索赔或寻求WAD护理有关，尽管证据并不一致。初步证据表明，头枕/汽车座椅，旨在限制头部伸展在追尾碰撞报告WAD的预防作用，特别是在女性。交通事故后的WAD影响着许多人。尽管多年的研究，关于WAD风险因素的证据很少，但似乎包括个人，社会和环境因素。需要更多的研究，包括定义明确的研究，准确计算风险，更好地考虑混杂因素。
Study Design. Best evidence synthesis.Objective. To undertake a best evidence synthesis on the burden and determinants of whiplash-associated disorders (WAD) after traffic collisions.Summary of Background Data. Previous best evidence synthesis on WAD has noted a lack of evidence regarding incidence of and risk factors for WAD. Therefore there was a warrant of a reanalyze of this body of research.Methods. A systematic search of Medline was conducted. The reviewers looked for studies on neck pain and its associated disorders published 1980-2006. Each relevant study was independently and critically reviewed by rotating pairs of reviewers. Data from studies judged to have acceptable internal validity (scientifically admissible) were abstracted into evidence tables, and provide the body of the best evidence synthesis.Results. The authors found 32 scientifically admissible studies related to the burden and determinants of WAD. In the Western world, visits to emergency rooms due to WAD have increased over the past 30 years. The annual cumulative incidence of WAD differed substantially between countries. They found that occupant seat position and collision impact direction were associated with WAD in one study. Eliminating insurance payments for pain and suffering were associated with a lower incidence of WAD injury claims in one study. Younger ages and being a female were both associated with filing claims or seeking care for WAD, although the evidence is not consistent. Preliminary evidence suggested that headrests/car seats, aimed to limiting head extension during rear-end collisions had a preventive effect on reporting WAD, especially in females.Conclusion. WAD after traffic collisions affects many people. Despite many years of research, the evidence regarding risk factors for WAD is sparse but seems to include personal, societal, and environmental factors. More research including, well-defined studies with accurate denominators for calculating risk, and better consideration of confounding factors, are needed.