Screening for acute factors that predict pain post trauma: A pilot study

Research output: Contribution to journalAbstract/Meeting Abstract

Abstract

Introduction: Acute pain and post trauma symptoms following traumatic injury have been associated with the onset of persistent pain1,2. Aggressive pharmacological management of acute postoperative pain can reduce the incidence of persistent pain, and morphine administration has been shown to attenuate post-traumatic symptoms3,4. Despite this evidence, guidelines for routine screening of pain and post trauma symptoms in trauma settings have yet to be developed. This project aimed to test the feasibility of screening trauma inpatients for pain and post trauma symptoms, and also identify a set of acute risk factors (injury related, pain related, psychological) that predict variance in subsequent pain and psychological outcomes. Methods: Over a six-month period, 142 trauma inpatients (26% female, ISS M=9.65, M Age=36 years) were able to be screened using standardised measures for pain and post trauma symptom severity. Information pertaining to injury, substance use, and demographic characteristics was also collected. Patients were assessed again at six months post injury using standardised measures of pain, physical and psychological function. Results: Over 20% of patients experienced clinically significant neuropathic pain symptoms at baseline, nearly 50% reported experiencing moderate to severe acute pain on average, and 15% reported low confidence with being able to cope with pain in hospital. Over 50% of inpatients were identified as being at risk of developing post-traumatic stress disorder and depression. A series of regression analyses indicated that acute pain, post-traumatic adjustment and alcohol use predicted significant variance in pain and post-traumatic stress disorder outcomes at six months post injury after controlling for injury severity, age and gender, Fdelta (6, 50)= 3.24, P
Original languageEnglish
Pages (from-to)695-696
Number of pages2
JournalAnaesthesia and Intensive Care
Volume39
Issue number4
Publication statusPublished - Jul 2011

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