Prognostic Role of Demographic, Injury and Claim Factors in Disabling Pain and Mental Health Conditions 12 Months after Compensable Injury

Bibliographic Data

ID15463003
AuthorsThi Nguyen (0000-0001-7253-4616, Monash University), Thi L Nguyen (Monash University), KATHARINE S BAKER (0000-0001-6423-3055, Monash University), Liane Ioannou (0000-0002-8988-8370, Monash University), Behrooz Hassani‐Mahmooei (0000-0002-3616-4715, Monash University), Behrooz Hassani-Mahmooei (Monash University), Stephen J Gibson (0000-0003-3098-3231, Caulfield Hospital), Alex Collie (0000-0003-2617-9339, Monash University), Jennie Ponsford (0000-0003-0430-125X, Epworth Hospital), Peter Cameron (0000-0002-1443-557X, Monash University), Peter A Cameron (Monash University), Belinda J Gabbe (0000-0001-7096-7688, Swansea University), Melita J Giummarra (0000-0001-7839-6058, Caulfield Hospital, corresponding author)
Year2020
Volume17
Issue19
Pages7320-7320
Publication date2020-10-07
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueInternational Journal of Environmental Research and Public Health (JOURNAL)
Journal identifiersISSN: 1661-7827 • E-ISSN: 1660-4601
PublisherMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/ijerph17197320
PMID33036417
OpenAlexW3091979123
LanguageEN
References cited66

Identifying who might develop disabling pain or poor mental health after injury is a high priority so that healthcare providers can provide targeted preventive interventions. This retrospective cohort study aimed to identify predictors of disabling pain or probable mental health conditions at 12 months post-injury. Participants were recruited 12-months after admission to a major trauma service for a compensable transport or workplace injury ( n = 157). Injury, compensation claim, health services and medication information were obtained from the Victorian Orthopaedic Trauma Outcome Registry, Victorian State Trauma Registry and Compensation Research Database. Participants completed questionnaires about pain, and mental health (anxiety, depression, posttraumatic stress disorder) at 12 months post-injury. One third had disabling pain, one third had at least one probable mental health condition and more than one in five had both disabling pain and a mental health condition at 12 months post-injury. Multivariable logistic regression found mental health treatment 3-6 months post-injury, persistent work disability and opioid use at 6-12 months predicted disabling pain at 12 months post-injury. The presence of opioid use at 3-6 months, work disability and psychotropic medications at 6-12 months predicted a mental health condition at 12 months post-injury. These factors could be used to identify at risk of developing disabling pain who could benefit from timely interventions to better manage both pain and mental health post-injury. Implications for healthcare and compensation system are discussed

Mental health · Psychiatry · Medicine · Musculoskeletal pain and rehabilitation · Pediatric Pain Management Techniques · Psychology · Traumatic Brain Injury Research