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

International Journal of Environmental Research and Public Health

Stephen J. Gibson¹  Liane Ioannou²  Behrooz Hassani-Mahmooei²  Thi L. Nguyen²  Melita J. Giummarra²  Peter A. Cameron²  Alex Collie²  Belinda J. Gabbe²  Katharine S. Baker³  Jennie Ponsford³ 

[1] Caulfield Pain Management and Research Centre, Caulfield Hospital, 260–294 Kooyong Rd, Caulfield, VIC 3162, Australia;Department of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine, Monash University, Wellington Rd, 3800 Clayton VIC, Australia;School of Psychological Sciences and Monash Institute of Cognitive and Clinical Neurosciences, Monash University, Faculty of Medicine, Nursing and Health Sciences, 27 Rainforest Walk, Clayton, VIC 3800, Australia;

关键词: compensation;    insurance;    traumatic injury;    disability;    injury;    pain;   

DOI  :  10.3390/ijerph17197320

来源: DOAJ

【 摘 要 】

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.

【 授权许可】

Unknown