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Title: Prognostic role of demographic, injury and claim factors in disabling pain and mental health conditions 12 months after compensable injury.
Epworth Authors: Ponsford, Jennie
Other Authors: Nguyen, Thi
Baker, Catherine
Ioannou, Liane
Hassani-Mahmooei, Behrooz
Gibson, Stephen
Collie, Alex
Cameron, Peter
Gabbe, Belinda
Giummarra, Melita
Keywords: Compensation
Mental Health
Traumatic Injury
Post Traumatic Stress Disorder
Victorian Orthopaedic Trauma Outcome Registry
Compensation Research Database
Victorian State Trauma Registry
Preventative Interventions
Rehabilitation, Mental Health and Chronic Pain Clinical Institute, Epworth HealthCare, Victoria, Australia.
Monash-Epworth Rehabilitation Research Centre, Epworth Hospital, Richmond, 89 Bridge Rd, Richmond, VIC 3121, Australia.
Issue Date: Oct-2020
Publisher: MDPI
Citation: Int J Environ Res Public Health . 2020 Oct 7;17(19):7320
Abstract: 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.
DOI: 10.3390/ijerph17197320
PubMed URL:
ISSN: 1660-4601
Journal Title: International Journal of Environmental Research and Public Health
Type: Journal Article
Affiliated Organisations: 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.
Caulfield Pain Management and Research Centre, Caulfield Hospital, 260-294 Kooyong Rd, Caulfield, VIC 3162, Australia.
Health Data Research UK, Swansea University Medical School, Swansea University, Wales, Sketty, Swansea SA2 8QA, UK.
Type of Clinical Study or Trial: Retrospective studies
Appears in Collections:Mental Health

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