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Tecic T, Lefering R, Althaus A, et al. Pain and quality of life 1 year after admission to the emergency department: factors associated with pain. Eur J Trauma Emerg Surg. 2013;39(4):353-61doi: 10.1007/s00068-013-0271-9.
Tecic, T., Lefering, R., Althaus, A., Rangger, C., & Neugebauer, E. (2013). Pain and quality of life 1 year after admission to the emergency department: factors associated with pain. European journal of trauma and emergency surgery : official publication of the European Trauma Society, 39(4), 353-61. https://doi.org/10.1007/s00068-013-0271-9
Tecic, T, et al. "Pain and quality of life 1 year after admission to the emergency department: factors associated with pain." European journal of trauma and emergency surgery : official publication of the European Trauma Society vol. 39,4 (2013): 353-61. doi: https://doi.org/10.1007/s00068-013-0271-9
Tecic T, Lefering R, Althaus A, Rangger C, Neugebauer E. Pain and quality of life 1 year after admission to the emergency department: factors associated with pain. Eur J Trauma Emerg Surg. 2013 Aug;39(4):353-61. doi: 10.1007/s00068-013-0271-9. Epub 2013 Mar 08. PMID: 26815395.
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Eur J Trauma Emerg Surg. 2013 Aug;39(4):353-61. doi: 10.1007/s00068-013-0271-9. Epub 2013 Mar 08.

Pain and quality of life 1 year after admission to the emergency department: factors associated with pain.

European journal of trauma and emergency surgery : official publication of the European Trauma Society

T Tecic, R Lefering, A Althaus, C Rangger, E Neugebauer

Affiliations

  1. Faculty of Medicine, Institute for Research in Operative Medicine (IFOM), University of Witten/Herdecke, Witten, Germany. [email protected].
  2. , Vorgebirgstr. 144, 50969, Cologne, Germany. [email protected].
  3. Faculty of Medicine, Institute for Research in Operative Medicine (IFOM), University of Witten/Herdecke, Witten, Germany.
  4. Department for Orthopaedics and Trauma Surgery, University Hospital of Bonn, Bonn, Germany.
  5. Krankenhaus Nordwest GmbH, Frankfurt, Germany.

PMID: 26815395 DOI: 10.1007/s00068-013-0271-9

Abstract

OBJECTIVES: This study describes the prevalence of pain in trauma patients 1 year after hospital admission and investigates separately health-related quality of life (QoL) for patients suffering severe pain and for those without pain. Moreover, psychosocial factors are examined for their impact on pain.

METHODS: Patients were contacted 12 months after admission in order to complete the following questionnaires: Medical Outcomes Study 36-Item Short Form Health Survey (SF-36), Trauma Outcome Profile (TOP), Beck Depression Inventory (BDI), State-Trait Anxiety Inventory (STAI), Impact of Event Scale-Revised (IES-R) and additional questions concerning satisfaction, work and financial status. Relevant pain at follow-up was defined as <80 points on the pain subscale of the TOP.

RESULTS: Two hundred and twenty patients were included. The Injury Severity Score (ISS) ranged from 1 to 41. Fifty-three percent (53 %) of patients suffered a severe trauma (ISS > 15). One year after injury, 55 % of patients had relevant pain according to the TOP. Patients with pain were older (41.4 vs. 34.4 years, p = 0.003) and had slightly more severe injuries (ISS 17.1 vs. 14.9, p = 0.115). There were significant differences between pain and no-pain patients on all domains of QoL (p < 0.001) and on the BDI, STAI and IES-R (p < 0.001). Pain patients more often experienced a stressful event and job-related and financial difficulties. Multivariate logistic regression analysis revealed post-traumatic stress disorder (PTSD) as the strongest predictor for pain [odds ratio (OR): 4.38, p = 0.015], followed by a stressful life event (OR: 4.08, p = 0.001).

DISCUSSION: Pain is strongly associated with psychosocial complaints 1 year after trauma. For the treatment of pain following a traumatic event, social reintegration and emotional regulation by means of occupational rehabilitation and psychotherapy should receive more attention.

Keywords: PTSD; Pain; Psychosocial; Quality of life; Trauma

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