It still hurts! Persistent pain and use of pain medication one year after injury.


Journal Article

BACKGROUND: Given the scarce literature data on chronic post-traumatic pain, we aim to identify early predictors of long-term pain and pain medication use after major trauma. METHODS: Major trauma patients (Injury Severity Score ≥ 9) from three Level I Trauma Centers at 12 months after injury were interviewed for daily pain using the Trauma Quality of Life questionnaire. Multivariate logistic regression models identified patient- and injury-related independent predictors of pain and use of pain medication. RESULTS: Of 1238 patients, 612 patients (49%) felt daily pain and 300 patients (24%) used pain medication 1 year after injury. Of a total of 8 independent predictors for chronic pain and 9 independent predictors for daily pain medication, 4 were common (pre-injury alcohol use, pre-injury drug use, hospital stay ≥ 5 days, and education limited to high school). Combinations of independent predictors yielded weak predictability for both outcomes, ranging from 20% to 72%. CONCLUSIONS: One year after injury, approximately half of trauma patients report daily pain and one-fourth use daily pain medication. These outcomes are hard to predict.

Full Text

Duke Authors

Cited Authors

  • Velmahos, CS; Herrera-Escobar, JP; Al Rafai, SS; Chun Fat, S; Kaafarani, H; Nehra, D; Kasotakis, G; Salim, A; Haider, AH

Published Date

  • November 2019

Published In

Volume / Issue

  • 218 / 5

Start / End Page

  • 864 - 868

PubMed ID

  • 30961892

Pubmed Central ID

  • 30961892

Electronic International Standard Serial Number (EISSN)

  • 1879-1883

Digital Object Identifier (DOI)

  • 10.1016/j.amjsurg.2019.03.022


  • eng

Conference Location

  • United States