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Pain distribution and predictors of widespread pain in the immediate aftermath of motor vehicle collision.

Publication ,  Journal Article
Bortsov, AV; Platts-Mills, TF; Peak, DA; Jones, JS; Swor, RA; Domeier, RM; Lee, DC; Rathlev, NK; Hendry, PL; Fillingim, RB; McLean, SA
Published in: Eur J Pain
September 2013

BACKGROUND: Musculoskeletal pain is common after motor vehicle collision (MVC). The study objective was to evaluate distribution of pain and predictors of widespread musculoskeletal pain in the early aftermath (within 48 h) of collision. METHODS: European American adults aged 18-65 years presenting to the emergency department (ED) after collision who were discharged to home after evaluation were eligible. Evaluation included an assessment of reported pre-collision psychological characteristics, crash characteristics, current pain severity and location, and current psychological symptoms. Adjusted risk ratios were estimated using generalized linear models. RESULTS: Among 890 participants included in the study, 589/890 (66%) had pain in three or more regions, and 192/890 (22%) had widespread musculoskeletal pain (pain in seven or more regions). In adjusted analyses, the presence of widespread pain was strongly associated with depressive and somatic symptoms prior to collision, pain catastrophizing, and acute psychological symptoms, and was not associated with most collision characteristics (road speed limit, extent of vehicle damage, collision type, driver vs. passenger, airbag deployment). The reported number of body regions that struck an object during the collision was associated with both reported pre-collision depressive symptoms and with widespread pain. CONCLUSION: More than one in five individuals presenting to the ED in the hours after MVC have widespread pain. Widespread pain is strongly associated with patient characteristics known to be modulated by supraspinal mechanisms, suggesting that stress-induced hyperalgesia may influence acute widespread pain after collision.

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Published In

Eur J Pain

DOI

EISSN

1532-2149

Publication Date

September 2013

Volume

17

Issue

8

Start / End Page

1243 / 1251

Location

England

Related Subject Headings

  • Young Adult
  • Pain
  • Musculoskeletal Pain
  • Motor Vehicles
  • Middle Aged
  • Male
  • Humans
  • Female
  • Emergency Service, Hospital
  • Anesthesiology
 

Citation

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Bortsov, A. V., Platts-Mills, T. F., Peak, D. A., Jones, J. S., Swor, R. A., Domeier, R. M., … McLean, S. A. (2013). Pain distribution and predictors of widespread pain in the immediate aftermath of motor vehicle collision. Eur J Pain, 17(8), 1243–1251. https://doi.org/10.1002/j.1532-2149.2013.00285.x
Bortsov, A. V., T. F. Platts-Mills, D. A. Peak, J. S. Jones, R. A. Swor, R. M. Domeier, D. C. Lee, et al. “Pain distribution and predictors of widespread pain in the immediate aftermath of motor vehicle collision.Eur J Pain 17, no. 8 (September 2013): 1243–51. https://doi.org/10.1002/j.1532-2149.2013.00285.x.
Bortsov AV, Platts-Mills TF, Peak DA, Jones JS, Swor RA, Domeier RM, et al. Pain distribution and predictors of widespread pain in the immediate aftermath of motor vehicle collision. Eur J Pain. 2013 Sep;17(8):1243–51.
Bortsov, A. V., et al. “Pain distribution and predictors of widespread pain in the immediate aftermath of motor vehicle collision.Eur J Pain, vol. 17, no. 8, Sept. 2013, pp. 1243–51. Pubmed, doi:10.1002/j.1532-2149.2013.00285.x.
Bortsov AV, Platts-Mills TF, Peak DA, Jones JS, Swor RA, Domeier RM, Lee DC, Rathlev NK, Hendry PL, Fillingim RB, McLean SA. Pain distribution and predictors of widespread pain in the immediate aftermath of motor vehicle collision. Eur J Pain. 2013 Sep;17(8):1243–1251.
Journal cover image

Published In

Eur J Pain

DOI

EISSN

1532-2149

Publication Date

September 2013

Volume

17

Issue

8

Start / End Page

1243 / 1251

Location

England

Related Subject Headings

  • Young Adult
  • Pain
  • Musculoskeletal Pain
  • Motor Vehicles
  • Middle Aged
  • Male
  • Humans
  • Female
  • Emergency Service, Hospital
  • Anesthesiology