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Prognostic role of demographic, injury and claim factors in disabling pain and mental health conditions 12 months after compensable injury

journal contribution
posted on 06.11.2020, 01:37 by TL Nguyen, Katharine Baker, L Ioannou, B Hassani-Mahmooei, SJ Gibson, A Collie, J Ponsford, PA Cameron, BJ Gabbe, MJ Giummarra
© 2020 by the authors. Licensee MDPI, Basel, Switzerland. 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.

Funding

Australian Research Council | LP120200033; DE170100726; FT170100048; FT190100218

National Health and Medical Research Council | APP1139686; APP1174473

History

Publication Date

01/01/2020

Journal

International Journal of Environmental Research and Public Health

Volume

17

Issue

19

Article Number

7320

Pagination

21p. (p. 1-21)

Publisher

MDPI AG

ISSN

1660-4601

Rights Statement

The Author reserves all moral rights over the deposited text and must be credited if any re-use occurs. Documents deposited in OPAL are the Open Access versions of outputs published elsewhere. Changes resulting from the publishing process may therefore not be reflected in this document. The final published version may be obtained via the publisher’s DOI. Please note that additional copyright and access restrictions may apply to the published version.

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