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Orthopaedic Proceedings
Vol. 104-B, Issue SUPP_9 | Pages 7 - 7
1 Oct 2022
Evans D Rushton A Bishop J Middlebrook N Barbero M Patel J Falla D
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Background

Serious traumatic injury is a leading cause of death and disability globally, with the majority of survivors developing chronic pain.

Methods

The aims of this study were to describe early predictors of poor long-term outcome for post-trauma pain. We conducted a prospective observational study, recruiting patients admitted to a Major Trauma Centre hospital in England within 14 days of their injuries, and followed them for 12 months. We defined a poor outcome as Chronic Pain Grade ≥ II and measured this at both 6-months and 12-months. A broad range of candidate predictors were used, including surrogates for pain mechanisms, quantitative sensory testing, and psychosocial factors. Univariate models were used to identify the strongest predictors of poor outcome, which were entered into multivariate models.