[Frequency of Chronic Pain after Work-Related Trauma: A Preliminary Status Survey during Workers' Compensation Rehabilitation in a Tertiary Clinic]. / Häufigkeit chronischer Schmerzen nach Arbeitsunfall Eine erste Statuserhebung im BG-lichen Heilverfahren einer Tertiärklinik.
Gesundheitswesen
; 86(2): 137-147, 2024 Feb.
Article
em De
| MEDLINE
| ID: mdl-37813346
ABSTRACT
BACKGROUND:
Chronic pain after trauma and surgery is a long-term complication. Its relevance for patients within the workers' compensation rehabilitation process has not been adequately investigated.OBJECTIVES:
Initial evaluation of frequency of chronic pain after occupational accidents.METHODS:
In 2017, surgical inpatients (18-65 y) treated in a tertiary hospital were asked about chronic pain arising from an occupational trauma recognized by statutory occupation insurance (interval 2.8±6.9 years), regardless of care received, first at the time of hospitalization and then by telephone interview 6 months later. The focus was on patients with a work-related trauma (A) within the past month or (B) >6 months. PRIMARYOUTCOME:
frequency of work trauma-related chronic pain (>6 months) at the initial interview (point prevalence), secondaryoutcomes:
frequency of chronicity at 6 months (A) and persistence of chronic pain (B). Tertiaryoutcomes:
ability to work, occupational injury classification, burden based on pain intensity, localization, and medication, functional deficits due to the existence of chronic pain, and comorbidity.RESULTS:
Out of 415 patients included in the survey, 85% (160/188) reported accident-related chronic pain (predominantly moderate to highly severe in intensity, localized at joints and bones). 90% (131/145) also reported this pain six months later. 67% (64/96) reported chronic pain for the first time. Patients with chronic pain at follow-up (281/369) were less likely to return to work (p=0.003), required analgesics in 60%, were more often comorbid (p<0.002) and had greater functional deficits (p<0.002).CONCLUSION:
Despite the preliminary nature of the data, chronic pain seems to be common after occupational trauma and negatively affects the recovery of work ability in the long term. Based on the present observational data, a further differentiated re-evaluation of prospective data considering therapeutic measures is strongly recommended.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Dor Crônica
/
Doenças Profissionais
Tipo de estudo:
Risk_factors_studies
Limite:
Humans
País/Região como assunto:
Europa
Idioma:
De
Revista:
Gesundheitswesen
Assunto da revista:
SAUDE PUBLICA
Ano de publicação:
2024
Tipo de documento:
Article
País de afiliação:
Alemanha