To determine the incidence of chronic pain and to identify risk factors for the development of chronic musculoskeletal pain after trauma to the extremities of the musculoskeletal system. Other objectives are determination of the prevalence of acute…
ID
Source
Brief title
Condition
- Other condition
- Fractures
Synonym
Health condition
acute en chronische pijn
Research involving
Sponsors and support
Intervention
Outcome measures
Primary outcome
Main study endpoint is the development of chronic musculoskeletal pain. Primary
outcomes are presence of pain (Yes/No) and pain severity (high/low intensity)
at 3, 6, and 12 months follow-up. Information about potential risk factors
(e.g. sociodemographics, pain -, injury and health characteristics) and health
care utilization of each patient will be collected.
Secondary outcome
not applicable
Background summary
Unrelieved chronic pain represents a major problem for individual patients and
is also a socio-economic burden for health services and the community at large.
Although the etiology of musculoskeletal chronic pain following trauma is not
well understood, numerous retrospective studies have shown that a significant
proportion (15%) of chronic pain patients have a history of traumatic injury.
An unaddressed issue is the lack of knowledge to determine who will transit
from an acute to a chronic pain state. Multiple determinants may be responsible
for developing chronic pain. To understand more about this transition a
follow-up study including patients with an acute pain onset over a prolonged
period of time is needed. Early detection of risk factors and appropriate
preventive strategies are necessary to avoid the development and subsequently
the consequences of chronic musculoskeletal pain.
Study objective
To determine the incidence of chronic pain and to identify risk factors for the
development of chronic musculoskeletal pain after trauma to the extremities of
the musculoskeletal system. Other objectives are determination of the
prevalence of acute pain and epidemiological characteristics of patients with
trauma to the extremities of the musculoskeletal system in the emergency
department. Additionally, an inventory of health care utilization will be made
for the cost analysis of acute and chronic musculoskeletal pain after trauma.
Study design
one year prospective follow-up study
Study burden and risks
Data from the hospital registration will be collected during their ED visit and
subsequent visits relating to their injury and potential pain. Patients are
asked to complete four or five questionnaires during a follow-up period of 12
months. The study is not an intervention study and no risks are expected
related to this study. There are no direct benefits for the patients
participating in this study. Primary objective is to determine risk factors
for the development of chronic pain in acute musculoskeletal pain patients. The
results of current study can lead to a solution to prevent the transition from
acute to chronic pain and reduce the incidence of chronic pain in future
patients
Drienerlolaan 5
7522 NB Enschede
NL
Drienerlolaan 5
7522 NB Enschede
NL
Listed location countries
Age
Inclusion criteria
Adult patients with injury to extremities of the musculoskeletal system, who are admitted to the emergency department of Medisch Spectrum Twente, The Netherlands.
-injuries (fracture, soft tissue) due to a blunt trauma to the extremities of the musculoskeletal system
-Age: 18 years till 69 years
-Ability to read, speak and understand Dutch
Exclusion criteria
- Patients with a life or limb threatening condition (i.e. Manchester Triage categories one or two, defines as patient who needs immediate treatment and should be seen by a physician within 10 minutes, with an exception for patients with luxations, fractures coded with MTS II, who did not have other trauma. These patients will receive a invitation after medical treatment)
- Patients with polytrauma to the musculoskeletal system
- Patients with cognitive disability
Design
Recruitment
Followed up by the following (possibly more current) registration
No registrations found.
Other (possibly less up-to-date) registrations in this register
No registrations found.
In other registers
| Register | ID |
|---|---|
| CCMO | NL36838.044.11 |