{"database":"biostudies-literature","file_versions":[],"scores":{"citationCount":0,"reanalysisCount":0,"viewCount":39,"searchCount":0},"additional":{"omics_type":["Unknown"],"volume":["3(1)"],"submitter":["Kasch H"],"pubmed_abstract":["An initial stratification of acute whiplash patients into seven risk-strata in relation to 1-year work disability as primary outcome is presented. The design was an observational prospective study of risk factors embedded in a randomised controlled study. Acute whiplash patients from units, general practitioners in four Danish counties were referred to two research centres. During a 2-year inclusion period, acute consecutive whiplash-injured (age 18-70 years, rear-end or frontal-end car accident and WAD (whiplash-associated disorders) grades I-III, symptoms within 72 h, examination prior to 10 days postinjury, capable of written/spoken Danish, without other injuries/fractures, pre-existing significant somatic/psychiatric disorder, drug/alcohol abuse and previous significant pain/headache). 688 (438 women and 250 men) participants were interviewed and examined by a study nurse after 5 days; 605 were completed after 1 year. A risk score which included items of initial neck pain/headache intensity, a number of non-painful complaints and active neck mobility was applied. The primary outcome parameter was 1-year work disability. The risk score and number of sick-listing days were related (Kruskal-Wallis, p<0.0001). In stratum 1, less than 4%, but in stratum 7, 68% were work-disabled after 1 year. Early work assessment (p<0.0001), impact of the event questionnaire (p<0.0006), psychophysical pain measures being McGill pain questionnaire parameters (p<0.0001), pressure pain algometry (p<0.0001) and palpation (p<0.0001) showed a significant relationship with risk stratification. Findings confirm previous studies reporting intense neck pain/headache and distress as predictors for work disability after whiplash. Neck-mobility was a strong predictor in this study; however, it was a more inconsistent predictor in other studies. Application of the risk assessment score and use of the risk strata system may be beneficial in future studies and may be considered as a valuable tool to assess return-to-work following injuries; however, further studies are needed."],"journal":["BMJ open"],"pagination":["e002050"],"full_dataset_link":["https://www.ebi.ac.uk/biostudies/studies/S-EPMC3563124"],"repository":["biostudies-literature"],"pubmed_title":["A new stratified risk assessment tool for whiplash injuries developed from a prospective observational study."],"pmcid":["PMC3563124"],"pubmed_authors":["Kasch H","Bendix T","Bach FW","Qerama E","Kongsted A","Jensen TS"],"view_count":["39"],"additional_accession":[]},"is_claimable":false,"name":"A new stratified risk assessment tool for whiplash injuries developed from a prospective observational study.","description":"An initial stratification of acute whiplash patients into seven risk-strata in relation to 1-year work disability as primary outcome is presented. The design was an observational prospective study of risk factors embedded in a randomised controlled study. Acute whiplash patients from units, general practitioners in four Danish counties were referred to two research centres. During a 2-year inclusion period, acute consecutive whiplash-injured (age 18-70 years, rear-end or frontal-end car accident and WAD (whiplash-associated disorders) grades I-III, symptoms within 72 h, examination prior to 10 days postinjury, capable of written/spoken Danish, without other injuries/fractures, pre-existing significant somatic/psychiatric disorder, drug/alcohol abuse and previous significant pain/headache). 688 (438 women and 250 men) participants were interviewed and examined by a study nurse after 5 days; 605 were completed after 1 year. A risk score which included items of initial neck pain/headache intensity, a number of non-painful complaints and active neck mobility was applied. The primary outcome parameter was 1-year work disability. The risk score and number of sick-listing days were related (Kruskal-Wallis, p<0.0001). In stratum 1, less than 4%, but in stratum 7, 68% were work-disabled after 1 year. Early work assessment (p<0.0001), impact of the event questionnaire (p<0.0006), psychophysical pain measures being McGill pain questionnaire parameters (p<0.0001), pressure pain algometry (p<0.0001) and palpation (p<0.0001) showed a significant relationship with risk stratification. Findings confirm previous studies reporting intense neck pain/headache and distress as predictors for work disability after whiplash. Neck-mobility was a strong predictor in this study; however, it was a more inconsistent predictor in other studies. Application of the risk assessment score and use of the risk strata system may be beneficial in future studies and may be considered as a valuable tool to assess return-to-work following injuries; however, further studies are needed.","dates":{"release":"2013-01-01T00:00:00Z","publication":"2013 Jan","modification":"2024-11-12T07:39:57.299Z","creation":"2019-03-27T01:04:17Z"},"accession":"S-EPMC3563124","cross_references":{"pubmed":["23370009"],"doi":["10.1136/bmjopen-2012-002050"]}}