@article{ref1,
title="The polytrauma clinical triad in patients with chronic pain after motor vehicle collision",
journal="Journal of pain research",
year="2018",
author="Peixoto, Cayden and Hyland, Lindsay and Buchanan, Derrick Matthew and Langille, Erika and Nahas, Richard",
volume="11",
number="",
pages="1927-1936",
abstract="BACKGROUND: The polytrauma clinical triad (PCT) is a complex disorder composed of three comorbid diagnoses of chronic pain, post-traumatic stress disorder (PTSD), and postconcussion syndrome (PCS). PCT has been documented in veterans returning from deployment, but this is the first report on PCT prevalence in nonmilitary personnel after a motor vehicle collision (MVC). <br><br>METHODS: Data were drawn from routine intake assessments completed by 71 patients referred to a community-based clinic for chronic pain management. All patients completed the post-traumatic stress disorder checklist for the Diagnostic and Statistical Manual of Mental Disorders, fifth edition (PCL-5), and Rivermead Post-Concussion Symptoms Questionnaire (RPQ) during a standardized intake assessment. An additional modified RPQ score was derived to address previously reported symptom overlap between PCS and chronic pain. <br><br>RESULTS: Standard and modified RPQ scores yielded PCS prevalence rates of 100% and 54.9% in our sample, respectively. <br><br>RESULTS suggest that a modified RPQ score, limited to visual and vestibular symptoms, may be more useful PCS screening criteria in patients with chronic pain. PTSD screening criteria on the PCL-5 were met by 85.9% of the patients. More than half of the patients referred for chronic pain after MVC met criteria for PCT (52.1%). Patients who met PCT criteria reported worse headache, overall pain, and sleep quality outcomes. <br><br>CONCLUSION: Among patients in our sample with chronic pain after MVC, more than half met criteria for PCT. A modified approach to RPQ scoring limited to visual and vestibular symptoms may be required to screen for PCS in these patients.<p /> <p>Language: en</p>",
language="en",
issn="1178-7090",
doi="10.2147/JPR.S165077",
url="http://dx.doi.org/10.2147/JPR.S165077"
}