TY  - JOUR
PY  - 2018//
TI  - The polytrauma clinical triad in patients with chronic pain after motor vehicle collision
JO  - Journal of pain research
A1  - Peixoto, Cayden
A1  - Hyland, Lindsay
A1  - Buchanan, Derrick Matthew
A1  - Langille, Erika
A1  - Nahas, Richard
SP  - 1927
EP  - 1936
VL  - 11
IS  - 
N2  - 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>
LA  - en
SN  - 1178-7090
UR  - http://dx.doi.org/10.2147/JPR.S165077
ID  - ref1
ER  -