Persistent Pain Among Elderly Experiencing Motor Vehicle Collision
| Status: | Active, not recruiting |
|---|---|
| Conditions: | Hospital |
| Therapuetic Areas: | Other |
| Healthy: | No |
| Age Range: | 65 - Any |
| Updated: | 4/20/2017 |
| Start Date: | June 2012 |
| End Date: | November 2017 |
Persistent Pain and Associated Functional Decline Among Elderly Experiencing Motor Vehicle Collision
Chronic problems after traumatic events are common in non-elderly adults. Previous studies
have shown that after minor motor vehicle collision (MVC), 10-30% of non-elderly adult
patients develop chronic regional pain (neck or back pain). In addition, up to 1/3 of
non-elderly adults will develop psychological sequelae, including posttraumatic stress
disorder, depression, and anxiety disorders. There have been no prospective studies
examining the frequency or predictors of persistent pain or psychological sequelae in older
adults. The proposed study seeks to determine the frequency of persistent pain,
psychological sequelae, and associated disability in older adults after minor MVC trauma and
to identify candidate predictors for a model of adverse outcomes after MVC in this
population. 200 individuals over 65 years of age will be recruited from emergency
departments in four states with no-fault accident laws. Patients who meet inclusion criteria
and who consent to the ED study will undergo a 30-45 minute ED assessment of crash-related,
psychosocial, and biological factors, and complete telephone follow-ups at 2 weeks, 6 weeks
6 months, and 12 months. The wealth of information gained from this study will be used to
determine the frequency of adverse events in older adults after MVC and to identify high
risk elderly patients. These results will inform subsequent development of secondary
pharmacologic and/or behavioral interventions to prevent chronic pain and psychological
sequelae after traumatic events in older adults.
have shown that after minor motor vehicle collision (MVC), 10-30% of non-elderly adult
patients develop chronic regional pain (neck or back pain). In addition, up to 1/3 of
non-elderly adults will develop psychological sequelae, including posttraumatic stress
disorder, depression, and anxiety disorders. There have been no prospective studies
examining the frequency or predictors of persistent pain or psychological sequelae in older
adults. The proposed study seeks to determine the frequency of persistent pain,
psychological sequelae, and associated disability in older adults after minor MVC trauma and
to identify candidate predictors for a model of adverse outcomes after MVC in this
population. 200 individuals over 65 years of age will be recruited from emergency
departments in four states with no-fault accident laws. Patients who meet inclusion criteria
and who consent to the ED study will undergo a 30-45 minute ED assessment of crash-related,
psychosocial, and biological factors, and complete telephone follow-ups at 2 weeks, 6 weeks
6 months, and 12 months. The wealth of information gained from this study will be used to
determine the frequency of adverse events in older adults after MVC and to identify high
risk elderly patients. These results will inform subsequent development of secondary
pharmacologic and/or behavioral interventions to prevent chronic pain and psychological
sequelae after traumatic events in older adults.
Inclusion Criteria:
- Patient speaks English, presented to ER less than 24 hours after an MVC, patient has
an address and telephone
Exclusion Criteria:
- Patient is a prisoner, patient has fractures or an intracranial injury, patient has
injuries that are life threatening or expected to result in hospitalization for more
than 72 hours, patient is receiving end of life, hospice, or comfort care, or patient
is considered ineligible by treating physician.
We found this trial at
1
site
Grand Rapids, Michigan 44506
Principal Investigator: Jeffrey Jones, MD
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