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首页> 外文期刊>Internal medicine journal >Chronic neck pain following car crashes: a population-based study from Auckland, New Zealand.
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Chronic neck pain following car crashes: a population-based study from Auckland, New Zealand.

机译：汽车撞车后慢性颈部疼痛：新西兰奥克兰的基于人口的研究。

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BACKGROUND: In a setting with a 'no fault' universal government-funded accident compensation system, we undertook a study to (i) estimate the prevalence and predictors of chronic neck pain in car occupants surviving serious injury-producing crashes and (ii) compare the longer-term health-related quality of life of crash survivors with and without neck discomfort. METHODS: A prospective cohort study recruited hospitalized survivors aged >/=16 years and non-hospitalized drivers of cars involved in serious crashes in Auckland over a 10-month period. Participants completed a structured questionnaire at recruitment and 5 and 18 months later. RESULTS: Of the 268 participants, 50 (18.7%) reported neck pain or stiffness at 5 and 18 months following the crash. Of these, 70% noted the discomfort led to limitations in work and recreation. Depressive and post-traumatic stress symptoms at 5 months were associated with an increased risk of moderate to severe neck discomfort at 18 months. Participants with and without neck discomfort had significantly reduced health-related quality of life based on Short Form-36 scores. CONCLUSION: Significant neck discomfort limiting usual function is relatively common up to 18 months following crashes. The reductions in health status among crash survivors with and without neck pain reveal the complexities in attributing longer-term adverse outcomes to a particular condition in the absence of an appropriate comparison group. The findings indicate the need to manage judiciously comorbid conditions while prioritizing efforts to support crash survivors' return to their usual social roles and activities.
机译：背景：在一个“无故障”普遍的政府资助的事故赔偿系统的环境中，我们对（i）进行了一项研究（i）估计汽车居民慢性颈部疼痛的患病率和预测因子幸存严重伤害产生的崩溃和（ii）比较长期健康相关的碰撞幸存者生活质量，没有颈部不适。方法：预期队列研究招募住院治疗幸存者> / = 16岁，并在10个月内在奥克兰的严重崩溃中涉及严重撞车的汽车。参与者在招聘和5和18个月内完成了结构化问卷。结果：268名参与者，50名（18.7％）报告在碰撞后5和18个月的颈部疼痛或僵硬。其中70％注意到不适导致工作和娱乐的限制。 5个月的抑郁和创伤后的应激症状与18个月的中度至严重颈部不适的风险增加。没有颈部不适的参与者基于短的形式-36分数显着降低了与健康相关的生活质量。结论：崩溃后，显着的颈部不适限度常见功能可达18个月。在没有适当的比较组的情况下，患有颈部疼痛的碰撞幸存者之间的健康状况降低了患者呈现给特定条件的复杂性。调查结果表明，在优先考虑支持碰撞幸存者返回其通常的社会角色和活动的努力的情况下，需要管理明智的合并条件。

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