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Risk Factors for Prolonged Treatment of Whiplash-Associated Disorders
OBJECTIVES: Whiplash-associated disorders (WAD) are the most common injuries that are associated with car collisions in Japan and many Western countries. However, there is no clear evidence regarding the potential risk factors for poor recovery from WAD. Therefore, we used an online survey of the Ja...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Public Library of Science
2015
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4492561/ https://www.ncbi.nlm.nih.gov/pubmed/26147998 http://dx.doi.org/10.1371/journal.pone.0132191 |
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author | Oka, Hiroyuki Matsudaira, Ko Fujii, Tomoko Okazaki, Hiroshi Shinkai, Yukari Tsuji, Yutaka Tanaka, Sakae Kato, Ryuichi |
author_facet | Oka, Hiroyuki Matsudaira, Ko Fujii, Tomoko Okazaki, Hiroshi Shinkai, Yukari Tsuji, Yutaka Tanaka, Sakae Kato, Ryuichi |
author_sort | Oka, Hiroyuki |
collection | PubMed |
description | OBJECTIVES: Whiplash-associated disorders (WAD) are the most common injuries that are associated with car collisions in Japan and many Western countries. However, there is no clear evidence regarding the potential risk factors for poor recovery from WAD. Therefore, we used an online survey of the Japanese population to examine the association between potential risk factors and the persistence of symptoms in individuals with WAD. MATERIALS AND METHODS: An online survey was completed by 127,956 participants, including 4,164 participants who had been involved in a traffic collision. A random sample of the collision participants (n = 1,698) were provided with a secondary questionnaire. From among the 974 (57.4%) respondents to the secondary questionnaire, we selected 183 cases (intractable neck pain that was treated over a period of 6 months) and 333 controls (minor neck pain that was treated within 3 months). Multivariable logistic regression analysis was used to evaluate the potential risk factors for prolonged treatment of WAD. RESULTS: Female sex, the severity of the collision, poor expectations of recovery, victim mentality, dizziness, numbness or pain in the arms, and lower back pain were associated with a poor recovery from WAD. CONCLUSIONS: In the present study, the baseline symptoms (dizziness, numbness or pain in the arms, and lower back pain) had the strongest associations with prolonged treatment for WAD, although the psychological and behavioral factors were also important. These risk factors should be considered when evaluating patients who may have the potential for poor outcomes. |
format | Online Article Text |
id | pubmed-4492561 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | Public Library of Science |
record_format | MEDLINE/PubMed |
spelling | pubmed-44925612015-07-15 Risk Factors for Prolonged Treatment of Whiplash-Associated Disorders Oka, Hiroyuki Matsudaira, Ko Fujii, Tomoko Okazaki, Hiroshi Shinkai, Yukari Tsuji, Yutaka Tanaka, Sakae Kato, Ryuichi PLoS One Research Article OBJECTIVES: Whiplash-associated disorders (WAD) are the most common injuries that are associated with car collisions in Japan and many Western countries. However, there is no clear evidence regarding the potential risk factors for poor recovery from WAD. Therefore, we used an online survey of the Japanese population to examine the association between potential risk factors and the persistence of symptoms in individuals with WAD. MATERIALS AND METHODS: An online survey was completed by 127,956 participants, including 4,164 participants who had been involved in a traffic collision. A random sample of the collision participants (n = 1,698) were provided with a secondary questionnaire. From among the 974 (57.4%) respondents to the secondary questionnaire, we selected 183 cases (intractable neck pain that was treated over a period of 6 months) and 333 controls (minor neck pain that was treated within 3 months). Multivariable logistic regression analysis was used to evaluate the potential risk factors for prolonged treatment of WAD. RESULTS: Female sex, the severity of the collision, poor expectations of recovery, victim mentality, dizziness, numbness or pain in the arms, and lower back pain were associated with a poor recovery from WAD. CONCLUSIONS: In the present study, the baseline symptoms (dizziness, numbness or pain in the arms, and lower back pain) had the strongest associations with prolonged treatment for WAD, although the psychological and behavioral factors were also important. These risk factors should be considered when evaluating patients who may have the potential for poor outcomes. Public Library of Science 2015-07-06 /pmc/articles/PMC4492561/ /pubmed/26147998 http://dx.doi.org/10.1371/journal.pone.0132191 Text en © 2015 Oka et al http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are properly credited. |
spellingShingle | Research Article Oka, Hiroyuki Matsudaira, Ko Fujii, Tomoko Okazaki, Hiroshi Shinkai, Yukari Tsuji, Yutaka Tanaka, Sakae Kato, Ryuichi Risk Factors for Prolonged Treatment of Whiplash-Associated Disorders |
title | Risk Factors for Prolonged Treatment of Whiplash-Associated Disorders |
title_full | Risk Factors for Prolonged Treatment of Whiplash-Associated Disorders |
title_fullStr | Risk Factors for Prolonged Treatment of Whiplash-Associated Disorders |
title_full_unstemmed | Risk Factors for Prolonged Treatment of Whiplash-Associated Disorders |
title_short | Risk Factors for Prolonged Treatment of Whiplash-Associated Disorders |
title_sort | risk factors for prolonged treatment of whiplash-associated disorders |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4492561/ https://www.ncbi.nlm.nih.gov/pubmed/26147998 http://dx.doi.org/10.1371/journal.pone.0132191 |
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