[Predictors of chronic sequelae in whiplash trauma].
Prognostic factors for chronic whiplash-associated disorder (WAD) are identified. In WAD grade I-III, 50% report neck pain after one year (30% in background population). There is a female preponderance among WAD cases. 10% develop a work disability, but no gender differences are found. Age, crash issues, magnetic resonance imaging of the neck and smooth-pursuit-neck-torsion-test are of no prognostic value. While reduced active neck mobility is associated with a 4.6 times raised risk for work disability after one year, the impact-of-event score yielded an increase in OR of 3.3, and intense pre-injury distress was associated with a 2.1 OR for pain after one year and a 2.8 OR for work disability. Intense headache/neck pain and a multitude of non-painful complaints were both associated with a 3.5 to 4.0 times raised risk of work disability after a year.
Kasch
Helge
H
Dansk Smerteforskningscenter og Hovedpineklinikken, Neurologisk Afdeling, Arhus Universitetshospital, Arhus Sygehus, 8000 Arhus, Denmark. helge.kasch@dadlnet.dk
Kongsted
Alice
A
Carstensen
Tina
T
D002908:Chronic Disease; D005260:Female; D006801:Humans; D008297:Male; D010147:Pain Measurement; D011379:Prognosis; D012307:Risk Factors; D012959:Socioeconomic Factors; D014911:Whiplash Injuries / Q000150:complications* / Q000175:diagnosis / Q000523:psychology; D014938:Work Capacity Evaluation