title: Pain and interference of pain with function and mood in elderly adults involved in a motor vehicle collision: a pilot study.
abstract: BACKGROUND/STUDY CONTEXT: Musculoskeletal pain after motor vehicle collision is a substantial public health problem. The number of elderly individuals experiencing motor vehicle collision is increasing. The authors conducted analyses of data collected as part of a prospective observational study of outcomes after motor vehicle collision to estimates rates of persistent pain, pain interference, and change in physical function in patients 65 or older.
  
  
  METHODS
  Adults presenting to one of four emergency departments following motor vehicle collision without severe or life-threatening injury were recruited. Outcomes were assessed using 1-month follow-up surveys.
  
  
  RESULTS
  The frequencies of persistent moderate or severe pain resulting from the motor vehicle collision were similar among elderly and nonelderly participants, both in the neck region (27% vs. 30%) and in any region (60% vs. 56%). For both elderly and nonelderly patients, persistent pain was associated with high levels of interference with physical activity and mood.
  
  
  CONCLUSIONS
  Further studies of this vulnerable and rapidly increasing injury population are needed.
authors.affiliation: Department of Emergency Medicine, University of North Carolina, Chapel Hill, Chapel Hill, NC 27599-7594, USA. tplattsm@med.unc.edu
authors.forename: Timothy F
authors.initials: TF
authors.lastname: Platts-Mills
authors.forename: Gary F
authors.initials: GF
authors.lastname: Burke
authors.forename: Young M
authors.initials: YM
authors.lastname: Lee
authors.forename: Robert A
authors.initials: RA
authors.lastname: Swor
authors.forename: Erin Z
authors.initials: EZ
authors.lastname: Zaleski
authors.forename: Daniel J
authors.initials: DJ
authors.lastname: Clauw
authors.forename: Samuel A
authors.initials: SA
authors.lastname: McLean
mesh_terms: D000063:Accidents, Traffic / Q000706:statistics & numerical data*; D000293:Adolescent; D000328:Adult; D000339:Affect; D000368:Aged; D000369:Aged, 80 and over; D004636:Emergency Service, Hospital / Q000706:statistics & numerical data; D005260:Female; D006801:Humans; D015994:Incidence; D008297:Male; D008875:Middle Aged; D009043:Motor Activity; D059352:Musculoskeletal Pain / Q000453:epidemiology* / Q000209:etiology; D019547:Neck Pain / Q000453:epidemiology* / Q000209:etiology; D010865:Pilot Projects; D012720:Severity of Illness Index; D055815:Young Adult