Revisiting Risk-stratified Whiplash-exposed Patients 12 to 14 Years after Injury
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Revisiting Risk-stratified Whiplash-exposed Patients 12 to 14 Years after Injury. / Rasmussen, Martin K.; Kongsted, Alice; Carstensen, Tina; Jensen, Troels S.; Kasch, Helge.
In: Clinical Journal of Pain, Vol. 36, No. 12, 2020, p. 923-931.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - Revisiting Risk-stratified Whiplash-exposed Patients 12 to 14 Years after Injury
AU - Rasmussen, Martin K.
AU - Kongsted, Alice
AU - Carstensen, Tina
AU - Jensen, Troels S.
AU - Kasch, Helge
PY - 2020
Y1 - 2020
N2 - Objective: The objective of this study was to evaluate the long-term predictive value of the Danish Whiplash Group Risk Assessment Score (DWGRAS) with 7 risk strata. Design: E-questionnaire-based follow-up study (n=927) combining 2 cohorts of whiplash-injured patients, 1 observational (n=187) and 1 interventional randomized controlled trial (n=740). Methods: Nine hundred twenty-seven previously healthy persons exposed to acute whiplash injury during motor vehicle collision were sent letter by postal service asking the addressee if they would respond to an E-questionnaire. Outcome measures were: whiplash-related disability, pain, use of medication/nonmedical treatment, work capacity. Results: The response rate was 37%. Fifty-five percent reported whiplash-related disability. Fourteen percent reported daily symptoms. A strong relationship was found between risk strata and impact of event and between risk strata and disabling symptoms. Conclusions: Internal and long-term validation of DWGRAS was performed, but a low response rate indicates that results should be interpreted with caution. Furthermore, external validation needs to be done in long-term studies. An receiver operating characteristics curve of 0.73 (95% confidence interval 0.67; 0.79) predicting daily or weekly whiplash-related disability after 12 to 14 years was found using the DWGRAS risk score.
AB - Objective: The objective of this study was to evaluate the long-term predictive value of the Danish Whiplash Group Risk Assessment Score (DWGRAS) with 7 risk strata. Design: E-questionnaire-based follow-up study (n=927) combining 2 cohorts of whiplash-injured patients, 1 observational (n=187) and 1 interventional randomized controlled trial (n=740). Methods: Nine hundred twenty-seven previously healthy persons exposed to acute whiplash injury during motor vehicle collision were sent letter by postal service asking the addressee if they would respond to an E-questionnaire. Outcome measures were: whiplash-related disability, pain, use of medication/nonmedical treatment, work capacity. Results: The response rate was 37%. Fifty-five percent reported whiplash-related disability. Fourteen percent reported daily symptoms. A strong relationship was found between risk strata and impact of event and between risk strata and disabling symptoms. Conclusions: Internal and long-term validation of DWGRAS was performed, but a low response rate indicates that results should be interpreted with caution. Furthermore, external validation needs to be done in long-term studies. An receiver operating characteristics curve of 0.73 (95% confidence interval 0.67; 0.79) predicting daily or weekly whiplash-related disability after 12 to 14 years was found using the DWGRAS risk score.
KW - headache
KW - neck pain
KW - prospective study
KW - whiplash injuries
KW - work disability
U2 - 10.1097/AJP.0000000000000877
DO - 10.1097/AJP.0000000000000877
M3 - Journal article
C2 - 32826406
AN - SCOPUS:85096152798
VL - 36
SP - 923
EP - 931
JO - Clinical Journal of Pain
JF - Clinical Journal of Pain
SN - 0749-8047
IS - 12
ER -
ID: 252764595