https://scholars.lib.ntu.edu.tw/handle/123456789/495890
標題: | Injury Location and Mechanism for Complex Regional Pain Syndrome: A Nationwide Population-Based Case-Control Study in Taiwan | 作者: | YI-CHIA WANG HUNG-YUAN LI FENG-SHENG LIN YA-JUNG CHENG CHI-HSIANG HUANG WEI-HAN CHOU HSING-HAO HUANG Lin, Cheng-Chieh Lin, Che-Chen Sung, Fung-Chang Wei, Jung-Nan |
公開日期: | 2015 | 出版社: | Blackwell Publishing Inc. | 卷: | 15 | 期: | 6 | 起(迄)頁: | 548-553 | 來源出版物: | Pain Practice | 摘要: | Background: Few studies have investigated the relationship between injury location, mechanism and their association with complex regional pain syndrome (CRPS). We conducted a nationwide database survey to explore this issue. Methods: This was a population-based case-control study. Five hundred and eighty-nine patients with at least one ambulatory visit or admission with a principal diagnosis of CRPS from 2004 to 2009 were selected. For each CRPS patient, ten age- and sex-matched non-CRPS subjects were randomly selected. The odds ratios (PLoS One. 2013;8:e57205) and 95% confidence intervals (95% CIs) of risk factors for CRPS were derived from multivariate logistic regression models. Results: Injury was a risk factor for CRPS (OR, 2.96; 95% CI, 2.18 to 4.02) independent of age and sex. In adjusted models, open wound on the upper limbs (OR 1.25, 95% CI 1.02 to 1.54) conferred higher CRPS risk. Injury mechanisms including nerve and spinal cord injury (OR 2.42, 95% CI 1.44 to 4.08), muscle and joint sprain and strain (OR 1.69, 95% CI 1.40 to 2.03), superficial injury (OR 1.23, 95% CI 1.00 to 1.51), and contusion (OR 1.44, 95% CI 1.20 to 1.74), but not fracture, increased the risk of CRPS. Conclusion: Injury in the extremities rather than the trunk is an important risk factor for CRPS. Certain injury mechanisms confer higher risk of CRPS. This nationwide study demonstrated that injury increased CRPS nearly threefold. Open wound, sprain and strain, superficial injury, contusion, and nerve and spinal cord injury are main injury mechanisms. Injury in the extremities confers a higher risk of CRPS. ? 2014 World Institute of Pain. |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-84935069299&doi=10.1111%2fpapr.12211&partnerID=40&md5=995ea24b8b78e24262b446174e373019 https://scholars.lib.ntu.edu.tw/handle/123456789/495890 |
ISSN: | 1530-7085 | DOI: | 10.1111/papr.12211 | SDG/關鍵字: | adult; age distribution; anxiety disorder; Article; cervical spine fracture; complex regional pain syndrome; controlled study; contusion; depression; disease association; female; foreign body; headache; health survey; high risk patient; home environment; human; injury; limb injury; major clinical study; male; middle aged; muscle strain; myofascial pain; nerve injury; neuropathy; osteoporosis; population based case control study; prevalence; risk assessment; risk factor; sex difference; spinal cord injury; Taiwan; wound; case control study; Complex Regional Pain Syndromes; complication; injuries; injury; limb; questionnaire; statistical model; Adult; Case-Control Studies; Complex Regional Pain Syndromes; Extremities; Female; Humans; Logistic Models; Male; Middle Aged; Risk Factors; Surveys and Questionnaires; Taiwan; Wounds and Injuries |
顯示於: | 醫學系 |
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