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Prædiktorer for kroniske følger ved whiplashtraume

Forfatter(e)
Overlæge Helge Kasch, kiropraktor Alice Kongsted & psykolog Tina Carstensen Århus Universitetshospital, Århus Sygehus, Neurologisk Afdeling, Dansk Smerteforskningscenter, Hovedpineklinikken og Forskningsklinikken for Funktionelle Lidelser, og Nordisk Institut for Kiropraktik og Klinisk Biomekanik, Odense
Reference: 
Ugeskr Læger 2010;172(24):1821-1824
Blad nummer: 
Sidetal: 
1821-1824
Summary Predictors of chronic sequelae in whiplash trauma Ugeskr Læger 2010;172(24):1821-1824 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.7
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