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| ID | Type | Description | Link |
|---|---|---|---|
| K23AG038548 | U.S. NIH Grant/Contract | View source |
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| Name | Class |
|---|---|
| National Institute on Aging (NIA) | NIH |
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Chronic problems after traumatic events are common in non-elderly adults. Previous studies have shown that after minor motor vehicle collision (MVC), 10-30% of non-elderly adult patients develop chronic regional pain (neck or back pain). In addition, up to 1/3 of non-elderly adults will develop psychological sequelae, including posttraumatic stress disorder, depression, and anxiety disorders. There have been no prospective studies examining the frequency or predictors of persistent pain or psychological sequelae in older adults. The proposed study seeks to determine the frequency of persistent pain, psychological sequelae, and associated disability in older adults after minor MVC trauma and to identify candidate predictors for a model of adverse outcomes after MVC in this population. 200 individuals over 65 years of age will be recruited from emergency departments in four states with no-fault accident laws. Patients who meet inclusion criteria and who consent to the emergency department (ED) study will undergo a 30-45 minute ED assessment of crash-related, psychosocial, and biological factors, and complete telephone follow-ups at 2 weeks, 6 weeks 6 months, and 12 months. The wealth of information gained from this study will be used to determine the frequency of adverse events in older adults after MVC and to identify high risk elderly patients. These results will inform subsequent development of secondary pharmacologic and/or behavioral interventions to prevent chronic pain and psychological sequelae after traumatic events in older adults.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Elderly | The investigators intend to asses the effect of fear of movement, PTSD symptoms, and physical activity on persistent pain and functional decline. |
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| Measure | Description | Time Frame |
|---|---|---|
| Average pain 6 months after Emergency Department visit | Average pain during the past week with pain measured on a 0-10 scale. | 6 months |
| Measure | Description | Time Frame |
|---|---|---|
| Physical function at 6 months after Emergency Department visit | Function measured on a 0-12 scale based on patient reported ability or difficulty walking, carrying objects, and climbing stairs (Simonsick E, et al. 2001). | 6 months |
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Inclusion Criteria:
Exclusion Criteria:
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Elderly experiencing motor vehicle collision
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| Name | Affiliation | Role |
|---|---|---|
| Timothy F Platts-Mills, MD, MSc | UNC Chapel Hill | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Spectrum Health - Butterworth Hospital | Grand Rapids | Michigan | 49503 | United States |
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| ID | Term |
|---|---|
| D010146 | Pain |
| ID | Term |
|---|---|
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
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Saliva samples collected for participants 1-150. Saliva, whole blood DNA and RNA collected for participants 151-250