1. Prognostic Factors in Complex Regional Pain Syndrome Type 1 Occurring in the Korean Army
- Author
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Jin Woo Park, Jae Yeon Hwang, Won Joon Lee, Joon Hwan Jang, Su Jeong Seong, Chang Hwan Han, Dasom Lee, Do Hyung Kang, and Cheol Hee Jung
- Subjects
Male ,medicine.medical_specialty ,Disease ,Neuropsychological Tests ,Social Environment ,Young Adult ,03 medical and health sciences ,0302 clinical medicine ,Republic of Korea ,Cox proportional hazards regression ,medicine ,Humans ,030212 general & internal medicine ,Pain Measurement ,Retrospective Studies ,business.industry ,Medical record ,Social environment ,Recovery of Function ,General Medicine ,Prognosis ,medicine.disease ,Confidence interval ,Reflex Sympathetic Dystrophy ,Military personnel ,Military Personnel ,Anesthesiology and Pain Medicine ,Complex regional pain syndrome ,Emergency medicine ,Educational Status ,Female ,Neurology (clinical) ,business ,Psychosocial ,030217 neurology & neurosurgery ,Follow-Up Studies - Abstract
ObjectivesIn Korea, patients diagnosed with complex regional pain syndrome (CRPS) in the army are typically discharged from the army; however, the course of the disease after discharge is not known. The purpose of this study was to investigate the course of CRPS that occurred in the army and to identify the influences of various clinical and psychosocial factors immediately before discharge on the disease course.MethodsClinical profiles and psychosocial status were collected from the medical records of 16 patients with CRPS type 1 who were discharged during the period between March 2017 and April 2018. The degree of improvement after discharge was assessed by follow-up evaluation through telephone contact. Cox proportional hazards regression was performed to identify clinical and psychosocial predictors for the rate of recovery.ResultsThe median time to recovery after discharge was 39 weeks (95% confidence interval [CI] = 8.8–69.2 weeks). The sole predictor for time to recovery after discharge was the time period from the onset of pain to discharge. Each one-week increase in the duration of pain experienced in the military was associated with a 18.2% (95% CI = 5.3%–29.5%) reduction in the rate of recovery after discharge (P = 0.007).ConclusionsPatients who experienced a short period of pain in the military demonstrated a relatively good prognosis after discharge. This may show how prolonged pain in the army could affect the experience of pain from a social point of view, in that it shows the disease course after a change in the social environment.
- Published
- 2019
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