Table 1.
Domain/Candidate predictor | Measure/data item | Baseline commencing ≤14 days post-trauma |
3-month clinical course |
6-month outcome assessment point/clinical course |
12-month clinical course |
General patient characteristics including premorbid neuropsychological status | |||||
Age | In years | √ | |||
Gender | Female/male/other | √ | |||
BMI | Calculated from height and weight measurements | √ | |||
Education | Highest educational level attained | √ | |||
Employment status | Full time/part time/not working/retired/student Employed/self-employed |
√ | √ | √ | √ |
Circumstance of trauma | Military/civilian | √ | |||
Previous history of musculoskeletal pain and injury | Patient history data from patient recollection and medical records | √ | |||
Comorbidity of other health problems | Patient history data from patient recollection and medical records | √ | |||
Premorbid physical health | Patient history data from patient recollection and medical records | √ | |||
Premorbid psychological health | Patient history data from medical records and patient recollection (including non-somatic items from the Subjective Health Complaints Inventory)44 | √ | |||
Number of days in hospital | Intensive care/ward/total | √ | |||
Quality of life and physical functioning | |||||
General health | SF-36v245 | √ | √ | √ | √ |
Health-related quality of life | EuroQol EQ-5D-5L46 | √ | √ | √ | √ |
Self-care and mobility during activities of daily living | Barthel Index of Activities of Daily Living,47 collected from hospital data | √ | |||
Sleep quality | 11-point (0–10) Numerical Rating Scale, relating to current pain, from ‘best possible sleep’ to ‘worst possible sleep’48 | √ | √ | √ | √ |
Brain/CNS impairment | Glasgow Coma Scale19 | √ | |||
Psychosocial features | |||||
Anxiety and depression | HADS49 | √ | √ | √ | √ |
Coping strategies applied during a painful experience | CSQ-2450 | √ | √ | √ | √ |
Fear of movement or fear of injury or re-injury during movement | TSK-1151 | √ | √ | √ | √ |
Confidence in ability to perform activities despite pain | Pain Self-Efficacy Questionnaire52 | √ | √ | √ | √ |
Subjective post-traumatic distress | IES-R53 | √ | √ | √ | √ |
Injury characteristics | |||||
Time of injury/incident | Hospital record data | √ | |||
Injury location | Adapted pain drawings, based on hospital record data | √ | |||
Tissues damaged | Based on imaging data and hospital records Fractures Penetrating/non-penetrating injury/both |
√ | |||
Surgery required | Location and postinjury timing of surgery, based on hospital record data | √ | |||
Assisted mechanical ventilation required | Yes/no/duration | √ | |||
Severity of injury | Injury Severity Scale54 | √ | |||
Pain characteristics | |||||
Chronic pain severity | Chronic Pain Grade Scale21 | √ | √ | ||
Pain intensity | 11-point (0–10) Numerical Rating Scale, relating to current pain, from ‘no pain’ to ‘pain as bad as could be’ (collected as part of the Chronic Pain Grade Scale) | √* | √ | √ | √ |
Pain medication intake (type, dosage and timing) |
Medication Quantification Scale,55–57 based on hospital record data | √* | |||
Pain location | Pain drawing | √* | √ | √ | √ |
Pain extent | Electronic pain drawing58 | √* | |||
Self-reported features of neuropathic pain | painDETECT questionnaire59 | √* | √ | √ | √ |
Quantitative sensory testing | |||||
Heat pain threshold | Evaluation of pain threshold using a heat stimulus | √* | |||
Cold pain threshold | Evaluation of pain threshold using a cold stimulus | √* | |||
Pressure pain threshold | Evaluation of pain threshold using a pressure stimulus | √* | |||
Temporal summation | Evaluation of pain intensity in response to repetitive pressure stimuli | √* | |||
Biomarkers | |||||
CRP | Serum levels of CRP, a broad indicator of inflammation (via blood analysis) |
à | |||
cfDNA | Plasma levels of cfDNA (nuclear and mitochondrial), indicators of tissue damage (via blood analysis) |
à |
*Measurements to be taken repeatedly throughout the baseline period, which will commence immediately following recruitment via informed consent (up to 14 days post-trauma) for a period of up to 14 days (i.e. until a maximum of 28 days post-trauma), while the participant is in hospital.
†Measurements to be taken repeatedly throughout the baseline period, but may be commenced prior to this, subject to assent from a legal consultee.
BMI, body mass index; cfDNA, cell-free DNA; CRP, C reactive protein; CSQ-24, Coping Strategies Questionnaire-2; HADS, Hospital Anxiety and Depression Scale; IES-R, Impact of Event Scale revise; SF-36v2, 36-item Short Form Health Survey, version 2; TSK-11, Tampa Scale of Kinesiophobia, 11-item.