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. 2018 Apr 28;8(4):e017876. doi: 10.1136/bmjopen-2017-017876

Table 1.

Summary of data collection at different assessment points

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.