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Systematic Review of the Literature on Pain in Patients with Polytrauma Including Traumatic Brain Injury
Pain Medicine, 10/13/09

Dobscha SK et al. – One systematic review, 93 observational studies, and one qualitative research study met inclusion criteria. The literature search yielded no published studies that assessed measures of pain intensity or pain–related functional interference among patients with cognitive deficits due to TBI, that compared patients with blast–related headache with patients with other types of headache, or that assessed treatments for blast–related headache pain. Studies on the association between TBI severity and pain reported mixed findings. There was limited evidence that the following factors are associated with pain among TBI patients: severity, location, and multiplicity of injuries; insomnia; fatigue; depression; and post–traumatic stress disorder. Very little evidence is currently available to guide pain assessment and treatment approaches in patients with polytrauma. Further research employing systematic observational as well as controlled intervention designs is clearly indicated.

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