Pain after combat injury in male UK military personnel deployed to Afghanistan
Main finding · Moderate or severe painResult — go to the resultRelative risk 1.1 95% CI 1.0–1.2Authors' conclusion
Combat injury, but not amputation, was associated with a higher frequency of moderate to severe pain intensity in this cohort, and pain was associated with adverse mental health outcomes.
Study context
- Population
- Male UK armed forces personnel deployed to Afghanistan, ADVANCE cohort161 with amputations
- Participants
- 579 vs 565
- Exposure
- Injured vs Uninjured
- Injuredn = 579
- Uninjuredn = 565reference
- Outcome
- Moderate or severe 'overall' pain intensity (self-reported)
- Follow-up
- Median 8 yr since injury/deployment
Methodological detailsfrequency-matched uninjured comparison group, self-reported questionnaires
- Frequency-matched uninjured comparison group
- Self-reported questionnaires
Main finding
Moderate or severe pain
Relative risk
1.1
95% CI 1.0–1.2
P < 0.001
Events by group
Injured vs Uninjured
RR 1.1 (95% CI 1.0–1.2); P < 0.001
As reported in the abstract
- Overall frequency of moderate or severe pain
- 18% (n=202)
Observational data: associations, not effects.
Further findings
| Outcome | Amputation | Non-amputation | RR (95% CI) | P value | |
|---|---|---|---|---|---|
| Moderate or severe pain, amputation vs non-amputation injury (subgroup) | 19% | 26% | 0.9 (0.9–1.0) | P = 0.034 | |
| 0.512Relative risk (log scale) |
Mental health outcomes with at least moderate pain (after accounting for injury)
| RR (95% CI) | ||
|---|---|---|
| At least moderate painPost-traumatic stress | 3.7 (2.7–5.0) | |
| At least moderate painAnxiety | 3.2 (2.4–4.3) | |
| At least moderate painDepression | 3.4 (2.7–4.5) | |
| 0.20.5125Relative risk (log scale) |
Original publication
Pain after combat injury in male UK military personnel deployed to Afghanistan. Br J Anaesth. Published 23 March 2024. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →