Dalal Koustuv, Peterson Gunnel, Peolsson Anneli
Division of Public Health Science, Department of Health Sciences, Mid Sweden University, Sundsvall, Sweden.
Centre for Clinical Research Sörmland, Uppsala University, Eskilstuna, Sweden.
BMC Musculoskelet Disord. 2025 Feb 14;26(1):154. doi: 10.1186/s12891-025-08397-2.
The current study investigated Whiplash Associated Disorders (WAD) and health related quality of life (HRQOL) from the perspective of Swedish patients. Another aim was to assess medicine consumption and income loss due to WAD.
The present study was a planned secondary analysis using baseline data from a prospective, multicentre randomized controlled trial. The study participants were WAD patients, victims of four-wheel motor vehicle collisions at least six months but not more than five years ago. Neck Disability Index and HRQOL were measured. HRQOL was measured by the EQ-5D instrument. Cross tabulations, Box Plots, and regression analyses were performed.
The study was registered before data collection started (ClinicalTrials.gov Protocol ID: NCT03022812, initial release 12/20/2016).
There were 137 WAD participants (78.8% women), and almost three-fourths (74.5%) were married. The majority (54.7%) of the WAD patients were in white-collar jobs, followed by blue-collar jobs (35%) and students /unemployed (10.2%). Both consumption of medicine for neck pain and income loss due to WAD have a negative relation with the Neck Disability Index (NDI). On average, EQ-VAS for WAD women is 58.21 (± 17.625), and for men, it is 61.11 (± 16.444). WAD patients with a university education have the highest EQ-VAS average of 60.42 (± 17.738).
The low HRQOL seen in WAD patients in this study should warrant the attention of the medical fraternity, researchers and policymakers.
本研究从瑞典患者的角度调查了挥鞭样相关疾病（WAD）及健康相关生活质量（HRQOL）。另一个目的是评估因WAD导致的药物消费和收入损失。
本研究是一项计划中的二次分析，使用了一项前瞻性、多中心随机对照试验的基线数据。研究参与者为WAD患者，他们是至少在六个月前但不超过五年前发生的四轮机动车碰撞事故的受害者。测量了颈部残疾指数和HRQOL。HRQOL通过EQ-5D工具进行测量。进行了交叉表、箱线图和回归分析。
该研究在数据收集开始前进行了注册（ClinicalTrials.gov协议编号：NCT03022812，首次发布于2016年12月20日）。
有137名WAD参与者（78.8%为女性），近四分之三（74.5%）已婚。大多数（54.7%）WAD患者从事白领工作，其次是蓝领工作（35%）和学生/失业者（10.2%）。因颈部疼痛的药物消费和因WAD导致的收入损失均与颈部残疾指数（NDI）呈负相关。平均而言，WAD女性的EQ-VAS为58.21（±17.625），男性为61.11（±16.444）。受过大学教育的WAD患者的EQ-VAS平均最高，为60.42（±17.738）。
本研究中WAD患者较低的HRQOL应引起医学界、研究人员和政策制定者的关注。
