Pain and Functionality Following Sternotomy: A Prospective 12-Month Observational Study

作者: Felicity C. Veal , Luke R.E. Bereznicki , Angus J. Thompson , Gregory M. Peterson , Chris E. Orlikowski

DOI: 10.1093/PM/PNV066

关键词: MedicineNeuropathic painMedical historyPhysical therapyAnalgesicObservational studyAnxietyPain catastrophizingDepression (differential diagnoses)Incidence (epidemiology)

摘要: Objective . To document pain levels, functionality, and analgesic use in the 12 months following a sternotomy to identify factors associated with development of persistent post-sternotomy pain. Design Prospective observational study. Settings Royal Hobart Hospital, Australia. Subjects Patients undergoing between January November 2013. Methods One hundred ten patients were recruited followed for months, telephone calls at 10 days, 6 weeks, 3 months. An initial survey was completed point recruitment including patient history, depression anxiety scales, self-rated health, catastrophizing scale. Results The mean age participants 69.6 years, majority being male (84.5%). proportion reporting early post-discharge period high, 30% experiencing on average moderate-severe days discharge 11% weeks. At 15.5% reported mild 0.9% an preceding week their site. Pain neuropathic origin by 41.2% those daily Conclusion: This study highlights need further research investigate whether more intensive management as well identification symptoms can reduce incidence post-operative

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