Prevalence and Time Course of Post-Stroke Pain: A Multicenter Prospective Hospital-Based Study.
Pain Med
; 17(5): 924-30, 2016 05.
Article
en En
| MEDLINE
| ID: mdl-26814255
ABSTRACT
OBJECTIVE:
Pain prevalence data for patients at various stages after stroke.DESIGN:
Repeated cross-sectional, observational epidemiological study.SETTING:
Hospital-based multicenter study.SUBJECTS:
Four hundred forty-three prospectively enrolled stroke survivors.METHODS:
All patients underwent bedside clinical examination. The different types of post-stroke pain (central post-stroke pain, musculoskeletal pains, shoulder pain, spasticity-related pain, and headache) were diagnosed with widely accepted criteria during the acute, subacute, and chronic stroke stages. Differences among the three stages were analyzed with χ(2)-tests.RESULTS:
The mean overall prevalence of pain was 29.56% (14.06% in the acute, 42.73% in the subacute, and 31.90% in the chronic post-stroke stage). Time course differed significantly according to the various pain types (P < 0.001). The prevalence of musculoskeletal and shoulder pain was higher in the subacute and chronic than in the acute stages after stroke; the prevalence of spasticity-related pain peaked in the chronic stage. Conversely, headache manifested in the acute post-stroke stage. The prevalence of central post-stroke pain was higher in the subacute and chronic than in the acute post-stroke stage. Fewer than 25% of the patients with central post-stroke pain received drug treatment.CONCLUSIONS:
Pain after stroke is more frequent in the subacute and chronic phase than in the acute phase, but it is still largely undertreated.Palabras clave
Texto completo:
1
Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Dolor
/
Accidente Cerebrovascular
/
Hospitalización
Tipo de estudio:
Clinical_trials
/
Observational_studies
/
Prevalence_studies
/
Risk_factors_studies
Límite:
Aged
/
Aged80
/
Female
/
Humans
/
Male
/
Middle aged
Idioma:
En
Revista:
Pain Med
Asunto de la revista:
NEUROLOGIA
/
PSICOFISIOLOGIA
Año:
2016
Tipo del documento:
Article