One half of patients reports persistent pain three months after orthopaedic surgery.
Anaesth Crit Care Pain Med
; 34(3): 159-64, 2015 Jun.
Article
em En
| MEDLINE
| ID: mdl-26004873
ABSTRACT
OBJECTIVE:
To determine persistent post-surgical pain prevalence after orthopaedic surgery with its impact on patient quality of life and to assess factors related to it. STUDYDESIGN:
Cross-sectional cohort study. PATIENTS A questionnaire was mailed to 2100 patients undergoing orthopaedic surgery in our teaching hospital.METHODS:
Pain prevalence 3 months after surgery, pain intensity, a neuropathic pain component using the DN4 questionnaire and its impact on patient quality of life were assessed.RESULTS:
One thousand two hundred and ninety-two patients answered our questionnaire. Among them, 48% suffered from chronic pain. This pain had a neuropathic component in 43%, which was responsible for analgesic overconsumption and increases in sleep disturbance and sick leave. Arthrodesis, knee arthroplasty and leg fracture were linked to increased chronic post-surgical pain (OR=2.7, OR=1.8, OR=1.9, respectively; P<0.05). Elbow surgery, meniscectomy, amputation and neurolysis were linked to increased neuropathic pain.CONCLUSIONS:
Chronic, post-surgical pain is common after orthopaedic surgery, leading to analgesic consumption and sleep disturbance. Patients at high risk for developing chronic post-surgical pain must be identified preoperatively. The development of postoperative pain clinics should be one way to respond to this public health problem.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Temas:
Geral
Base de dados:
MEDLINE
Assunto principal:
Dor Pós-Operatória
/
Procedimentos Ortopédicos
Tipo de estudo:
Etiology_studies
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Incidence_studies
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Observational_studies
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Prevalence_studies
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Prognostic_studies
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Risk_factors_studies
Limite:
Adolescent
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Adult
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Aged
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Aged80
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Female
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Humans
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Male
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Middle aged
Idioma:
En
Revista:
Anaesth Crit Care Pain Med
Ano de publicação:
2015
Tipo de documento:
Article