Factors Associated With the Development of Chronic Post-Sternotomy Pain: a Case-Control Study
Rev. bras. cir. cardiovasc
; 30(5): 552-556, Sept.-Oct. 2015. tab
Artículo
en Inglés
| LILACS
| ID: lil-769900
Biblioteca responsable:
BR1.1
ABSTRACT
ABSTRACT OBJECTIVE:
The aim of the present study was to investigate the factors associated with chronic post-sternotomy pain in heart surgery patients.METHODS:
Between January 2013 and February 2014, we evaluated 453 patients with >6 months post-sternotomy for cardiac surgery at a surgical outpatient clinic. The patients were allocated into a group with chronic post-sternotomy pain (n=178) and a control group without pain (n=275). The groups were compared for potential predictors of chronic post-sternotomy pain. We used Cox proportional hazards regression to determine which independent variables were associated with the development of chronic post-sternotomy pain.RESULTS:
In total, 39.29% of the patients had chronic poststernotomy pain. The following factors were significantly associated with chronic post-sternotomy pain (a) use of the internal thoracic artery in coronary bypass grafting (P =0.009; HR=1.39; 95% CI, 1.08 to 1.80); (b) a history of antidepressant use (P =0.0001; HR=2.40; 95% CI, 1.74 to 3.32); (c) hypothyroidism (P =0.01; HR=1.27; 95% CI, 1.03 to 1.56); (d) surgical wound complication (P =0.01; HR=1.69; 95% CI, 1.08 to 2.63), and (e) patients on disability benefits or scheduled for a consultative medical examination for retirement (P =0.0002; HR=2.05; 95% CI, 1.40 to 3.02).CONCLUSION:
The factors associated with chronic poststernotomy pain were use of the internal thoracic artery; use of antidepressants; hypothyroidism; surgical wound complication, and patients on disability benefits or scheduled for a consultative examination.
Texto completo:
Disponible
Colección:
Bases de datos internacionales
Contexto en salud:
ODS3 - Salud y Bienestar
Problema de salud:
Meta 3.4: Reducir las muertes prematuras por enfermedades no transmisibles
Base de datos:
LILACS
Asunto principal:
Cuidado Terminal
/
Directivas Anticipadas
/
Técnicas de Planificación
Tipo de estudio:
Estudio observacional
/
Estudio pronóstico
/
Factores de riesgo
Aspecto:
Aspectos éticos
Límite:
Humanos
País/Región como asunto:
Europa
Idioma:
Inglés
Revista:
Rev. bras. cir. cardiovasc
Asunto de la revista:
Cardiología
/
CIRURGIA GERAL
Año:
2015
Tipo del documento:
Artículo
País de afiliación:
Brasil
Institución/País de afiliación:
Universidade Estadual de Ponta Grossa/BR