Veal, FC and Bereznicki, LRE and Thompson, AJ and Peterson, GM and Orlikowski, CE, Pain and functionality following sternotomy: a prospective 12-month observational study, Pain Medicine, 17 pp. 1155-1162. ISSN 1526-2375 (2016) [Refereed Article]
Copyright 2016 American Academy of Pain Medicine
Objective. To document pain levels, functionality, and analgesic use in the 12 months following a sternotomy to identify factors associated with the development of persistent post-sternotomy pain.
Design. Prospective observational study.
Settings. Royal Hobart Hospital, Australia.
Subjects. Patients undergoing a sternotomy between January and November 2013.
Methods. One hundred and ten patients were recruited and followed for 12 months, with telephone calls at 10 days, 6 weeks, 3 months, and 12 months. An initial survey was completed at the point of recruitment including patient history, depression and anxiety scales, self-rated health, and pain catastrophizing scale.
Results. The mean age of participants was 69.6 years, with the majority of participants being male (84.5%). The proportion of patients reporting pain in the early post-discharge period was high, with 30% of patients experiencing on average moderate-severe pain in the 10 days following discharge and 11% experiencing on average moderate-severe pain at 6 weeks. At 12 months, 15.5% of participants reported on average mild pain and 0.9% an average of moderate-severe pain in the preceding week at their sternotomy site. Pain of neuropathic origin was reported by 41.2% of those with on average daily pain at 12 months. Conclusion: This study highlights the need for further research to investigate whether more intensive pain management in the post-discharge period following sternotomy as well as the early identification of patients with neuropathic pain symptoms can reduce the incidence of persistent post-operative pain at 12 months.
|Item Type:||Refereed Article|
|Keywords:||post-sternotomy pain; persistent post-operative pain; post-discharge pain|
|Research Division:||Medical and Health Sciences|
|Research Group:||Pharmacology and Pharmaceutical Sciences|
|Research Field:||Clinical Pharmacy and Pharmacy Practice|
|Objective Group:||Clinical Health (Organs, Diseases and Abnormal Conditions)|
|Objective Field:||Clinical Health (Organs, Diseases and Abnormal Conditions) not elsewhere classified|
|Author:||Veal, FC (Ms Felicity Veal)|
|Author:||Bereznicki, LRE (Associate Professor Luke Bereznicki)|
|Author:||Thompson, AJ (Mr Angus Thompson)|
|Author:||Peterson, GM (Professor Gregory Peterson)|
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