Incidence and possible risk factors of chronic postsurgical pain after cardiac surgery: A prospective cohort study
10.7507/1007-4848.201804005
- VernacularTitle:心脏手术慢性术后疼痛发生及其危险因素的前瞻性队列研究
- Author:
ZHANG Yuhan
1
;
ZHANG Mengqiu
1
;
YU Hai
1
Author Information
1. Department of Anesthesiology, West China Hospital, Sichuan University, Chengdu, 610041, P.R.China
- Publication Type:Journal Article
- Keywords:
Cardiac surgery;
chronic postsurgical pain;
risk factor
- From:
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
2018;25(8):711-714
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the incidence and possible risk factors of the chronic postsurgical pain (CPSP) in patients undergoing cardiac surgery with cardiopulmonary bypass via median sternotomy. Methods A total of 248 cardiac surgery patients (104 males, 144 females with age of 20–74 years) were enrolled in this single-center, prospective observational study. The severity of acute postoperative pain at first 7 days was evaluated by numeric rating scale (NRS) and pain at 30 days after surgery and CPSP at 3 and 6 months after surgery was evaluated with modified brief pain inventory. Results The CPSP at postoperative 6 months occurred in 45.2% (112/248) patients and 24.1% of them suffered moderate to severe pain (NRS≥4). The CPSP at postoperative 3 months occurred in 60.9% (151/248) patients and 25.8% of them suffered moderate to severe pain. Moderate to severe postoperative pain at postoperative 30 days and 3 months, and intraoperative remifentanil infusion were the risk factors of the CPSP at postoperative 6 months. Conclusion CPSP is common in patients undergoing cardiac surgery with median sternotomy. Moderate to severe postoperative pain at 30 days and 3 months, and intraoperative remifentanil infusion can predict the presence of CPSP at 6 months.
