Factors Associated With the Development of Chronic Post-Sternotomy Pain: a Case-Control Study.

Autor:	Costa MA; Universidade Estadual de Ponta Grossa, Ponta Grossa, PR, Brazil., Trentini CA; Universidade Estadual de Ponta Grossa, Ponta Grossa, PR, Brazil., Schafranski MD; Universidade Estadual de Ponta Grossa, Ponta Grossa, PR, Brazil., Pipino O; Santa Casa de Misericórdia de Ponta Grossa, Pronta Gross, PR, Brazil., Gomes RZ; Universidade Estadual de Ponta Grossa, Ponta Grossa, PR, Brazil., Reis ES; Universidade Estadual de Ponta Grossa, Ponta Grossa, PR, Brazil.
Jazyk:	angličtina
Zdroj:	Brazilian journal of cardiovascular surgery [Braz J Cardiovasc Surg] 2015 Sep-Oct; Vol. 30 (5), pp. 552-6.
DOI:	10.5935/1678-9741.20150059
Abstrakt:	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.
Databáze:	MEDLINE
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