Chronic Pain following Chest Trauma: Prevalence, Associated Factors, and Psychosocial Impact.

Autor: Kahloul M; Department of Anesthesia and Intensive Care, Sahloul Teaching Hospital, Sousse, Tunisia.; Université de Sousse, Faculty of Medicine 'Ibn El Jazzar', Sousse, Tunisia., Kacem I; Université de Sousse, Faculty of Medicine 'Ibn El Jazzar', Sousse, Tunisia.; Department of Occupational Medicine, Farhat Hachad Teaching Hospital, Sousse, Tunisia., Sboui MM; Department of Anesthesia and Intensive Care, Sahloul Teaching Hospital, Sousse, Tunisia., El Maalel O; Université de Sousse, Faculty of Medicine 'Ibn El Jazzar', Sousse, Tunisia.; Department of Occupational Medicine, Farhat Hachad Teaching Hospital, Sousse, Tunisia., Daami H; Department of Anesthesia and Intensive Care, Sahloul Teaching Hospital, Sousse, Tunisia., Hafsia M; Université de Sousse, Faculty of Medicine 'Ibn El Jazzar', Sousse, Tunisia.; Department of Occupational Medicine, Farhat Hachad Teaching Hospital, Sousse, Tunisia., Limam M; Université de Sousse, Faculty of Medicine 'Ibn El Jazzar', Sousse, Tunisia.; Department of Family and Community Medicine, Research Laboratory 'LR12ES03', Faculty of Medicine of Sousse, Sousse, Tunisia., Aissa S; Université de Sousse, Faculty of Medicine 'Ibn El Jazzar', Sousse, Tunisia.; Departement of Pneumology, Farhat Hached Teaching Hospital, Sousse, Tunisia., Ben Kbaier I; Department of Anesthesia and Intensive Care, Sahloul Teaching Hospital, Sousse, Tunisia., Mrizak N; Université de Sousse, Faculty of Medicine 'Ibn El Jazzar', Sousse, Tunisia.; Department of Occupational Medicine, Farhat Hachad Teaching Hospital, Sousse, Tunisia., Chaouch A; Department of Anesthesia and Intensive Care, Sahloul Teaching Hospital, Sousse, Tunisia.; Université de Sousse, Faculty of Medicine 'Ibn El Jazzar', Sousse, Tunisia., Naija W; Department of Anesthesia and Intensive Care, Sahloul Teaching Hospital, Sousse, Tunisia.; Université de Sousse, Faculty of Medicine 'Ibn El Jazzar', Sousse, Tunisia.
Jazyk: angličtina
Zdroj: Pain research & management [Pain Res Manag] 2020 Jan 28; Vol. 2020, pp. 1030463. Date of Electronic Publication: 2020 Jan 28 (Print Publication: 2020).
DOI: 10.1155/2020/1030463
Abstrakt: Background: Chronic pain (CP) is a real public health concern. It is a common cause of poor quality of life and workplace absenteeism. It is well studied in many medical and surgical fields. However, only few data are available as regards to its occurrence in trauma patients.
Purpose: To assess the prevalence, associated factors, and psychosocial impact of CP following chest trauma.
Methods: This is an observational, descriptive, and analytic cross-sectional study performed in a Tunisian department of anesthesia and intensive care over a two-month period. Adult patients admitted one year ago for isolated chest trauma were enrolled. Data were collected by a phone interview. Studied variables were sociodemographic characteristics, traumatic injuries and their management, the occurrence of CP, and its psychosocial impact. CP was diagnosed by the Brief Pain Inventory (BPI) considering an evolution period of at least 3 months. Its impact was assessed by the BPI and the Posttraumatic stress disorder Checklist Scale (PCLS).
Results: Fifty-four patients were included in the study. The prevalence of CP was 79.6%. The average CP intensity was 3.18 ± 1.4. It was neuropathic in 90.7%. Its main associated factors were pleural effusion ( p =0.016), time to ICU admission ( p =0.016), time to ICU admission ( p =0.016), time to ICU admission ( p =0.016), time to ICU admission (.
Conclusion: CP following chest trauma is frequent and severe requiring preventive measures such as high risk patients screening, better management of acute pain, and a multidisciplinary approach for patients with diagnosed CP.
Competing Interests: The authors declare that there are no conflicts of interest regarding the publication of this paper.
(Copyright © 2020 Mohamed Kahloul et al.)
Databáze: MEDLINE
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