Pain characteristics in Italian people with spinal cord injury: a multicentre study.

Autor: Stampacchia G; Spinal Cord Unit, Pisa University Hospital, Pisa, Italy. g.stampacchia@ao-pisa.toscana.it., Gerini A; Spinal Cord Unit, Pisa University Hospital, Pisa, Italy., Morganti R; SOD Statistical Support for Clinical Studies, Pisa University Hospital, Pisa, Italy., Felzani G; Spinal Cord Unit, San Raffaele Sulmona Institute, Sulmona, Italy., Marani M; Spinal Unit, Montecatone Rehabilitation Institute, Imola (Bologna), Italy., Massone A; Spinal Cord Unit, Pietra Ligure Hospital, Savona, Italy., Onesta MP; Spinal Cord Unit, Cannizzaro Hospital, Catania, Italy., Capeci W; Spinal Cord Unit, Ancona University Hospital, Ancona, Italy., Andretta E; Urology Department, Dolo Hospital, Dolo, Italy., Campus G; Spinal Cord Injury, Marino Hospital, Cagliari, Italy., Marchino C; Spinal Cord Unit, Sondalo Hospital, ASST Valtellina e Alto Lario, Sondalo, Italy., Cicioni V; Spinal Cord Unit, Perugia University Hospital, Perugia, Italy.
Jazyk: angličtina
Zdroj: Spinal cord [Spinal Cord] 2022 Jul; Vol. 60 (7), pp. 604-611. Date of Electronic Publication: 2021 Jun 28.
DOI: 10.1038/s41393-021-00656-y
Abstrakt: Study Design: Multicentre cross-sectional study.
Objective: The objective of this study is to evaluate prevalence, location and characteristics of pain in hospital inpatients people with spinal cord injury (SCI).
Setting: Ten Italian rehabilitation centres specialized in spinal injury care, where inpatients are admitted both after the acute lesion and for late complications (time since injury, median [IQR]: 0.8 [0.2-8.2] years).
Methods: All the persons were submitted to AIS scale assessment [1] and modified Ashworth scale [2]; personal data and anamnesis were recorded; any pain within 1 week was investigated and the International Spinal Cord Injury Pain Basic Data Set (ISCIPBDS) Italian version [3] was administered by physicians expert in type of pain definition.
Results: Of 385 included persons, 275 (72%) suffered pain, with the score value median [IQR]: 6 [4-8]. The worst pain of the person was nociceptive in 52% and neuropathic in 48% of the cases; 46% of nociceptive pain was located in the neck-shoulder region, whereas 67% of neuropathic pain was located in the sublesional part of the body. In 48% of the whole population, spasticity was observed but only 74% of them had pain. Being old and female are associated with high pain development, OR (95% CI): 1.24 (1.01-1.04) and 1.83 (1.05-3.20), respectively.
Conclusions: A high prevalence of pain is confirmed in persons with SCI, with both nociceptive and neuropathic pain characteristics. Only old age and female sex resulted as variables highly associated with pain.
(© 2021. The Author(s), under exclusive licence to International Spinal Cord Society.)
Databáze: MEDLINE
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