Abstract TP372: Intra-Procedural Back Pain is an Under-Recognized Event in Patients Undergoing Neuroendovascular Procedures in Awake State-Results of a Prospective Study
| Autor: | Patrick Belton, Adnan I Qureshi, Baljinder Singh, Muhammad Umair Jahngir, Brandi R French |
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| Rok vydání: | 2019 |
| Předmět: | |
| Zdroj: | Stroke. 50 |
| ISSN: | 1524-4628 0039-2499 |
| Popis: | Background: A high proportion of patients undergo neuroendovascular procedures in the awake state. The prevalence and characteristics of intra-procedural back pain are not well studied despite high-risk settings of prolonged immobility on the firm angiographic table with external restrictions. Methods: We performed a prospective study as part of a quality improvement initiative in which all patients who underwent neuroendovascular procedures in the awake state were inquired regarding presence and location of back pain immediately after the procedure. The severity of pain was classified using a numeric rating scale score ranging from 0 (no pain) to 10 (worst pain) and location was identified by the patient on an anatomical chart. The primary endpoint was the proportion of patients with moderate to severe pain (score of ≥3). Results: The procedure was performed in an awake state in 111 (79.3%) of 140 patients who underwent neuroendovascular procedures. The mean age was 56.6 ± 16.3 years. The mean duration of the procedure was 76.6 min (range 30-190 min); 44 (39.6%) of 111 patients reported intra-procedural back pain with a median severity of 5/10 (range 1-10). The pain was classified as moderate to severe in 39 of 44 patients. The location of pain was identified in lumbar (n=40), thoracic (n=4), and cervical (n=8) regions. Patients with moderate to severe pain had higher body mass index (mean value±SD, 28.8 ± 7.3 kg/m2 versus 31.4 ± 6.7 kg/m2, p = 0.42) and longer procedure times (mean value±SD, 75 ± 42.4 mins versus 83.3 ± 34.8 mins, p = 0.63). Conclusions: The relatively high prevalence of intra-procedural back pain in patients undergoing neuro-endovascular procedures in the awake state must be recognized and strategies to reduce the occurrence need to be identified. |
| Databáze: | OpenAIRE |
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