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

Autor: Giorgio Felzani, Carlo Marchino, Antonino Massone, William Capeci, G. Stampacchia, A. Gerini, Manuela Marani, Valentina Cicioni, Maria Pia Onesta, Giuliana Campus, Riccardo Morganti, Elena Andretta
Rok vydání: 2021
Předmět:
Zdroj: Spinal Cord. 60:604-611
ISSN: 1476-5624
1362-4393
DOI: 10.1038/s41393-021-00656-y
Popis: 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.
Databáze: OpenAIRE
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