Post-Thoracotomy Pain in Children and Adolescence: A Retrospective Cross-Sectional Study
| Autor: | Jason Chou, Chin-wern Chan, George A. Chalkiadis |
|---|---|
| Rok vydání: | 2014 |
| Předmět: |
Male
medicine.medical_specialty Pediatrics Adolescent Cross-sectional study medicine.medical_treatment Interquartile range Surveys and Questionnaires Epidemiology Prevalence medicine Humans Thoracotomy Child Pain Measurement Retrospective Studies Pain Postoperative business.industry Retrospective cohort study General Medicine Pain scale Confidence interval Cross-Sectional Studies Anesthesiology and Pain Medicine Neuropathic pain Physical therapy Female Neurology (clinical) Chronic Pain business |
| Zdroj: | Pain Medicine. 15:452-459 |
| ISSN: | 1526-4637 1526-2375 |
| Popis: | Objective We sought to determine the prevalence of chronic post-thoracotomy pain, defined as persistent or recurring incisional pain for at least 2 months after thoracotomy, in children. Design Retrospective cross-sectional study. Setting Quaternary pediatric teaching hospital. Subjects Patients who underwent a lateral thoracotomy from January 2005 to December 2007 at the Royal Children's Hospital, Melbourne, Australia. Methods Eligible patients were sent a questionnaire for telephonic completion with a researcher, with assistance from the parents if required. Results Of the 87 patients eligible to participate, 51 (59%) completed questionnaires. The majority of respondents was male (65%), underwent a single thoracotomy (84%; range 1–3), and were non-elective operations (71%). The median age at first thoracotomy was 5.7 (interquartile range [IQR] 2–14.2) years. The median age at questionnaire completion was 9.0 (IQR 5.4–17.9) years, with 3.6 (IQR 2.8–4.1) years between thoracotomy and time of questionnaire completion. Three patients (6%) scored ≥12 on self-report versions of the Leeds Assessment of Neuropathic Symptoms and Signs pain scale. Of these, only one patient complained of current post-thoracotomy pain. All three patients had a single thoracotomy and were older (mean age 14.2 years) at the time of thoracotomy. The rate of post-thoracotomy pain calculated using the binomial exact method is 1.96% (95% confidence interval 0–10.4%). Conclusions Our study reports a low prevalence of post-thoracotomy pain in childhood and adolescence, and stands in contrast to previously published adult data. |
| Databáze: | OpenAIRE |
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