Acute Pain Characteristics in Patients with and without Chronic Pain following Lower Extremity Injury.
Acute Pain Characteristics in Patients with and without Chronic Pain following Lower Extremity Injury.
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DOI：
10.1016/j.pmn.2016.10.002
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发表时间：
2017-02
期刊：
影响因子：
--
通讯作者：
Renn CL
中科院分区：
文献类型：
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作者：
Griffioen MA;Greenspan JD;Johantgen M;Von Rueden K;O'Toole RV;Dorsey SG;Renn CL
许多下肢受伤的患者报告慢性疼痛。受伤入院时的高疼痛强度是慢性疼痛的危险因素，但目前尚不清楚受伤后特定的急性疼痛模式是否会影响慢性疼痛的发展。检查疼痛轨迹、平均疼痛评分和受伤后立即住院期间疼痛记录频率之间的关系，并报告慢性疼痛。这是一项描述性回顾性队列研究，研究对象为在城市创伤中心接受下肢骨折治疗的成年人。受伤后6-45个月，参与者对他们目前的疼痛、最严重的疼痛和过去三个月的平均疼痛进行了评分。通过回顾性病历审查获得与损伤相关的住院疼痛评分。疼痛轨迹，平均疼痛评分和疼痛记录的频率进行了比较，患者与非慢性疼痛。共有129名患者参加了这项研究，78%的患者报告了损伤部位的慢性疼痛。慢性疼痛患者的平均疼痛评分（5.1 vs. 4.2）和首次疼痛评分（5.6 vs. 3.4）高于无慢性疼痛患者。与其他研究一致，受伤时的高疼痛强度与慢性疼痛相关。这些发现为慢性疼痛相关的急性疼痛特征提供了有价值的信息，并为早期和充分的急性疼痛治疗的重要性提供了见解。
Many patients with injuries to lower extremities report chronic pain. High pain intensity at time of admission for injury is a risk factor for chronic pain, but it is not clear whether specific acute pain patterns following injury influence the development of chronic pain. To examine the relationship between the pain trajectory, the mean pain score, and the frequency of pain documentation during the immediate hospitalization following injury, with the report of chronic pain. This was a descriptive retrospective cohort study of adults admitted with lower extremity fractures to an academic urban trauma center. Participants, 6–45 months post injury, rated their current pain, worst pain, and average pain over the last three months. Pain scores from hospitalization associated with the injury were obtained through a retrospective chart review. The pain trajectory, mean pain score, and frequency of pain documentation was compared between patients with and without chronic pain. A total of 129 patients were enrolled in this study and 78% reported chronic pain at the site of injury. The mean pain score (5.1 vs. 4.2) and first pain score (5.6 vs. 3.4) were higher for patients with chronic pain compared to patients with no chronic pain. Consistent with other studies, high pain intensity at time of injury was associated with chronic pain. The findings contribute valuable information about acute pain characteristics associated with chronic pain and provide insight into the importance of early and adequate acute pain treatment.