Chronic pain in survivors of critical illness: a retrospective analysis of incidence and risk factors.

Chronic pain in survivors of critical illness: a retrospective analysis of incidence and risk factors.
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DOI:
10.1186/cc12746
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发表时间:
2013-05-29
期刊:
Critical care (London, England)
影响因子:
--
通讯作者:
Hutchings H
Hutchings H
中科院分区:
其他
文献类型:
--
作者:
Battle CE;Lovett S;Hutchings H

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据报道,危重病幸存者在出院后多年仍有慢性疼痛。本研究调查了危重病幸存者住院后6个月至1年(包括ICU入院)慢性疼痛的发生率和部位。还完成了对该患者组慢性疼痛风险因素的回顾性分析。采用问卷调查法调查慢性疼痛的发生率和受影响的具体身体部位。采用回顾性研究和多变量分析来调查该患者组慢性疼痛的危险因素。本研究纳入了6个月内南威尔士普通重症监护室(ICU)的所有幸存者。44%的受访者报告了慢性疼痛。肩部是最常报告的疼痛关节(22%)。ICU出院后6个月至1年内慢性疼痛的危险因素是患者年龄增加和严重脓毒症。慢性疼痛是危重病幸存者的一个问题,特别是在肩关节,需要进一步的研究来调查解决这个长期问题的治疗干预措施。
Chronic pain has been reported in survivors of critical illness for many years after discharge from hospital. This study investigates the incidence and site of chronic pain in survivors of critical illness between 6 months and 1 year after hospitalization, including ICU admission. A retrospective analysis of the risk factors for chronic pain in this patient group was also completed. A questionnaire method was used to investigate the incidence of chronic pain and the specific body parts affected. A retrospective study and multivariable analysis were used to investigate the risk factors for chronic pain in this patient group. All survivors of a general intensive care unit (ICU) in South Wales in a 6-month period were included in this study. Chronic pain was reported in 44% of all respondents. The shoulder was the most commonly reported joint affected by pain (22%). Risk factors for chronic pain between 6 months and 1 year after ICU discharge were increasing patient age and severe sepsis. Chronic pain is a problem in survivors of critical illness, especially in the shoulder joint, and further studies are needed investigating therapeutic interventions that address this long-term problem.
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