Chronic pain after cardiac surgery: a prospective study
- 3 December 2009
- journal article
- Published by Wiley in Acta Anaesthesiologica Scandinavica
- Vol. 54 (1), 70-78
- https://doi.org/10.1111/j.1399-6576.2009.02097.x
Abstract
Chronic pain is a complication of several surgical procedures. The prevalence of chronic pain reported after cardiac surgery varies from 18% to 61%. However, most studies are retrospective, do not use validated instruments for pain measurement or include only pain at the sternum site. The aim of the present study was to assess chronic pain and health-related quality of life (HRQOL) after cardiac surgery. In a prospective, population-based study, we included 534 patients (413 males) and assessed chronic pain and HRQOL before, 6 months after, and 12 months after cardiac surgery. Pain was measured by the Brief Pain Inventory, while HRQOL was measured by the Short-Form 36 (SF-36). Five hundred and twenty-one patients were alive 12 months after surgery; 462 (89%) and 465 (89%) responded after 6 and 12 months, respectively. Chronic pain was reported by 11% of the patients at both measurements. Younger age was associated with chronic pain [odds ratio 0.7 (95% confidence interval: 0.5-0.9)] at 12 months. Patients with chronic pain reported lower scores on seven of eight SF-36 subscales. In conclusion, we observed a lower prevalence of chronic pain after cardiac surgery than in previous studies. Still, more than one out of 10 patients reported chronic pain after cardiac surgery. Chronic pain appears to affect HRQOL. Thus, given the large number of patients subjected to cardiac surgery, this study confirms that chronic pain after cardiac surgery is an important health care issue.Keywords
This publication has 31 references indexed in Scilit:
- Cutpoints for mild, moderate and severe pain in patients with osteoarthritis of the hip or knee ready for joint replacement surgeryBMC Musculoskeletal Disorders, 2008
- Women's Recovery from Sternotomy-Extension (WREST-E) study: examining long-term pain and discomfort following sternotomy and their predictorsHeart, 2007
- The Role of Angina Pectoris in Chronic Pain After Coronary Artery Bypass Graft SurgeryThe Journal of Pain, 2007
- Prevalence, characteristics, and predictors of chronic nonanginal postoperative pain after a cardiac operation: A cross-sectional studyThe Journal of Thoracic and Cardiovascular Surgery, 2006
- Persistent postsurgical pain: risk factors and preventionThe Lancet, 2006
- Toward a theoretical model of quality-of-life appraisal: Implications of findings from studies of response shiftHealth and Quality of Life Outcomes, 2004
- The prevalence of chronic chest and leg pain following cardiac surgery: a historical cohort studyPain, 2003
- Chronic post‐sternotomy painActa Anaesthesiologica Scandinavica, 2001
- Quality of life 12 months after coronary artery bypass graft surgeryHeart & Lung, 2000
- Applied Logistic RegressionPublished by Wiley ,2000