Chronic pain in survivors of critical illness: a retrospective analysis of incidence and risk factorsReport as inadecuate




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Critical Care

, 17:R101

First Online: 29 May 2013Received: 05 January 2013Revised: 13 May 2013Accepted: 29 May 2013

Abstract

IntroductionChronic 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.

MethodsA 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.

ResultsChronic 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.

ConclusionsChronic 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.

Keywordsrisk factors chronic pain critical illness retrospective analysis multivariable analysis AbbreviationsAPACHEAcute Physiology and Chronic Health Evaluation

ARDSacute respiratory distress syndrome

CIconfidence interval

HLOShospital length of stay

ICUintensive care unit

ILOSintensive care unit length of stay

NICENational Institute of Clinical Excellence

ORodds ratio.

Electronic supplementary materialThe online version of this article doi:10.1186-cc12746 contains supplementary material, which is available to authorized users.

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Author: Ceri E Battle - Simon Lovett - Hayley Hutchings

Source: https://link.springer.com/



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