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Association between self-perceived pain sensitivity and pain intensity after cardiac surgery

BACKGROUND AND PURPOSE: Cardiac surgical pain remains a clinical challenge affecting about 40% of individuals in the first six months post-cardiac surgery, and continues up to two years after surgery for about 15–20%. Self-perceived sensitivity to pain may help to identify individuals at risk for pe...

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Autores principales: Bjørnnes, Ann Kristin, Lie, Irene, Parry, Monica, Falk, Ragnhild, Leegaard, Marit, Rustøen, Tone, Valeberg, Berit Taraldsen
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Dove Medical Press 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6078187/
https://www.ncbi.nlm.nih.gov/pubmed/30122973
http://dx.doi.org/10.2147/JPR.S167524
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author Bjørnnes, Ann Kristin
Lie, Irene
Parry, Monica
Falk, Ragnhild
Leegaard, Marit
Rustøen, Tone
Valeberg, Berit Taraldsen
author_facet Bjørnnes, Ann Kristin
Lie, Irene
Parry, Monica
Falk, Ragnhild
Leegaard, Marit
Rustøen, Tone
Valeberg, Berit Taraldsen
author_sort Bjørnnes, Ann Kristin
collection PubMed
description BACKGROUND AND PURPOSE: Cardiac surgical pain remains a clinical challenge affecting about 40% of individuals in the first six months post-cardiac surgery, and continues up to two years after surgery for about 15–20%. Self-perceived sensitivity to pain may help to identify individuals at risk for persistent cardiac surgical pain to optimize health care responses. The purpose of this study was to assess the relationship between self-perceived pain sensitivity assessed by the Pain Sensitivity Questionnaire (PSQ) and postoperative worst pain intensity up to 12 months after cardiac surgery. Sex differences in baseline characteristics and the PSQ scores were also assessed. METHODS: This study was performed among 416 individuals (23% women) scheduled for elective coronary artery bypass graft and/or valve surgery between March 2012 and September 2013. A secondary data-analysis was utilized to explore the relationship between preoperative PSQ scores and worst pain intensity rated preoperatively, across postoperative Days 1–4, at 2 weeks, and at 1, 3, 6, and 12 months post-surgery. Linear mixed model analyses were performed to estimate changes in pain intensity during 1-year follow-up. RESULTS: The mean (±standard deviation) PSQ-total score was 3.3±1.4, with similar scores in men and women. The PSQ-total score was significantly associated with higher worst pain intensity ratings adjusted for participant characteristics (p=0.001). CONCLUSION: Use of the PSQ before surgery may predict cardiac surgical pain intensity. However, previous evidence is limited and not consistent, and more research is needed to substantiate our results.
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spelling pubmed-60781872018-08-17 Association between self-perceived pain sensitivity and pain intensity after cardiac surgery Bjørnnes, Ann Kristin Lie, Irene Parry, Monica Falk, Ragnhild Leegaard, Marit Rustøen, Tone Valeberg, Berit Taraldsen J Pain Res Original Research BACKGROUND AND PURPOSE: Cardiac surgical pain remains a clinical challenge affecting about 40% of individuals in the first six months post-cardiac surgery, and continues up to two years after surgery for about 15–20%. Self-perceived sensitivity to pain may help to identify individuals at risk for persistent cardiac surgical pain to optimize health care responses. The purpose of this study was to assess the relationship between self-perceived pain sensitivity assessed by the Pain Sensitivity Questionnaire (PSQ) and postoperative worst pain intensity up to 12 months after cardiac surgery. Sex differences in baseline characteristics and the PSQ scores were also assessed. METHODS: This study was performed among 416 individuals (23% women) scheduled for elective coronary artery bypass graft and/or valve surgery between March 2012 and September 2013. A secondary data-analysis was utilized to explore the relationship between preoperative PSQ scores and worst pain intensity rated preoperatively, across postoperative Days 1–4, at 2 weeks, and at 1, 3, 6, and 12 months post-surgery. Linear mixed model analyses were performed to estimate changes in pain intensity during 1-year follow-up. RESULTS: The mean (±standard deviation) PSQ-total score was 3.3±1.4, with similar scores in men and women. The PSQ-total score was significantly associated with higher worst pain intensity ratings adjusted for participant characteristics (p=0.001). CONCLUSION: Use of the PSQ before surgery may predict cardiac surgical pain intensity. However, previous evidence is limited and not consistent, and more research is needed to substantiate our results. Dove Medical Press 2018-08-01 /pmc/articles/PMC6078187/ /pubmed/30122973 http://dx.doi.org/10.2147/JPR.S167524 Text en © 2018 Bjørnnes et al. This work is published and licensed by Dove Medical Press Limited The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed.
spellingShingle Original Research
Bjørnnes, Ann Kristin
Lie, Irene
Parry, Monica
Falk, Ragnhild
Leegaard, Marit
Rustøen, Tone
Valeberg, Berit Taraldsen
Association between self-perceived pain sensitivity and pain intensity after cardiac surgery
title Association between self-perceived pain sensitivity and pain intensity after cardiac surgery
title_full Association between self-perceived pain sensitivity and pain intensity after cardiac surgery
title_fullStr Association between self-perceived pain sensitivity and pain intensity after cardiac surgery
title_full_unstemmed Association between self-perceived pain sensitivity and pain intensity after cardiac surgery
title_short Association between self-perceived pain sensitivity and pain intensity after cardiac surgery
title_sort association between self-perceived pain sensitivity and pain intensity after cardiac surgery
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6078187/
https://www.ncbi.nlm.nih.gov/pubmed/30122973
http://dx.doi.org/10.2147/JPR.S167524
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