Cargando…
Postoperatives Schmerzerleben nach proximaler Femurfraktur bei Demenz
BACKGROUND: The present study aimed to assess the postoperative pain experience in cognitive deficit patients with special reference to sensory or affective pain quality. METHODS: Nineteen patients with normal cognition up to cognitive impairments according to the DemTect screening-tool were studied...
Autores principales: | , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer Medizin
2022
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9889506/ https://www.ncbi.nlm.nih.gov/pubmed/35038009 http://dx.doi.org/10.1007/s00482-021-00619-5 |
_version_ | 1784880746632052736 |
---|---|
author | Wagner, Jens Felix Cuhls, Henning Mücke, Martin Conrad, Rupert Radbruch, Lukas Rolke, Roman |
author_facet | Wagner, Jens Felix Cuhls, Henning Mücke, Martin Conrad, Rupert Radbruch, Lukas Rolke, Roman |
author_sort | Wagner, Jens Felix |
collection | PubMed |
description | BACKGROUND: The present study aimed to assess the postoperative pain experience in cognitive deficit patients with special reference to sensory or affective pain quality. METHODS: Nineteen patients with normal cognition up to cognitive impairments according to the DemTect screening-tool were studied regarding their postoperative pain experience after proximal femur fracture. The numerical rating scale (NRS), the cognitive DemTect questionnaire, the pain sensation questionnaire (SES), and a quantitative sensory test (QST) were used as examination instruments. RESULTS: The mean ± SD age of the patients was 83.8 ± 10.0 years. Of the 19 patients, 6 (31.6%) had normal cognitive abilities. In 4 patients (21.1%) there were indications of mild cognitive impairments, and in 9 patients (47.4%) the suspicions of the presence of dementia arose. The mean postoperative pain intensity (NRS) was 4.0 (1.6). With comparable analgesic therapy, the reported pain intensities did not differ between the three patient groups with different cognitive impairments and the first three postoperative treatment days. There were no statistically significant differences between the groups for the sensory or affective total scores of the pain sensation scale. The QST parameters deep pain (PPT), superficial mechanical pain after needle stimulation (MPT), and the superficial sensitivity to light touch stimuli (MDT) showed a significantly increased sensitivity of the operated side. For the sensation of vibration (VDT) no differences between operated and healthy extremities could be proven. DISCUSSION: The postoperative pain experience does not differ between patients with normal and limited cognition. The quantitative sensory testing showed mechanical hyperalgesia in the operated area. The study points to the importance of adequate postoperative pain management even in those with dementia. |
format | Online Article Text |
id | pubmed-9889506 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Springer Medizin |
record_format | MEDLINE/PubMed |
spelling | pubmed-98895062023-02-02 Postoperatives Schmerzerleben nach proximaler Femurfraktur bei Demenz Wagner, Jens Felix Cuhls, Henning Mücke, Martin Conrad, Rupert Radbruch, Lukas Rolke, Roman Schmerz Originalien BACKGROUND: The present study aimed to assess the postoperative pain experience in cognitive deficit patients with special reference to sensory or affective pain quality. METHODS: Nineteen patients with normal cognition up to cognitive impairments according to the DemTect screening-tool were studied regarding their postoperative pain experience after proximal femur fracture. The numerical rating scale (NRS), the cognitive DemTect questionnaire, the pain sensation questionnaire (SES), and a quantitative sensory test (QST) were used as examination instruments. RESULTS: The mean ± SD age of the patients was 83.8 ± 10.0 years. Of the 19 patients, 6 (31.6%) had normal cognitive abilities. In 4 patients (21.1%) there were indications of mild cognitive impairments, and in 9 patients (47.4%) the suspicions of the presence of dementia arose. The mean postoperative pain intensity (NRS) was 4.0 (1.6). With comparable analgesic therapy, the reported pain intensities did not differ between the three patient groups with different cognitive impairments and the first three postoperative treatment days. There were no statistically significant differences between the groups for the sensory or affective total scores of the pain sensation scale. The QST parameters deep pain (PPT), superficial mechanical pain after needle stimulation (MPT), and the superficial sensitivity to light touch stimuli (MDT) showed a significantly increased sensitivity of the operated side. For the sensation of vibration (VDT) no differences between operated and healthy extremities could be proven. DISCUSSION: The postoperative pain experience does not differ between patients with normal and limited cognition. The quantitative sensory testing showed mechanical hyperalgesia in the operated area. The study points to the importance of adequate postoperative pain management even in those with dementia. Springer Medizin 2022-01-17 2023 /pmc/articles/PMC9889506/ /pubmed/35038009 http://dx.doi.org/10.1007/s00482-021-00619-5 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open Access Dieser Artikel wird unter der Creative Commons Namensnennung 4.0 International Lizenz veröffentlicht, welche die Nutzung, Vervielfältigung, Bearbeitung, Verbreitung und Wiedergabe in jeglichem Medium und Format erlaubt, sofern Sie den/die ursprünglichen Autor(en) und die Quelle ordnungsgemäß nennen, einen Link zur Creative Commons Lizenz beifügen und angeben, ob Änderungen vorgenommen wurden. Die in diesem Artikel enthaltenen Bilder und sonstiges Drittmaterial unterliegen ebenfalls der genannten Creative Commons Lizenz, sofern sich aus der Abbildungslegende nichts anderes ergibt. Sofern das betreffende Material nicht unter der genannten Creative Commons Lizenz steht und die betreffende Handlung nicht nach gesetzlichen Vorschriften erlaubt ist, ist für die oben aufgeführten Weiterverwendungen des Materials die Einwilligung des jeweiligen Rechteinhabers einzuholen. Weitere Details zur Lizenz entnehmen Sie bitte der Lizenzinformation auf http://creativecommons.org/licenses/by/4.0/deed.de (https://creativecommons.org/licenses/by/4.0/) . |
spellingShingle | Originalien Wagner, Jens Felix Cuhls, Henning Mücke, Martin Conrad, Rupert Radbruch, Lukas Rolke, Roman Postoperatives Schmerzerleben nach proximaler Femurfraktur bei Demenz |
title | Postoperatives Schmerzerleben nach proximaler Femurfraktur bei Demenz |
title_full | Postoperatives Schmerzerleben nach proximaler Femurfraktur bei Demenz |
title_fullStr | Postoperatives Schmerzerleben nach proximaler Femurfraktur bei Demenz |
title_full_unstemmed | Postoperatives Schmerzerleben nach proximaler Femurfraktur bei Demenz |
title_short | Postoperatives Schmerzerleben nach proximaler Femurfraktur bei Demenz |
title_sort | postoperatives schmerzerleben nach proximaler femurfraktur bei demenz |
topic | Originalien |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9889506/ https://www.ncbi.nlm.nih.gov/pubmed/35038009 http://dx.doi.org/10.1007/s00482-021-00619-5 |
work_keys_str_mv | AT wagnerjensfelix postoperativesschmerzerlebennachproximalerfemurfrakturbeidemenz AT cuhlshenning postoperativesschmerzerlebennachproximalerfemurfrakturbeidemenz AT muckemartin postoperativesschmerzerlebennachproximalerfemurfrakturbeidemenz AT conradrupert postoperativesschmerzerlebennachproximalerfemurfrakturbeidemenz AT radbruchlukas postoperativesschmerzerlebennachproximalerfemurfrakturbeidemenz AT rolkeroman postoperativesschmerzerlebennachproximalerfemurfrakturbeidemenz |