Article ID Journal Published Year Pages File Type
2741990 Anaesthesia Critical Care & Pain Medicine 2015 6 Pages PDF
Abstract

ObjectiveTo determine persistent post-surgical pain prevalence after orthopaedic surgery with its impact on patient quality of life and to assess factors related to it.Study designCross-sectional cohort study.PatientsA questionnaire was mailed to 2100 patients undergoing orthopaedic surgery in our teaching hospital.MethodsPain prevalence 3 months after surgery, pain intensity, a neuropathic pain component using the DN4 questionnaire and its impact on patient quality of life were assessed.ResultsOne thousand two hundred and ninety-two patients answered our questionnaire. Among them, 48% suffered from chronic pain. This pain had a neuropathic component in 43%, which was responsible for analgesic overconsumption and increases in sleep disturbance and sick leave. Arthrodesis, knee arthroplasty and leg fracture were linked to increased chronic post-surgical pain (OR = 2.7, OR = 1.8, OR = 1.9, respectively; P < 0.05). Elbow surgery, meniscectomy, amputation and neurolysis were linked to increased neuropathic pain.ConclusionsChronic, post-surgical pain is common after orthopaedic surgery, leading to analgesic consumption and sleep disturbance. Patients at high risk for developing chronic post-surgical pain must be identified preoperatively. The development of postoperative pain clinics should be one way to respond to this public health problem.

Related Topics
Health Sciences Medicine and Dentistry Anesthesiology and Pain Medicine
Authors
, , , , ,