The Impact of Acute Postoperative Pain in Developing Chronic Pain after Total Knee Arthroplasty

被引:4
作者
Knezevic, Nebojsa Nick [1 ,2 ,3 ]
Syed, Osman [1 ,4 ]
Kabir, Christopher [5 ]
Patel, Aisha [1 ]
Shuai, Isabel Rao [1 ]
Tharian, Antony R. [1 ,2 ]
机构
[1] Advocate Illinois Masonic Med Ctr, Dept Anesthesiol, Chicago, IL 60657 USA
[2] Univ Illinois, Dept Surg, Chicago, IL 60612 USA
[3] Univ Illinois, Dept Anesthesiol, Chicago, IL 60612 USA
[4] Midwestern Univ, Coll Osteopath Med, Downers Grove, IL 60515 USA
[5] Advocate Res Inst, Downers Grove, IL 60515 USA
来源
NEUROLOGY INTERNATIONAL | 2024年 / 16卷 / 02期
关键词
CPSP; TKA; chronic pain; arthroplasty; postsurgical pain; QUALITY-OF-LIFE; FOLLOW-UP; POSTSURGICAL PAIN; PATIENT OUTCOMES; PERSISTENT PAIN; TOTAL HIP; SURGERY; RISK; ASSOCIATION; INVENTORY;
D O I
10.3390/neurolint16020034
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
While total knee arthroplasties (TKAs) are performed with the intent to reduce pain, chronic postsurgical pain (CPSP) is one of the most well-documented complications that can occur following surgery. This study aimed to assess whether perioperative factors, focusing on acute postsurgical pain and perioperative opioid consumption, were associated with the development of chronic postsurgical pain. Under general anesthesia, 108 patients underwent TKA and were treated postoperatively with a multimodal analgesia approach. Numeric Rating Scale (NRS) pain scores at rest and with movement were recorded on postoperative days 0-3, 7, 14, and 30. Patients were sent a survey to assess chronic pain at months 22-66, which was examined as a single-group post hoc analysis. Based on the responses, patients were either classified into the CPSP or non-CPSP patient group. Chronic postsurgical pain was defined as an NRS score >= 4 with movement and the presence of resting pain. The primary outcome was a change in NRS. There were no differences in NRS pain scores with movement in the first 30 days postoperatively between patients with CPSP and without CPSP. Each unit increase in resting pain on postoperative days 3 and 14 was associated with significantly greater odds of CPSP presence (OR = 1.52; OR = 1.61, respectively), with a trend towards greater odds of CPSP at days 7 and 30 (OR = 1.33; OR = 1.43, respectively). We found that very intense pain in the initial phase seems to be related to the development of CPSP after TKA.
引用
收藏
页码:459 / 469
页数:11
相关论文
共 50 条
[1]   Subacute pain and function after fast-track hip and knee arthroplasty [J].
Andersen, L. O. ;
Gaarn-Larsen, L. ;
Kristensen, B. B. ;
Husted, H. ;
Otte, K. S. ;
Kehlet, H. .
ANAESTHESIA, 2009, 64 (05) :508-513
[2]   Functional outcome and patient satisfaction in total knee patients over the age of 75 [J].
Anderson, JG ;
Wixson, RL ;
Tsai, D ;
Stulberg, SD ;
Chang, RW .
JOURNAL OF ARTHROPLASTY, 1996, 11 (07) :831-840
[3]   Regional anaesthesia to prevent chronic pain after surgery: a Cochrane systematic review and meta-analysis [J].
Andreae, M. H. ;
Andreae, D. A. .
BRITISH JOURNAL OF ANAESTHESIA, 2013, 111 (05) :711-720
[4]   Predictors of Persistent Post-Surgical Pain Following Total Knee Arthroplasty: A Systematic Review and Meta-Analysis of Observational Studies [J].
Ashoorion, Vahid ;
Sadeghirad, Behnam ;
Wang, Li ;
Noori, Atefeh ;
Abdar, Meisam ;
Kim, Yechan ;
Chang, Yaping ;
Rehman, Nadia ;
Lopes, Luciane C. ;
Couban, Rachel J. ;
Aminilari, Mahmood ;
Malektojari, Alireza ;
Ghazizadeh, Sara ;
Rehman, Yasir ;
Ghasemi, Mehdi ;
Adili, Anthony ;
Guyatt, Gordon H. ;
Busse, Jason W. .
PAIN MEDICINE, 2023, 24 (04) :369-381
[5]  
Azam MA, 2017, CAN J PAIN, V1, P37, DOI 10.1080/24740527.2017.1325317
[6]   What proportion of patients report long-term pain after total hip or knee replacement for osteoarthritis? A systematic review of prospective studies in unselected patients [J].
Beswick, Andrew David ;
Wylde, Vikki ;
Gooberman-Hill, Rachael ;
Blom, Ashley ;
Dieppe, Paul .
BMJ OPEN, 2012, 2 (01)
[7]   Patient Satisfaction after Total Knee Arthroplasty Who is Satisfied and Who is Not? [J].
Bourne, Robert B. ;
Chesworth, Bert M. ;
Davis, Aileen M. ;
Mahomed, Nizar N. ;
Charron, Kory D. J. .
CLINICAL ORTHOPAEDICS AND RELATED RESEARCH, 2010, 468 (01) :57-63
[8]   Acute postoperative pain is an independent predictor of chronic postsurgical pain following total knee arthroplasty at 6 months: a prospective cohort study [J].
Buvanendran, Asokumar ;
Della Valle, Craig J. ;
Kroin, Jeffrey S. ;
Shah, Mahendra ;
Moric, Mario ;
Tuman, Kenneth J. ;
McCarthy, Robert J. .
REGIONAL ANESTHESIA AND PAIN MEDICINE, 2019, 44 (03) :287-296
[9]   Pharmacotherapy for the Prevention of Chronic Pain after Surgery in Adults: An Updated Systematic Review and Meta-analysis [J].
Carley, Meg E. ;
Chaparro, Luis E. ;
Choiniere, Manon ;
Kehlet, Henrik ;
Moore, R. Andrew ;
Van den Kerkhof, Elizabeth ;
Gilron, Ian .
ANESTHESIOLOGY, 2021, 135 (02) :304-325
[10]   Opioid weaning and pain management in postsurgical patients at the Toronto General Hospital Transitional Pain Service [J].
Clarke, Hance ;
Azargive, Saam ;
Montbriand, Janice ;
Nicholls, Judith ;
Sutherland, Ainsley ;
Valeeva, Liliya ;
Boulis, Sherif ;
McMillan, Kayla ;
Ladak, Salima S. J. ;
Ladha, Karim ;
Katznelson, Rita ;
McRae, Karen ;
Tamir, Diana ;
Lyn, Sheldon ;
Huang, Alexander ;
Weinrib, Aliza ;
Katz, Joel .
CANADIAN JOURNAL OF PAIN-REVUE CANADIENNE DE LA DOULEUR, 2018, 2 (01) :236-247