دورية أكاديمية
أعرض في EDS

Predicting Acute Postoperative Pain Trajectories and Long-Term Outcomes of Adolescents after Spinal Fusion Surgery.

التفاصيل البيبلوغرافية
العنوان: Predicting Acute Postoperative Pain Trajectories and Long-Term Outcomes of Adolescents after Spinal Fusion Surgery.
المؤلفون: Ocay DD; Department of Experimental Surgery, McGill University, Montreal, QC, Canada.; Shriners Hospitals for Children-Canada, Montreal, QC, Canada., Li MMJ; Shriners Hospitals for Children-Canada, Montreal, QC, Canada.; Faculty of Medicine, McGill University, Montreal, QC, Canada., Ingelmo P; Chronic Pain Services, Montreal Children's Hospital, Montreal, QC, Canada.; Department of Anesthesia, McGill University, Montreal, QC, Canada., Ouellet JA; Shriners Hospitals for Children-Canada, Montreal, QC, Canada.; Department of Pediatric Orthopedics, McGill University, Montreal, QC, Canada., Pagé MG; Department of Anesthesiology and Pain Medicine, Université de Montréal, Montreal, QC, Canada.; Centre de Recherche Du Centre Hospitalier de L'Université de Montréal, Montreal, QC, Canada., Ferland CE; Department of Experimental Surgery, McGill University, Montreal, QC, Canada.; Shriners Hospitals for Children-Canada, Montreal, QC, Canada.; Department of Anesthesia, McGill University, Montreal, QC, Canada.; Research Institute-McGill University Health Centre, Montreal, QC, Canada.
المصدر: Pain research & management [Pain Res Manag] 2020 Feb 24; Vol. 2020, pp. 9874739. Date of Electronic Publication: 2020 Feb 24 (Print Publication: 2020).
نوع المنشور: Journal Article; Research Support, Non-U.S. Gov't
اللغة: English
بيانات الدورية: Publisher: Hindawi Publishing Corporation Country of Publication: United States NLM ID: 9612504 Publication Model: eCollection Cited Medium: Internet ISSN: 1918-1523 (Electronic) Linking ISSN: 12036765 NLM ISO Abbreviation: Pain Res Manag Subsets: MEDLINE
أسماء مطبوعة: Publication: <2015- > : New York, NY : Hindawi Publishing Corporation
Original Publication: Oakville, Ont. : Pulsus Group, 1996-
مواضيع طبية MeSH: Pain, Postoperative*/epidemiology, Scoliosis/*complications , Scoliosis/*surgery , Spinal Fusion/*adverse effects, Acute Pain/epidemiology ; Acute Pain/etiology ; Adolescent ; Back Pain/epidemiology ; Back Pain/etiology ; Child ; Chronic Pain/epidemiology ; Female ; Humans ; Male ; Pain Measurement ; Self Report
مستخلص: Objectives: Acute pain trajectories are associated with long-term outcomes such as persistent pain and functional disability in adults. However, there are limited data on acute postoperative pain trajectories in the pediatric population. The aims of this study were to investigate acute postoperative pain trajectories, their predictors, and their impact on long- term outcomes in adolescents with idiopathic scoliosis.
Methods: We evaluated the preoperative pain intensity, use of analgesics, psychosocial measures and physical functioning of adolescents scheduled to undergo spinal fusion, and their average 6-hour self-reported pain intensity scores for their entire hospital stay. Six months after surgery, baseline variables were reassessed. We used growth mixture modeling to conduct acute postoperative pain trajectory analysis and to identify predictors of pain trajectories. Generalized linear models were conducted to determine whether acute pain trajectories predict long-term outcomes.
Results: One hundred and six patients were included in the best-fitted acute pain trajectory model that included four classes that differed in initial pain intensity and rates of change over time. Preoperative pain catastrophizer status and use of analgesics significantly predicted pain trajectory membership. Furthermore, at the 6-month follow-up, patients experiencing moderate-to-severe pain in the acute postoperative period were more likely to report higher levels of pain severity, use pain medication, and miss a greater number of school/work days due to back pain in the last three months. Discussion . Preoperative assessment and analyzing the progression of pain in the acute postoperative period can help identify those at risk of negative long-term outcomes after surgery.
Competing Interests: The authors declare no conflicts of interest.
(Copyright © 2020 Don Daniel Ocay et al.)
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تواريخ الأحداث: Date Created: 20200319 Date Completed: 20200831 Latest Revision: 20200831
رمز التحديث: 20231215
مُعرف محوري في PubMed: PMC7060857
DOI: 10.1155/2020/9874739
PMID: 32184913
قاعدة البيانات: MEDLINE
الوصف
تدمد:1918-1523
DOI:10.1155/2020/9874739