Prevalence of chronic post-thoracotomy pain in patients with traumatic multiple rib fractures in South Korea: a cross-sectional study
Abstract Chronic post-thoracotomy pain is a debilitating condition after traumatic multiple rib fractures and surgery. We aimed to estimate the prevalence of chronic post-thoracotomy pain after traumatic multiple rib fractures in South Korea and explore factors associated with it. From October 2017...
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2021
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oai:doaj.org-article:544b1d0a6dfa4314b477c1bf0477effb2021-12-02T14:16:07ZPrevalence of chronic post-thoracotomy pain in patients with traumatic multiple rib fractures in South Korea: a cross-sectional study10.1038/s41598-021-82273-62045-2322https://doaj.org/article/544b1d0a6dfa4314b477c1bf0477effb2021-01-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-82273-6https://doaj.org/toc/2045-2322Abstract Chronic post-thoracotomy pain is a debilitating condition after traumatic multiple rib fractures and surgery. We aimed to estimate the prevalence of chronic post-thoracotomy pain after traumatic multiple rib fractures in South Korea and explore factors associated with it. From October 2017 to June 2019, a cross-sectional survey of 100 adults, who had undergone thoracotomy due to traumatic fractures of two or more ribs 2 years to 3 months prior to the survey, was conducted in the regional trauma center in South Korea. In total, 80% and 65% patients reported any level and above moderate chronic pain, respectively. Quality of life was mostly below the normative value of the US general population. Forty-six percent patients had restrictive respiratory dysfunction, and 47% and 59% patients were classified as being at risk of above mild-level anxiety and depression, respectively. More than 70% of patients had a current opioid prescription. Multivariable logistic regression analysis showed weak evidence of association between acute, severe postoperative pain and chronic postsurgical pain (adjusted odds ratio 2.4, 95% confidence intervals 0.9 to 6.4). Collectively, chronic post-thoracotomy pain and associated incomplete recovery regarding respiratory, functional, and psychological outcomes were prevalent in patients with traumatic multiple rib fractures in South Korea.Kun Hyung KimChan Kyu LeeSeon Hee KimYoungwoong KimJung Eun KimYu Kyung ShinJunepill SeokHyun Min ChoNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-10 (2021) |
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Medicine R Science Q Kun Hyung Kim Chan Kyu Lee Seon Hee Kim Youngwoong Kim Jung Eun Kim Yu Kyung Shin Junepill Seok Hyun Min Cho Prevalence of chronic post-thoracotomy pain in patients with traumatic multiple rib fractures in South Korea: a cross-sectional study |
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Abstract Chronic post-thoracotomy pain is a debilitating condition after traumatic multiple rib fractures and surgery. We aimed to estimate the prevalence of chronic post-thoracotomy pain after traumatic multiple rib fractures in South Korea and explore factors associated with it. From October 2017 to June 2019, a cross-sectional survey of 100 adults, who had undergone thoracotomy due to traumatic fractures of two or more ribs 2 years to 3 months prior to the survey, was conducted in the regional trauma center in South Korea. In total, 80% and 65% patients reported any level and above moderate chronic pain, respectively. Quality of life was mostly below the normative value of the US general population. Forty-six percent patients had restrictive respiratory dysfunction, and 47% and 59% patients were classified as being at risk of above mild-level anxiety and depression, respectively. More than 70% of patients had a current opioid prescription. Multivariable logistic regression analysis showed weak evidence of association between acute, severe postoperative pain and chronic postsurgical pain (adjusted odds ratio 2.4, 95% confidence intervals 0.9 to 6.4). Collectively, chronic post-thoracotomy pain and associated incomplete recovery regarding respiratory, functional, and psychological outcomes were prevalent in patients with traumatic multiple rib fractures in South Korea. |
format |
article |
author |
Kun Hyung Kim Chan Kyu Lee Seon Hee Kim Youngwoong Kim Jung Eun Kim Yu Kyung Shin Junepill Seok Hyun Min Cho |
author_facet |
Kun Hyung Kim Chan Kyu Lee Seon Hee Kim Youngwoong Kim Jung Eun Kim Yu Kyung Shin Junepill Seok Hyun Min Cho |
author_sort |
Kun Hyung Kim |
title |
Prevalence of chronic post-thoracotomy pain in patients with traumatic multiple rib fractures in South Korea: a cross-sectional study |
title_short |
Prevalence of chronic post-thoracotomy pain in patients with traumatic multiple rib fractures in South Korea: a cross-sectional study |
title_full |
Prevalence of chronic post-thoracotomy pain in patients with traumatic multiple rib fractures in South Korea: a cross-sectional study |
title_fullStr |
Prevalence of chronic post-thoracotomy pain in patients with traumatic multiple rib fractures in South Korea: a cross-sectional study |
title_full_unstemmed |
Prevalence of chronic post-thoracotomy pain in patients with traumatic multiple rib fractures in South Korea: a cross-sectional study |
title_sort |
prevalence of chronic post-thoracotomy pain in patients with traumatic multiple rib fractures in south korea: a cross-sectional study |
publisher |
Nature Portfolio |
publishDate |
2021 |
url |
https://doaj.org/article/544b1d0a6dfa4314b477c1bf0477effb |
work_keys_str_mv |
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