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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| Format: | Article |
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Nature Portfolio
2021-01-01
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| Series: | Scientific Reports |
| Online Access: | https://doi.org/10.1038/s41598-021-82273-6 |
| _version_ | 1829465282903539712 |
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| 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 |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-12-13T16:51:37Z |
| format | Article |
| id | doaj.art-544b1d0a6dfa4314b477c1bf0477effb |
| institution | Directory Open Access Journal |
| issn | 2045-2322 |
| language | English |
| last_indexed | 2024-12-13T16:51:37Z |
| publishDate | 2021-01-01 |
| publisher | Nature Portfolio |
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| spelling | doaj.art-544b1d0a6dfa4314b477c1bf0477effb2022-12-21T23:38:00ZengNature PortfolioScientific Reports2045-23222021-01-0111111010.1038/s41598-021-82273-6Prevalence of chronic post-thoracotomy pain in patients with traumatic multiple rib fractures in South Korea: a cross-sectional studyKun Hyung Kim0Chan Kyu Lee1Seon Hee Kim2Youngwoong Kim3Jung Eun Kim4Yu Kyung Shin5Junepill Seok6Hyun Min Cho7Department of Korean Medicine, Pusan National University HospitalDepartment of Trauma Surgery, Pusan National University HospitalDepartment of Trauma Surgery, Pusan National University HospitalTrauma Center, Department of Thoracic and Cardiovascular Surgery, Ulsan University HospitalBiomedical Research Institute, Pusan National University HospitalBiomedical Research Institute, Pusan National University HospitalDepartment of Trauma and Acute care Surgery, Chungbuk National University HospitalDepartment of Trauma Surgery, Cheju Halla HospitalAbstract 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.https://doi.org/10.1038/s41598-021-82273-6 |
| spellingShingle | 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 Scientific Reports |
| title | 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_short | 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 |
| url | https://doi.org/10.1038/s41598-021-82273-6 |
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