Objective To explore the incidence and influencing factors of subacute and chronic pain in patients returning to the ICU after surgery,provide diagnostic and therapeutic insights for the evaluation and man-agement of such patients,and improve the prognosis of this population.Methods Patients who underwent surgi-cal treatment and returned to the ICU from November 29,2021 to December 31,2021 at Peking Union Medical College Hospital were prospectively recruited.Subacute and chronic pain incidence and characteristics were as-sessed by telephone at 1 and 3 months after surgery and the influencing factors were further explored.Results A total of 117 patients were enrolled,with an average age of 60.9±16.0 years.The incidence of subacute postop-erative pain in patients returning to the ICU after surgery was 45.7％(53/116),and the incidence of chronic postoperative pain in patients returning to the ICU after surgery was 32.7％(36/110).The mean NRS for moderate to severe subacute pain and chronic pain after surgery were(4.9±1.2)and(5.2±1.1),respectively.Multivariable logistic regression analysis showed that coronary artery disease(OR=5.263,95％CI:1.436-19.292)was risk fac-tor for chronic postoperative pain in patients returning to the ICU after surgery.Conclusions Patients returning to the ICU after surgery have a high incidence of postoperative subacute and chronic pain.Coronary artery disease was the risk factor for chronic pain.Perioperative multimodal pain management can be used to improve the pain experi-ence of patients during ICU hospitalization and the short-term and long-term prognosis of patients.
关键词
术后返回ICU患者/术后亚急性疼痛/慢性术后疼痛/人群特征/流行病学/影响因素
Key words
patients returning to ICU after surgery/subacute postoperative pain/chronic postoperative pain/characteristics of the population/epidemiological/influencing factors
维普
万方数据