Abstract
Background Chronic pain (CP) is a real public health concern. It is a common cause of poor quality of life and workplace absenteeism. It is well studied in many medical and surgical fields. However, only few data are available as regards to its occurrence in trauma patients. Purpose To assess the prevalence, associated factors, and psychosocial impact of CP following chest trauma. Methods This is an observational, descriptive, and analytic cross-sectional study performed in a Tunisian department of anesthesia and intensive care over a two-month period. Adult patients admitted one year ago for isolated chest trauma were enrolled. Data were collected by a phone interview. Studied variables were sociodemographic characteristics, traumatic injuries and their management, the occurrence of CP, and its psychosocial impact. CP was diagnosed by the Brief Pain Inventory (BPI) considering an evolution period of at least 3 months. Its impact was assessed by the BPI and the Posttraumatic stress disorder Checklist Scale (PCLS). Results Fifty-four patients were included in the study. The prevalence of CP was 79.6%. The average CP intensity was 3.18 ± 1.4. It was neuropathic in 90.7%. Its main associated factors were pleural effusion (p=0.016), time to ICU admission (p=0.016), time to ICU admission (p=0.016), time to ICU admission (p=0.016), time to ICU admission (Conclusion CP following chest trauma is frequent and severe requiring preventive measures such as high risk patients screening, better management of acute pain, and a multidisciplinary approach for patients with diagnosed CP.
Highlights
IntroductionChronic pain is defined as “pain that persists or recurs for more than 3 months” [1]
Chronic pain is defined as “pain that persists or recurs for more than 3 months” [1]. It is a real public health problem because of its high prevalence and its significant socioeconomic impact. It is a common cause of human suffering, poor quality of life, and workplace absenteeism [2, 3]
Systemic analgesia was prescribed for all patients
Summary
Chronic pain is defined as “pain that persists or recurs for more than 3 months” [1] It is a real public health problem because of its high prevalence and its significant socioeconomic impact. It is a common cause of human suffering, poor quality of life, and workplace absenteeism [2, 3]. Is painful experience is well recognized in many medical fields It is still an emerging problem in surgical and trauma contexts despite its effects on postoperative satisfaction and injured patients prognosis [4,5,6,7]. CP following chest trauma is frequent and severe requiring preventive measures such as high risk patients screening, better management of acute pain, and a multidisciplinary approach for patients with diagnosed CP
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