Douleurs postopératoires de repos après prothèse de hanche ou de genou : intensité, particularités sensorielles et retentissement sur le sommeil - 13/04/11
, J. Rooker b, L. Halliday c, A. Blom a
Corresponding author. Tel.: +0117 323 5906; fax: +0117 323 5936.Benvenuto su EM|consulte, il riferimento dei professionisti della salute.
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Summary |
Introduction |
The management of acute postoperative pain poses a significant challenge in surgical specialities. Despite the prevalence and impact of acute postoperative pain, there is a paucity of published data regarding its occurrence and sensory qualities after joint replacement.
Hypothesis |
That a proportion of patients would experience severe acute postoperative pain at rest after Total Hip Replacement (THR) and Total Knee Replacement (TKR).
Materials and methods |
Pain was assessed preoperatively, and then five times daily for the first three postoperative days in 105 THR and TKR patients. Pain severity was assessed using a pain Visual Analogue Scale and the sensory qualities of pain were assessed using the pain descriptors from the Short-Form McGill Pain Questionnaire.
Results |
Median acute pain scores peaked on the first postoperative day, with 58 % of TKR patients and 47 % of THR patients reporting moderate-severe pain. Preoperative pain was most frequently described as aching, stabbing and sharp, whereas acute postoperative pain was described as aching, heavy and tender. Night pain disturbed between 44–57 % of TKR patients and 21–52 % of THR patients on postoperative nights 1–3.
Discussion |
These findings demonstrate that acute postoperative pain at rest after joint replacement, particularly TKR, is poorly managed, although it does not reach the severity of preoperative pain.
Level of evidence |
Level IV (observational cohort study).
Il testo completo di questo articolo è disponibile in PDF.Keywords : Hip, Knee, Arthroplasty, Pain, Sleep
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 | Cet article peut être consulté in extenso dans la version anglaise de la revue Orthopaedics & Traumatology: Surgery & Research sur Science Direct (sciencedirect.com) en utilisant le DOI ci-dessus. |
Vol 97 - N° 2
P. 136-137 - aprile 2011 Ritorno al numero
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