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Incidence and factors associated with post-sternotomy pain syndrome in the National Heart Institute, Malaysia

Objective: To determine the incidence of poststernotomy pain syndrome (PSPS) after open cardiac surgery in 2021. To determine characteristics and assess the severity of symptoms in patients diagnosed with PSPS. To identify factors that can be associated with patients who were positive for PSPS....

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Main Authors: Sudin, Arif, Chong, Collins, Hassan, Rozaini
Format: Article
Published: Elsevier 2024
Online Access:http://psasir.upm.edu.my/id/eprint/109258/
https://linkinghub.elsevier.com/retrieve/pii/S1053077023009217
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spelling my.upm.eprints.1092582024-08-22T01:45:34Z http://psasir.upm.edu.my/id/eprint/109258/ Incidence and factors associated with post-sternotomy pain syndrome in the National Heart Institute, Malaysia Sudin, Arif Chong, Collins Hassan, Rozaini Objective: To determine the incidence of poststernotomy pain syndrome (PSPS) after open cardiac surgery in 2021. To determine characteristics and assess the severity of symptoms in patients diagnosed with PSPS. To identify factors that can be associated with patients who were positive for PSPS. Design and Methodology: This study used a retrospective observational approach. Logistic regression analysis was employed to identify factors associated with the positive group. Setting: This study included all adult patients who underwent open cardiac surgery at the National Heart Institute, Malaysia, in 2021. Participants: A total of 1,395 patients were enrolled. Interventions: The study involved conducting phone interviews to assess the presence of PSPS, followed by administering the Brief Pain Inventory questionnaire in the positive group to identify characteristics and severity of chronic pain. Measurements and Main Results: The incidence of PSPS after open cardiac surgery in 2021 was 20.35%. A total of 17.7% of patients reported that pain affected their daily activities, sleep, or emotions. Univariate analysis identified factors associated with PSPS, including age <60 years old, body mass index >30 kg/m2, history of previous percutaneous coronary intervention, ejection fraction <50%, the absence of chronic kidney disease (CKD), and internal mammary artery harvesting (p < 0.05). Multivariate analysis revealed that 4 independent factors were associated with PSPS: age <60 years old, history of previous percutaneous coronary intervention, ejection fraction <50%, and the absence of CKD (as compared with CKD) (p < 0.05). Conclusions: Poststernotomy pain syndrome is a complex issue affected by various factors. Although the pain score may not be as severe as previously believed, it remains crucial to recognize PSPS because a significant proportion of patients are affected. Elsevier 2024-02 Article PeerReviewed Sudin, Arif and Chong, Collins and Hassan, Rozaini (2024) Incidence and factors associated with post-sternotomy pain syndrome in the National Heart Institute, Malaysia. Journal of Cardiothoracic and Vascular Anesthesia, 38 (2). pp. 466-474. ISSN 1053-0770; ESSN: 1532-8422 https://linkinghub.elsevier.com/retrieve/pii/S1053077023009217 10.1053/j.jvca.2023.11.014
institution Universiti Putra Malaysia
building UPM Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider Universiti Putra Malaysia
content_source UPM Institutional Repository
url_provider http://psasir.upm.edu.my/
description Objective: To determine the incidence of poststernotomy pain syndrome (PSPS) after open cardiac surgery in 2021. To determine characteristics and assess the severity of symptoms in patients diagnosed with PSPS. To identify factors that can be associated with patients who were positive for PSPS. Design and Methodology: This study used a retrospective observational approach. Logistic regression analysis was employed to identify factors associated with the positive group. Setting: This study included all adult patients who underwent open cardiac surgery at the National Heart Institute, Malaysia, in 2021. Participants: A total of 1,395 patients were enrolled. Interventions: The study involved conducting phone interviews to assess the presence of PSPS, followed by administering the Brief Pain Inventory questionnaire in the positive group to identify characteristics and severity of chronic pain. Measurements and Main Results: The incidence of PSPS after open cardiac surgery in 2021 was 20.35%. A total of 17.7% of patients reported that pain affected their daily activities, sleep, or emotions. Univariate analysis identified factors associated with PSPS, including age <60 years old, body mass index >30 kg/m2, history of previous percutaneous coronary intervention, ejection fraction <50%, the absence of chronic kidney disease (CKD), and internal mammary artery harvesting (p < 0.05). Multivariate analysis revealed that 4 independent factors were associated with PSPS: age <60 years old, history of previous percutaneous coronary intervention, ejection fraction <50%, and the absence of CKD (as compared with CKD) (p < 0.05). Conclusions: Poststernotomy pain syndrome is a complex issue affected by various factors. Although the pain score may not be as severe as previously believed, it remains crucial to recognize PSPS because a significant proportion of patients are affected.
format Article
author Sudin, Arif
Chong, Collins
Hassan, Rozaini
spellingShingle Sudin, Arif
Chong, Collins
Hassan, Rozaini
Incidence and factors associated with post-sternotomy pain syndrome in the National Heart Institute, Malaysia
author_facet Sudin, Arif
Chong, Collins
Hassan, Rozaini
author_sort Sudin, Arif
title Incidence and factors associated with post-sternotomy pain syndrome in the National Heart Institute, Malaysia
title_short Incidence and factors associated with post-sternotomy pain syndrome in the National Heart Institute, Malaysia
title_full Incidence and factors associated with post-sternotomy pain syndrome in the National Heart Institute, Malaysia
title_fullStr Incidence and factors associated with post-sternotomy pain syndrome in the National Heart Institute, Malaysia
title_full_unstemmed Incidence and factors associated with post-sternotomy pain syndrome in the National Heart Institute, Malaysia
title_sort incidence and factors associated with post-sternotomy pain syndrome in the national heart institute, malaysia
publisher Elsevier
publishDate 2024
url http://psasir.upm.edu.my/id/eprint/109258/
https://linkinghub.elsevier.com/retrieve/pii/S1053077023009217
_version_ 1809142981386567680
score 13.211869

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