Prevalence and Time Course of Post-Stroke Pain: A Multicenter Prospective Hospital-Based Study
Details
Serval ID
serval:BIB_F9734E7499D3
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Prevalence and Time Course of Post-Stroke Pain: A Multicenter Prospective Hospital-Based Study
Journal
Pain Medicine
ISSN
1526-2375
Publication state
Published
Issued date
05/2016
Volume
17
Number
5
Pages
924-930
Language
english
Notes
Dm8zw
Times Cited:45
Cited References Count:27
Times Cited:45
Cited References Count:27
Abstract
Objective. Pain prevalence data for patients at various stages after stroke.
Design. Repeated cross-sectional, observational epidemiological study.
Setting. Hospital-based multicenter study.
Subjects. Four hundred forty-three prospectively enrolled stroke survivors.
Methods. All patients underwent bedside clinical examination. The different types of post-stroke pain (central post-stroke pain, musculoskeletal pains, shoulder pain, spasticity-related pain, and headache) were diagnosed with widely accepted criteria during the acute, subacute, and chronic stroke stages. Differences among the three stages were analyzed with chi(2)-tests.
Results. The mean overall prevalence of pain was 29.56% (14.06% in the acute, 42.73% in the subacute, and 31.90% in the chronic post-stroke stage). Time course differed significantly according to the various pain types (P < 0.001). The prevalence of musculoskeletal and shoulder pain was higher in the subacute and chronic than in the acute stages after stroke; the prevalence of spasticity-related pain peaked in the chronic stage. Conversely, headache manifested in the acute post-stroke stage. The prevalence of central post-stroke pain was higher in the subacute and chronic than in the acute post-stroke stage. Fewer than 25% of the patients with central post-stroke pain received drug treatment.
Conclusions. Pain after stroke is more frequent in the subacute and chronic phase than in the acute phase, but it is still largely undertreated.
Design. Repeated cross-sectional, observational epidemiological study.
Setting. Hospital-based multicenter study.
Subjects. Four hundred forty-three prospectively enrolled stroke survivors.
Methods. All patients underwent bedside clinical examination. The different types of post-stroke pain (central post-stroke pain, musculoskeletal pains, shoulder pain, spasticity-related pain, and headache) were diagnosed with widely accepted criteria during the acute, subacute, and chronic stroke stages. Differences among the three stages were analyzed with chi(2)-tests.
Results. The mean overall prevalence of pain was 29.56% (14.06% in the acute, 42.73% in the subacute, and 31.90% in the chronic post-stroke stage). Time course differed significantly according to the various pain types (P < 0.001). The prevalence of musculoskeletal and shoulder pain was higher in the subacute and chronic than in the acute stages after stroke; the prevalence of spasticity-related pain peaked in the chronic stage. Conversely, headache manifested in the acute post-stroke stage. The prevalence of central post-stroke pain was higher in the subacute and chronic than in the acute post-stroke stage. Fewer than 25% of the patients with central post-stroke pain received drug treatment.
Conclusions. Pain after stroke is more frequent in the subacute and chronic phase than in the acute phase, but it is still largely undertreated.
Keywords
stroke, central post-stroke pain, hemiplegic shoulder pain, spasticity, neuropathic pain, shoulder pain, clinical characteristics, grading system, stroke, headache, onset, pathophysiology, validation
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Create date
20/06/2021 17:24
Last modification date
15/09/2021 6:42
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