Prevalence and associated predictors for patients developing chronic neuropathic pain following burns

Kevin M Klifto; A Lee Dellon; C Scott Hultman

doi:10.1093/burnst/tkaa011

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Prevalence and associated predictors for patients developing chronic neuropathic pain following burns

更新时间：2022-06-09

- Prevalence and associated predictors for patients developing chronic neuropathic pain following burns
- Prevalence and associated predictors for patients developing chronic neuropathic pain following burns
- Burns & Trauma 2020年8卷第1期
- 作者机构：
  
  1. Department of Plastic and Reconstructive Surgery
  2. Department of Neurosurgery
- 作者简介：
- 基金信息：
- DOI：10.1093/burnst/tkaa011
  中图分类号：
- 纸质出版日期：2020，
  
  网络出版日期：2020-5-1，
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Kevin M Klifto, A Lee Dellon, C Scott Hultman. Prevalence and associated predictors for patients developing chronic neuropathic pain following burns[J]. Burns & Trauma, 2020,8(1).

Kevin M Klifto, A Lee Dellon, C Scott Hultman, Prevalence and associated predictors for patients developing chronic neuropathic pain following burns, Burns & Trauma, Volume 8, 2020, tkaa011, https://doi.org/10.1093/burnst/tkaa011
Kevin M Klifto, A Lee Dellon, C Scott Hultman. Prevalence and associated predictors for patients developing chronic neuropathic pain following burns[J]. Burns & Trauma, 2020,8(1). DOI： 10.1093/burnst/tkaa011.

Kevin M Klifto, A Lee Dellon, C Scott Hultman, Prevalence and associated predictors for patients developing chronic neuropathic pain following burns, Burns & Trauma, Volume 8, 2020, tkaa011, https://doi.org/10.1093/burnst/tkaa011 DOI：

摘要

Abstract

BackgroundChronic pain

unrelated to the burn itself

can manifest as a long-term complication in patients sustaining burn injuries. The purpose of this study was to determine the prevalence of chronic neuropathic pain (CNP) and compare burn characteristics between patients who developed CNP and patients without CNP who were treated at a burn center.MethodsA single-center

retrospective analysis of 1880 patients admitted to the adult burn center was performed from 1 January 2014 to 1 January 2019. Patients included were over the age of 15 years

sustained a burn injury and were admitted to the burn center. CNP was diagnosed clinically following burn injury. Patients were excluded from the definition of CNP if their pain was due to an underlying illness or medication. Comparisons between patients admitted to the burn center with no pain and patients admitted to the burn center who developed CNP were performed.ResultsOne hundred and thirteen of the 1880 burn patients developed CNP as a direct result of burn injury over 5 years with a prevalence of 6.01%. Patients who developed CNP were a significantly older median age (54 years vs. 46 years

p = 0.002)

abused alcohol (29% vs. 8%

p < 0.001)

abused substances (31% vs. 9%

p < 0.001)

were current daily smokers (73% vs. 33%

p < 0.001)

suffered more full-thickness burns (58% vs. 43%

p < 0.001)

greater median percent of total body surface area (%TBSA) burns (6 vs. 3.5

p < 0.001)

were more often intubated on mechanical ventilation (33% vs. 14%

p < 0.001)

greater median number of surgeries (2 vs. 0

p < 0.001) and longer median hospital length of stay (LOS) (10 days vs. 3 days

p < 0.001)

compared to those who did not develop CNP

respectively. Median patient follow-up was 27 months.ConclusionsThe prevalence of CNP over 5 years was 6.01% in the burn center. Older ages

alcohol abuse

substance abuse

current daily smoking

greater percent of total body surface area (%TBSA) burns

third degree burns

being intubated on mechanical ventilation

having more surgeries and longer hospital LOS were associated with developing CNP following burn injury

compared to patients who did not develop CNP following burn injury.

关键词

Keywords

AlcoholBurnsChronic painLength of stayNerveNeuralgiaPrevalenceSmokingSubstanceSurgery

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