0
Clinical Investigations: SURGERY |

Pain Location, Distribution, and Intensity After Cardiac Surgery*

Xavier M. Mueller, MD; Francine Tinguely, MD; Hendrick T. Tevaearai, MD; Jean-Pierre Revelly, MD; René Chioléro, MD; Ludwig K. von Segesser, MD
Author and Funding Information

*From the Clinic for Cardiovascular Surgery (Drs. Mueller, Tinguely, Tevaearai, and von Segesser) and the Surgical Intensive Care Unit, (Drs. Revelly and Chioléro), Centre Hospitalier Universitaire Vaudois, Lausanne, Switzerland.

Correspondence to: Xavier M. Mueller, MD, Clinic for Cardiovascular Surgery, Centre Hospitalier Universitaire Vaudois, CH-1011 Lausanne, Switzerland; e-mail: Xavier.Mueller@chuv.hospvd.ch



Chest. 2000;118(2):391-396. doi:10.1378/chest.118.2.391
Text Size: A A A
Published online

Study objectives: To study the location, distribution, and intensity of pain in a sample of adult cardiac surgery patients during their postoperative hospital stay.

Design: In a prospective study, pain location, distribution (number of pain areas per patient), and intensity (0 to 10 numerical rating scale) were documented on the first, second, third, and seventh postoperative day (POD). Patient characteristics (age, sex, size, and body mass index) were analyzed for their impact on pain intensity.

Setting: A university hospital.

Patients: Two hundred consecutive adult patients who underwent median sternotomy for open heart surgery. There were 121 male and 79 female patients, with a mean (± SD) age of 60.9 ± 19.2 years.

Measurement and results: The maximal pain intensity was significantly higher on POD 1 and 2 (3.7 ± 2 and 3.9 ± 1.9, respectively) and lower on POD 3 and 7 (3.2 ± 1.5 and 2.6 ± 1.8, respectively). The pain distribution did not vary significantly throughout the hospital stay, but the location did, with more shoulder pain on POD 7. Only age was found to have an impact on pain intensity, with patients < 60 years having a higher pain intensity than older patients on POD 2 (4.3 ± 2.2 vs 3.6 ± 2.4; p = 0.02).

Conclusions: In this patient population, the pain intensity diminished from POD 3 onward, although its distribution did not vary significantly during the first postoperative week. Moreover, pain location changed with time, with more osteoarticular type pain at the end of the first postoperative week. Among the patients’ characteristics, only younger age had an impact on pain intensity, with a higher value on POD 2.

Figures in this Article

Sign In to Access Full Content

MEMBER & INDIVIDUAL SUBSCRIBER

Want Access?

NEW TO CHEST?

Become a CHEST member and receive a FREE subscription as a benefit of membership.

Individuals can purchase this article on ScienceDirect.

Individuals can purchase a subscription to the journal.

Individuals can purchase a subscription to the journal or buy individual articles.

Learn more about membership or Purchase a Full Subscription.

INSTITUTIONAL ACCESS

Institutional access is now available through ScienceDirect and can be purchased at myelsevier.com.

Sign In to Access Full Content

MEMBER & INDIVIDUAL SUBSCRIBER

Want Access?

NEW TO CHEST?

Become a CHEST member and receive a FREE subscription as a benefit of membership.

Individuals can purchase this article on ScienceDirect.

Individuals can purchase a subscription to the journal.

Individuals can purchase a subscription to the journal or buy individual articles.

Learn more about membership or Purchase a Full Subscription.

INSTITUTIONAL ACCESS

Institutional access is now available through ScienceDirect and can be purchased at myelsevier.com.

Figures

Tables

References

NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).

Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

MEMBER & INDIVIDUAL SUBSCRIBER

Want Access?

NEW TO CHEST?

Become a CHEST member and receive a FREE subscription as a benefit of membership.

Individuals can purchase this article on ScienceDirect.

Individuals can purchase a subscription to the journal.

Individuals can purchase a subscription to the journal or buy individual articles.

Learn more about membership or Purchase a Full Subscription.

INSTITUTIONAL ACCESS

Institutional access is now available through ScienceDirect and can be purchased at myelsevier.com.

Related Content

Customize your page view by dragging & repositioning the boxes below.

Find Similar Articles
CHEST Journal Articles
  • CHEST Journal
    Print ISSN: 0012-3692
    Online ISSN: 1931-3543