Prevalence of chronic pain and its risk factors until one year after intensive care unit discharge. A single-center prospective observational study

IF 4.9 2区医学 Q1 NURSING

Intensive and Critical Care Nursing Pub Date : 2025-02-13 DOI:10.1016/j.iccn.2025.103969

Baptiste Mottet, Cléor Cayla, Tiphaine Bernard, Maxime Léger, Maëva Campfort, Sigismond Lasocki

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引用次数: 0

Abstract

Purpose

To investigate the prevalence and risk factors for long-term pain following an ICU stay.

Materials and methods

This prospective, single-center study included patients who stayed in the ICU for ≥3 days and could complete a questionnaire. The primary aim was to assess chronic pain incidence at 3 months and up to 1 year post-discharge and identify associated risk factors. Follow-up involved 3 phone interviews at 3, 6, and 12 months, utilizing the Brief Pain Inventory (BPI) and the Patient Health Questionnaire-2 (PHQ-2).

Results

Among the 150 included patients (mean age 66 ± 17 years; 66 % male; median SAPS II 39), 71(47 %) reported pain at discharge. At 3 months, 39 % of 114 respondents had pain, and 35 % of 103 patients at one year. Significant factors for pain at 3 months included urgent surgical admission (p = 0.029), axial-skeleton bone fractures (p = 0.035), days with significant pain in ICU (p = 0.004), and opioid exposure (p = 0.014 for duration, p = 0.038 for dose). Axial skeleton fractures were independently associated with pain at 1 year (OR 5.18, p = 0.023).

Conclusions

Around one-third of ICU patients experience pain one year post-discharge, with axial-skeleton bone fractures being a significant risk factor for chronic pain.

Implications for clinical practice

Management of pain and optimal opioids dose during ICU stay are crucial to limit chronic pain after ICU discharge. Special attention should be given to patients with axial-skeleton fracture.

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来源期刊

Intensive and Critical Care Nursing NURSING-

CiteScore

6.30

自引率

15.10%

发文量

144

审稿时长

57 days

期刊介绍： The aims of Intensive and Critical Care Nursing are to promote excellence of care of critically ill patients by specialist nurses and their professional colleagues; to provide an international and interdisciplinary forum for the publication, dissemination and exchange of research findings, experience and ideas; to develop and enhance the knowledge, skills, attitudes and creative thinking essential to good critical care nursing practice. The journal publishes reviews, updates and feature articles in addition to original papers and significant preliminary communications. Articles may deal with any part of practice including relevant clinical, research, educational, psychological and technological aspects.