Kahloul Mohamed, Kacem Imene, Sboui Mohamed Mehdi, El Maalel Olfa, Daami Hana, Hafsia Meriam, Limam Manel, Aissa Sana, Ben Kbaier Imene, Mrizak Nejib, Chaouch Ajmi, Naija Walid
Department of Anesthesia and Intensive Care, Sahloul Teaching Hospital, Sousse, Tunisia.
Université de Sousse, Faculty of Medicine "Ibn El Jazzar", Sousse, Tunisia.
Pain Res Manag. 2020 Jan 28;2020:1030463. doi: 10.1155/2020/1030463. eCollection 2020.
Chronic pain (CP) is a real public health concern. It is a common cause of poor quality of life and workplace absenteeism. It is well studied in many medical and surgical fields. However, only few data are available as regards to its occurrence in trauma patients.
To assess the prevalence, associated factors, and psychosocial impact of CP following chest trauma.
This is an observational, descriptive, and analytic cross-sectional study performed in a Tunisian department of anesthesia and intensive care over a two-month period. Adult patients admitted one year ago for isolated chest trauma were enrolled. Data were collected by a phone interview. Studied variables were sociodemographic characteristics, traumatic injuries and their management, the occurrence of CP, and its psychosocial impact. CP was diagnosed by the Brief Pain Inventory (BPI) considering an evolution period of at least 3 months. Its impact was assessed by the BPI and the Posttraumatic stress disorder Checklist Scale (PCLS).
Fifty-four patients were included in the study. The prevalence of CP was 79.6%. The average CP intensity was 3.18 ± 1.4. It was neuropathic in 90.7%. Its main associated factors were pleural effusion (=0.016), time to ICU admission (=0.016), time to ICU admission (=0.016), time to ICU admission (=0.016), time to ICU admission (.
CP following chest trauma is frequent and severe requiring preventive measures such as high risk patients screening, better management of acute pain, and a multidisciplinary approach for patients with diagnosed CP.
慢性疼痛（CP）是一个切实的公共卫生问题。它是生活质量低下和工作场所缺勤的常见原因。在许多医学和外科领域都对其进行了充分研究。然而，关于其在创伤患者中的发生情况，仅有少量数据。
评估胸部创伤后慢性疼痛的患病率、相关因素及社会心理影响。
这是一项在突尼斯麻醉与重症监护科进行的为期两个月的观察性、描述性和分析性横断面研究。纳入一年前因单纯胸部创伤入院的成年患者。通过电话访谈收集数据。研究变量包括社会人口学特征、创伤性损伤及其处理、慢性疼痛的发生情况及其社会心理影响。慢性疼痛通过简明疼痛量表（BPI）诊断，考虑至少3个月的演变期。其影响通过BPI和创伤后应激障碍检查表量表（PCLS）进行评估。
54例患者纳入研究。慢性疼痛的患病率为79.6%。慢性疼痛平均强度为3.18±1.
