Zhang Qian, Chen Danna, Shen Yuxian, Bian Minjie, Wang Pu, Li Jun
Department of Rehabilitation Medicine, The Seventh Affiliated Hospital, Sun Yat-Sen University, Shenzhen, China.
Department of Urology, The Seventh Affiliated Hospital, Sun Yat-Sen University, Shenzhen, China.
Front Neurol. 2021 Nov 4;12:724281. doi: 10.3389/fneur.2021.724281. eCollection 2021.
Poststroke shoulder pain (PSSP) is a common complication after stroke. This review aimed to provide updated information on the epidemiological characteristics of PSSP, reveal their trends over time and region. We searched the PubMed, Embase, Cochrane Library and Web of Science databases from inception until Dec 31, 2020. Data were extracted from the eligible studies, and their quality was assessed. The pooled incidence and prevalence estimates of PSSP and their 95% confidence intervals (CIs) were calculated. We analyzed the incidence and prevalence of PSSP by different geographical regions and countries and separately calculated the annual incidence and prevalence (and 95% CIs) of PSSP. A total of 21 studies were eligible for the meta-analysis. Eleven cohort studies were included to analyze the incidence of PSSP, and the estimated pooled incidence in 3,496 stroke patients was 0.29 (95% CI 0.21-0.36). Ten cross-sectional studies were included to analyze the prevalence of PSSP, and the pooled prevalence in 3,701 stroke patients was 0.33 (95% CI 0.22-0.43). In addition, we found that there were significant differences in the incidence and prevalence of PSSP between different geographical regions and different countries. Additionally, the incidence of PSSP fluctuated around 30%, and the prevalence had a downward trend over time. Current evidence suggests that the incidence and prevalence of PSSP are high and may be influenced by geographical region and time.
中风后肩痛（PSSP）是中风后的常见并发症。本综述旨在提供有关PSSP流行病学特征的最新信息，揭示其随时间和地区的变化趋势。我们检索了PubMed、Embase、Cochrane图书馆和Web of Science数据库，检索时间从建库至2020年12月31日。从符合条件的研究中提取数据，并对其质量进行评估。计算PSSP的合并发病率和患病率估计值及其95%置信区间（CI）。我们按不同地理区域和国家分析了PSSP的发病率和患病率，并分别计算了PSSP的年发病率和患病率（及95%CI）。共有21项研究符合荟萃分析的条件。纳入11项队列研究分析PSSP的发病率，3496例中风患者的估计合并发病率为0.29（95%CI 0.21 - 0.36）。纳入10项横断面研究分析PSSP的患病率，3701例中风患者的合并患病率为0.33（95%CI 0.22 - 0.43）。此外，我们发现不同地理区域和不同国家之间PSSP的发病率和患病率存在显著差异。此外，PSSP的发病率在30%左右波动，患病率随时间呈下降趋势。目前的证据表明，PSSP的发病率和患病率较高，可能受地理区域和时间的影响。
