Pain in a Swedish spinal cord injury population

被引:56
作者
Budh, CN
Lund, I
Ertzgaard, P
Holtz, A
Hultling, C
Levi, R
Werhagen, L
Lundeberg, T
机构
[1] Karolinska Hosp, Spinalis SCI Unit, S-10401 Stockholm, Sweden
[2] Karolinska Inst, Fac Publ Hlth Sci, Stockholm, Sweden
[3] Karolinska Inst, Dept Physiol & Pharmacol, Stockholm, Sweden
[4] Fac Hlth Sci, Dept Rehabil Med, Linkoping, Sweden
[5] Univ Hosp, Dept Neurosurg, Uppsala, Sweden
[6] Frosunda Ctr, Solna, Sweden
[7] Karolinska Inst, Dept Clin Neurosci, Stockholm, Sweden
[8] Karolinska Inst, Karolinska Hosp, Dept Physiol & Pharmacol, Spinalis SCI Unit, S-10401 Stockholm, Sweden
关键词
D O I
10.1191/0269215503cr664oa
中图分类号
R49 [康复医学];
学科分类号
100215 ;
摘要
Objective: To describe pain and associated variables in a prevalence group of persons with a sustained spinal cord injury (SCI) in the Swedish capital and its surroundings. Setting: Spinalis SCI Unit (outpatient clinic), Stockholm, Sweden. Design: Assessment over a 12-month period in a yearly health control. Subjects: Four hundred and fifty-six SCI patients. Results: Two hundred and ninety-one out of 456 SCI patients (63.7%) suffered from pain, and in 45.7% of these it was classified as being neurogenic. Aching pain was the most used descriptor (38.5%). The onset of pain was commonly within three months (73.5%). In 70.4% of patients pain occurred below the level of the lesion. Most patients identified pain as coming from one (55.0%) or two (28.2%) body regions. Rating of the general pain intensity on a visual analogue scale (VAS) was 46 out of 100 and rating of the worst pain intensity was 78 out of 100. Ninety-four out of 276 patients (32.3%) considered that their quality of life was significantly affected by pain. Conclusion: Pain was most common in patients with incomplete lesions (ASIA impairment grade D) and there was a correlation between pain and higher mean age at injury and between pain and female gender.
引用
收藏
页码:685 / 690
页数:6
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