Cristin-resultat-ID: 1839851
Sist endret: 1. desember 2020, 13:36
NVI-rapporteringsår: 2020
Resultat
Vitenskapelig artikkel
2020

High levels of preoperative pain and fatigue are red flags for moderate‐severe pain 12 months after total knee arthroplasty—A longitudinal cohort study

Bidragsytere:
  • Mestawet Getachew Enbakom
  • Anners Lerdal
  • Milada Cvancarova Småstuen
  • Caryl Gay
  • Arild Aamodt
  • Million Tesfaye
  • mfl.

Tidsskrift

Musculoskeletal Care
ISSN 1478-2189
e-ISSN 1557-0681
NVI-nivå 1

Om resultatet

Vitenskapelig artikkel
Publiseringsår: 2020
Publisert online: 2020
Sider: 1 - 7
Open Access

Importkilder

Scopus-ID: 2-s2.0-85092923155

Klassifisering

Vitenskapsdisipliner

Ortopedisk kirurgi • Helsefag

Emneord

Smerte • Kneprotese • Fatigue • Forebyggende risikokartlegging

HRCS

  • Helsekategori: 12 - Muskulatur og skjelett
    Aktivitet: 6 - Evaluering av behandlinger og terapeutiske intervensjoner

Beskrivelse Beskrivelse

Tittel

High levels of preoperative pain and fatigue are red flags for moderate‐severe pain 12 months after total knee arthroplasty—A longitudinal cohort study

Sammendrag

Background: Moderate/severe pain after total knee arthroplasty (TKA) is a poor surgical outcome. Many studies have identified preoperative risk factors of painafter TKA, but studies of the joint contributions of co-occurring symptoms arelacking. Methods: Patients undergoing primary TKA (n=202) were enrolled in a longitu-dinal cohort study. Preoperatively, patients completed questionnaires measuring demographics and symptoms (pain, fatigue, sleep problems and depression). Painwas re-assessed 12 months after TKA. Logistic regression analysis was used to compute the probabilities of moderate-severe pain at 12 months based on preoperative symptom levels, and results were combined into a risk matrix. Results: More than one-third (40%) of patients (n=187) reported moderate-severepain after TKA. Among preoperative risk factors included in the logistic regressionanalyses were age, sex, pain, fatigue, sleep problems and depression. Adjusting forpossible confounders, fatigue (p=0.02) and pain (p=0.01) were significant riskfactors for moderate-severe pain at 12-months follow-up and were retained in the final risk matrix. The co-occurrence of high-preoperative fatigue and pain scores resulted in 57% estimated probability of moderate-severe pain at 12 months.Similarly, the co-occurrence of low-preoperative fatigue and pain scores resulted in14% estimated probability of moderate-severe pain 12 months after TKA. Conclusion: The combination of high fatigue and pain scores prior to surgery was akey risk factor for moderate-severe pain 12 months after TKA. Mapping of these factors could be used preoperatively to identify patients who are at risk to expe-rience a poor outcome of TKA.

Bidragsytere

Mestawet Getachew Enbakom

  • Tilknyttet:
    Forfatter
    ved Jimma University
  • Tilknyttet:
    Forfatter
    ved Avdeling for folkehelsevitenskap ved Universitetet i Oslo

Anners Lerdal

  • Tilknyttet:
    Forfatter
    ved Avdeling for tverrfaglig helsevitenskap ved Universitetet i Oslo
  • Tilknyttet:
    Forfatter
    ved Forskningsavdelingen ved Lovisenberg Diakonale Sykehus

Milada Cvancarova Småstuen

  • Tilknyttet:
    Forfatter
    ved Lovisenberg Diakonale Sykehus
  • Tilknyttet:
    Forfatter
    ved Institutt for sykepleie og helsefremmende arbeid ved OsloMet - storbyuniversitetet

Caryl Gay

  • Tilknyttet:
    Forfatter
    ved University of California, San Francisco
  • Tilknyttet:
    Forfatter
    ved Administrasjonen ved Lovisenberg Diakonale Sykehus
Aktiv cristin-person

Arild Aamodt

  • Tilknyttet:
    Forfatter
    ved Ortopedi ved Lovisenberg Diakonale Sykehus
1 - 5 av 7 | Neste | Siste »