Observational studyBrazilian journal of cardiovascular surgery
Factors Associated With the Development of Chronic Post-Sternotomy Pain: a Case-Control Study.
Observational study in Brazilian journal of cardiovascular surgery. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.
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Who cites it
11 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Incidence and risk factors of persistent postoperative pain after cardiac surgery: a systematic review and meta-analysis.BMC anesthesiology · 2026Pooled it
- [Factors Related to Persistent Postoperative Pain after Cardiac Surgery: A Systematic Review and Meta-Analysis].Journal of Korean Academy of Nursing · 2020Pooled it
- Pecto-intercostal fascial plane block with or without rectus sheath block in cardiac surgery: a prospective, randomized, double-blind placebo-controlled study.Regional anesthesia and pain medicine · 2025Article
- Preoperative frailty and chronic pain after cardiac surgery: a prospective observational study.BMC anesthesiology · 2022Observational
- Lung injury after cardiopulmonary bypass: Alternative treatment prospects.World journal of clinical cases · 2022Review
- Chronic pain and infection: mechanisms, causes, conditions, treatments, and controversies.BMJ medicine · 2022Review
- The Effect of Rhythmic Breathing on the Severity of Sternotomy Pain after Coronary Artery Bypass Graft Surgery: A Randomized Controlled Clinical Trial.Evidence-based complementary and alternative medicine : eCAM · 2021Article
- Article
- Post-sternotomy pain syndrome following cardiac surgery: case report.Journal of pain research · 2017Article
- Chronic postsurgical pain after cardiac surgery: A narrative review.Saudi journal of anaesthesiaReview
- Chronic postthoracotomy pain in transapical transcatheter aortic valve replacement.Annals of cardiac anaesthesiaObservational
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveThe aim of the present study was to investigate the factors associated with chronic post-sternotomy pain in heart surgery patients.
methodsBetween January 2013 and February 2014, we evaluated 453 patients with >6 months post-sternotomy for cardiac surgery at a surgical outpatient clinic. The patients were allocated into a group with chronic post-sternotomy pain (n=178) and a control group without pain (n=275). The groups were compared for potential predictors of chronic post-sternotomy pain. We used Cox proportional hazards regression to determine which independent variables were associated with the development of chronic post-sternotomy pain.
resultsIn total, 39.29% of the patients had chronic poststernotomy pain. The following factors were significantly associated with chronic post-sternotomy pain: (a) use of the internal thoracic artery in coronary bypass grafting (P =0.009; HR=1.39; 95% CI, 1.08 to 1.80); (b) a history of antidepressant use (P =0.0001; HR=2.40; 95% CI, 1.74 to 3.32); (c) hypothyroidism (P =0.01; HR=1.27; 95% CI, 1.03 to 1.56); (d) surgical wound complication (P =0.01; HR=1.69; 95% CI, 1.08 to 2.63), and (e) patients on disability benefits or scheduled for a consultative medical examination for retirement (P =0.0002; HR=2.05; 95% CI, 1.40 to 3.02).
conclusionThe factors associated with chronic poststernotomy pain were: use of the internal thoracic artery; use of antidepressants; hypothyroidism; surgical wound complication, and patients on disability benefits or scheduled for a consultative examination.
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