Évaluation de l’incidence des douleurs chroniques et des séquelles fonctionnelles respiratoires à 3 et 12 mois d’un traumatisme thoracique : étude prospective monocentrique

Abstract : Act Background: the main objective of this prospective study was to assess the incidence of chronic pain and long-term respiratory disability in a single-center cohort of severe blunt chest trauma patients. Methods: over a 10-month period, all consecutive blunt chest trauma patients admitted in Intensive Care Unit (ICU) were screened to participate in a 3-month and 12-month follow-up. The following variables were prospectively assessed: persistence of chronic chest pain requiring regular used of analgesics, neuropathic pain, respiratory disability, physical and mental health status. Univariate and multivariate analysis were conducted to assess variables associated with chronic chest pain, neuropathic chest pain and respiratory disability. Results: during the study period, 65 patients were included in the study. Chronic chest pain and respiratory disability were reported in 62% and 57% of patients respectively at 3 months postinjury. Neuropathic pain was reported in 22% of patients, associated with higher impairment of quality of life. A modification of analgesic treatment (p = 0.05) and a specialized consult for chronic pain (p = 0.02) were associated with a resolution of chest pain at 12 months postinjury. The thoracic trauma severity score (p = 0.002) and the VAS pain score at ICU discharge (0.006) were significantly associated with the occurrence of neuropathic pain. Conclusion: according to the current study, chronic pain and long-term respiratory disability are very common after severe blunt chest trauma patients. A specific follow-up can detect long-term complications and provide a specialized management in order to improve the long-term outcome and quality of life.
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Master Thesis
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Yassine Guemmar. Évaluation de l’incidence des douleurs chroniques et des séquelles fonctionnelles respiratoires à 3 et 12 mois d’un traumatisme thoracique : étude prospective monocentrique. Médecine humaine et pathologie. 2018. ⟨dumas-01978015⟩

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