We assessed whether COVID‐19 is associated with
de novo
pain and
de novo
chronic pain (CP). This controlled cross‐sectional study was based on phone interviews of patients discharged from hospital after COVID‐19 compared to control group composed of individuals hospitalized during the same period due to non‐COVID‐19 causes. Patients were classifyed as having previous CP based on the ICD‐11/IASP criteria,
de novo pain
(i.e., any new type of pain, irrespective of the pain status before hospital stay), and
de novo
CP (i.e. persistent or recurring
de novo
pain, lasting more than 3 months) after COVID‐19. We asssessed pain prevalence and its characteristics, including headache profile, pain location, intensity, interference, and its relationship with fatigue, and persistent anosmia. Forty‐six COVID‐19 and 73 control patients were included. Both groups had similar sociodemographic characteristics and past medical history. Length of in‐hospital‐stay and ICU admission rates were significantly higher among COVID‐19 survivors, while mechanical ventilation requirement was similar between groups. Pre‐hospitalization pain was lower in COVID‐19 compared to control group (10.9% vs. 42.5%; P=0.001). However, COVID‐19 group had a significantly higher prevalence of
de novo
pain (65.2% vs. 11.0%, P=0.001), as well as more
de novo
headache (39.1%) compared to controls (2.7%, p=0.001). New‐onset CP was 19.6% in COVID‐19 patients and 1.4% (P=0.002) in controls. These differences remained significant (p=0.001) even after analyzing exclusively (COVID: n=40; controls: n=34) patients who did not report previous pain before hospital stay. No statistically significant differences were found for mean new‐onset pain intensity and interference with daily activities between both groups. COVID‐19 pain was more frequently located in the head/neck and lower limbs (P<0.05). New‐onset fatigue was more common in COVID‐19 survivors necessitating inpatient hospital care (66.8%) compared to controls (2.5%, p=0.001). COVID‐19 patients who reported anosmia had more new‐onset pain (83.3%) compared to those who did not (48.0%, P=0.024). COVID‐19 was associated with a significantly higher prevalence of
de novo
CP, chronic daily headache, and new‐onset pain in general, which was associated with persistent anosmia.
ResumoDescrição passo a passo de técnica de derivação ventriculoatrial utilizando punção cervical percutânea por técnica de Seldinger. O objetivo é demonstrar e difundir entre os neurocirurgiões brasileiros uma forma alternativa segura, rápida e eficaz de introdução e instalação de cateter venoso até o átrio direito, sem necessidade de dissecção venosa convencional. São vantagens a redução do tempo cirúrgico e o melhor resultado cosmético, sem aumento significativo do custo.
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