The impact of pain on health-related quality of life 3 months after stroke

Tang, Wai Kwong; Lau, Chieh Grace; Mok, Vincent; Ungvári, Gábor S.; Wong, Ka Sing

doi:10.1179/1074935714z.0000000024

Cited by 13 publications

(30 citation statements)

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“…It was also observed in this study that there were significant correlations between chronic pain and all the eight domains of qual- ity of life in participants with chronic pain. Correlation between chronic pain and different domains of quality of life has also been reported in previous studies (14,25). This demonstrated the fact that presence of chronic pain has an impact on quality of life of the stroke survivors.…”

Section: Discussionsupporting

confidence: 86%

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Chronic Pain After Stroke: A Hospital-Based Study of Its Profile and Correlation with Health-Related Quality of Life

Olawale

Ajepe

Oke

et al. 2016

Middle East J Rehabil Health

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Background: Chronic pain is one of the most troublesome sequelae of stroke. The correlation between post-stroke pain and patients' quality of life has not been extensively studied. Objectives: The purpose of this study was to investigate certain profiles of post-stroke chronic pain and evaluate its correlation with health-related quality of life. Methods: The study involved 118 participants with stroke comprising 72 (61.0%) males and 46 (39.0%) females. A convenience sampling technique was used to recruit the subjects for the study. Socio-demographic data of the participants were taken. Data on chronic pain and health-related quality of life (HRQoL) were collected using the brief pain inventory (BPI) and short form health survey (SF-36), respectively. Independent t-test was used to compare HRQoL between participants with and without chronic pain. The correlation of chronic pain with HRQoL was investigated using Spearman's correlation coefficient. The level of significance was

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Section: Discussionsupporting

confidence: 86%

“…In stroke survivors, the presence and intensity of pain have significant negative effects on health-related quality of life (25). Apart from pain, health-related quality of life may also be affected by fatigue and depression which are common symptoms among patients with stroke (26).…”

Section: Discussionmentioning

confidence: 99%

Chronic Pain After Stroke: A Hospital-Based Study of Its Profile and Correlation with Health-Related Quality of Life

Olawale

Ajepe

Oke

et al. 2016

Middle East J Rehabil Health

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“…Pain has a negative impact on quality of life and functioning, and thus adequate postoperative analgesia is a crucial component of recovery . Mechanistic evidence in various populations implies that sleep deprivation, which is the hallmark of obstructive sleep apnoea, amplifies up‐regulation of cytokines, which may provoke excessive sensitivity to pain . Clinical evidence suggests that interrupted and inadequate sleep promotes hyperalgesia .…”

Section: Introductionmentioning

confidence: 99%

The relationship between obstructive sleep apnoea and postoperative delirium and pain: an observational study of a surgical cohort

et al. 2019

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Patients with obstructive sleep apnoea are at increased risk of adverse postoperative outcomes, such as cardiac and respiratory complications. It has been hypothesised that obstructive sleep apnoea also increases the risk for postoperative delirium and acute postoperative pain. We conducted a retrospective, observational study investigating the relationship of obstructive sleep apnoea with postoperative delirium and acute postoperative pain severity. Patients were classified as being at high risk for obstructive sleep apnoea if they had been diagnosed with this condition, or if they were positive for more than four factors using the 'STOP-BANG' screening tool. Adjusted logistic regression was used to investigate the association between obstructive sleep apnoea and postoperative delirium, and multivariable linear regression to study the relationship between obstructive sleep apnoea and postoperative pain severity. The incidence of postoperative delirium was 307 in 1441 patients (21.3%; 95%CI 19.2-23.5%). In unadjusted analysis, high risk for obstructive sleep apnoea was associated with delirium, with an odds ratio (95%CI) of 1.77 (1.22-2.57; p = 0.003). After adjustment for prespecified variables, the association was not statistically significant with odds ratio 1.34 (0.80-2.23; p = 0.27). The mean (SD) maximum pain (resting or provoked) reported for the entire cohort was 63.8 (27.9) mm on a 0-100 mm visual analogue scale. High risk for obstructive sleep apnoea was not associated with postoperative pain severity (b-coefficient 2.82; 95%CI, À2.34-7.97; p = 0.28). These findings suggest that obstructive sleep apnoea is unlikely to be a strong risk factor for postoperative delirium or acute postoperative pain severity.

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“…However, pain was not specified as new after the stroke, and the analyses were not adjusted for confounders. 21 …”

Section: Introductionmentioning

confidence: 99%

New-onset pain in the early phase and three months following stroke – data from a multicenter study

Bovim¹,

Indredavik²,

Hokstad³

et al. 2018

JPR

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BackgroundThe reported prevalence of pain after stroke varies considerably, depending on how pain is measured, time after stroke, and characteristics of the selected population. The aims of this study were to investigate the prevalence and distribution of new-onset pain initially and three months after stroke in a general Norwegian cohort, and to examine whether symptoms of anxiety or depression were associated with new-onset pain after stroke.Material and methodsStroke patients were included from eleven different hospitals within 14 days after stroke onset. Pain was assessed at inclusion and three months after stroke, and the distribution of pain was marked on a body map. New-onset pain was defined as pain reported by the patients to have occurred after the stroke. Symptoms of anxiety and depression were evaluated using the Hospital Anxiety and Depression Scale.ResultsA total of 390 patients were included. Pain data were available in 142 patients at both inclusion and follow-up, while 245 patients had available data for the regression analysis. In patients with follow-up data, new-onset pain occurred in 14 (9.9%) patients at inclusion and in 31 (21.8%) patients three months later, P=0.005. New-onset pain in the affected upper limb and bilaterally in the lower limbs was more common at three months than initially after stroke. Symptoms of anxiety were associated with new-onset pain (OR=1.13, 95% CI 1.01–1.27, P=0.030).ConclusionThis study shows that new-onset pain occurs in one out of ten patients initially after stroke and in one out of five patients three months after stroke, and it was associated with symptoms of anxiety. This raises the question of whether easing symptoms of anxiety might help to prevent or treat new pain after stroke.

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The impact of pain on health-related quality of life 3 months after stroke

Abstract: The presence and intensity of pain have significant negative effects on HRQoL in stroke survivors. Interventions for pain could make a valuable contribution to improving HRQoL in stroke survivors.

Cited by 13 publications

References 54 publications

Chronic Pain After Stroke: A Hospital-Based Study of Its Profile and Correlation with Health-Related Quality of Life

Chronic Pain After Stroke: A Hospital-Based Study of Its Profile and Correlation with Health-Related Quality of Life

The relationship between obstructive sleep apnoea and postoperative delirium and pain: an observational study of a surgical cohort

New-onset pain in the early phase and three months following stroke – data from a multicenter study

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The impact of pain on health-related quality of life 3 months after stroke

Abstract: The presence and intensity of pain have significant negative effects on HRQoL in stroke survivors. Interventions for pain could make a valuable contribution to improving HRQoL in stroke survivors.

Cited by 13 publications

References 54 publications

Chronic Pain After Stroke: A Hospital-Based Study of Its Profile and Correlation with Health-Related Quality of Life

Chronic Pain After Stroke: A Hospital-Based Study of Its Profile and Correlation with Health-Related Quality of Life

The relationship between obstructive sleep apnoea and postoperative delirium and pain: an observational study of a surgical cohort

New-onset pain in the early phase and three months following stroke &ndash; data from a multicenter study

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New-onset pain in the early phase and three months following stroke – data from a multicenter study