Incidence and factors associated with post-sternotomy pain syndrome in the National Heart Institute, Malaysia
Objective: To determine the incidence of poststernotomy pain syndrome (PSPS) after open cardiac surgery in 2021. To determine characteristics and assess the severity of symptoms in patients diagnosed with PSPS. To identify factors that can be associated with patients who were positive for PSPS....
| Main Authors: | , , |
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| Format: | Article |
| Published: |
Elsevier
2024
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| Online Access: | http://psasir.upm.edu.my/id/eprint/109258/ |
| _version_ | 1848865324221333504 |
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| author | Sudin, Arif Chong, Collins Hassan, Rozaini |
| author_facet | Sudin, Arif Chong, Collins Hassan, Rozaini |
| author_sort | Sudin, Arif |
| building | UPM Institutional Repository |
| collection | Online Access |
| description | Objective: To determine the incidence of poststernotomy pain syndrome (PSPS) after open cardiac surgery in 2021. To determine characteristics
and assess the severity of symptoms in patients diagnosed with PSPS. To identify factors that can be associated with patients who were positive
for PSPS.
Design and Methodology: This study used a retrospective observational approach. Logistic regression analysis was employed to identify factors
associated with the positive group.
Setting: This study included all adult patients who underwent open cardiac surgery at the National Heart Institute, Malaysia, in 2021.
Participants: A total of 1,395 patients were enrolled.
Interventions: The study involved conducting phone interviews to assess the presence of PSPS, followed by administering the Brief Pain Inventory questionnaire in the positive group to identify characteristics and severity of chronic pain.
Measurements and Main Results: The incidence of PSPS after open cardiac surgery in 2021 was 20.35%. A total of 17.7% of patients reported
that pain affected their daily activities, sleep, or emotions. Univariate analysis identified factors associated with PSPS, including age <60 years
old, body mass index >30 kg/m2, history of previous percutaneous coronary intervention, ejection fraction <50%, the absence of chronic kidney
disease (CKD), and internal mammary artery harvesting (p < 0.05). Multivariate analysis revealed that 4 independent factors were associated
with PSPS: age <60 years old, history of previous percutaneous coronary intervention, ejection fraction <50%, and the absence of CKD (as
compared with CKD) (p < 0.05).
Conclusions: Poststernotomy pain syndrome is a complex issue affected by various factors. Although the pain score may not be as severe as previously believed, it remains crucial to recognize PSPS because a significant proportion of patients are affected. |
| first_indexed | 2025-11-15T14:02:54Z |
| format | Article |
| id | upm-109258 |
| institution | Universiti Putra Malaysia |
| institution_category | Local University |
| last_indexed | 2025-11-15T14:02:54Z |
| publishDate | 2024 |
| publisher | Elsevier |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | upm-1092582024-08-22T01:45:34Z http://psasir.upm.edu.my/id/eprint/109258/ Incidence and factors associated with post-sternotomy pain syndrome in the National Heart Institute, Malaysia Sudin, Arif Chong, Collins Hassan, Rozaini Objective: To determine the incidence of poststernotomy pain syndrome (PSPS) after open cardiac surgery in 2021. To determine characteristics and assess the severity of symptoms in patients diagnosed with PSPS. To identify factors that can be associated with patients who were positive for PSPS. Design and Methodology: This study used a retrospective observational approach. Logistic regression analysis was employed to identify factors associated with the positive group. Setting: This study included all adult patients who underwent open cardiac surgery at the National Heart Institute, Malaysia, in 2021. Participants: A total of 1,395 patients were enrolled. Interventions: The study involved conducting phone interviews to assess the presence of PSPS, followed by administering the Brief Pain Inventory questionnaire in the positive group to identify characteristics and severity of chronic pain. Measurements and Main Results: The incidence of PSPS after open cardiac surgery in 2021 was 20.35%. A total of 17.7% of patients reported that pain affected their daily activities, sleep, or emotions. Univariate analysis identified factors associated with PSPS, including age <60 years old, body mass index >30 kg/m2, history of previous percutaneous coronary intervention, ejection fraction <50%, the absence of chronic kidney disease (CKD), and internal mammary artery harvesting (p < 0.05). Multivariate analysis revealed that 4 independent factors were associated with PSPS: age <60 years old, history of previous percutaneous coronary intervention, ejection fraction <50%, and the absence of CKD (as compared with CKD) (p < 0.05). Conclusions: Poststernotomy pain syndrome is a complex issue affected by various factors. Although the pain score may not be as severe as previously believed, it remains crucial to recognize PSPS because a significant proportion of patients are affected. Elsevier 2024-02 Article PeerReviewed Sudin, Arif and Chong, Collins and Hassan, Rozaini (2024) Incidence and factors associated with post-sternotomy pain syndrome in the National Heart Institute, Malaysia. Journal of Cardiothoracic and Vascular Anesthesia, 38 (2). pp. 466-474. ISSN 1053-0770; ESSN: 1532-8422 https://linkinghub.elsevier.com/retrieve/pii/S1053077023009217 10.1053/j.jvca.2023.11.014 |
| spellingShingle | Sudin, Arif Chong, Collins Hassan, Rozaini Incidence and factors associated with post-sternotomy pain syndrome in the National Heart Institute, Malaysia |
| title | Incidence and factors associated with post-sternotomy pain syndrome in the National Heart Institute, Malaysia |
| title_full | Incidence and factors associated with post-sternotomy pain syndrome in the National Heart Institute, Malaysia |
| title_fullStr | Incidence and factors associated with post-sternotomy pain syndrome in the National Heart Institute, Malaysia |
| title_full_unstemmed | Incidence and factors associated with post-sternotomy pain syndrome in the National Heart Institute, Malaysia |
| title_short | Incidence and factors associated with post-sternotomy pain syndrome in the National Heart Institute, Malaysia |
| title_sort | incidence and factors associated with post-sternotomy pain syndrome in the national heart institute, malaysia |
| url | http://psasir.upm.edu.my/id/eprint/109258/ http://psasir.upm.edu.my/id/eprint/109258/ http://psasir.upm.edu.my/id/eprint/109258/ |