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Tsedinova Yu.B.

Petrovsky National Research Center of Surgery

Churyukanov M.V.

Petrovsky National Research Center of Surgery;
Sechenov First Moscow State Medical University (Sechenov University)

Zagorulko O.I.

Petrovsky National Research Center of Surgery

Medvedeva L.A.

Petrovsky National Research Center of Surgery

Yarygin I.V.

Petrovsky National Research Center of Surgery

Dombrovskaya A.V.

Petrovsky Russian Scientific Center of Surgery

Kabanova M.N.

Petrovsky National Research Center of Surgery

Neizvestnykh D.P.

Petrovsky National Research Center of Surgery

Melkonyan K.U.

Petrovsky National Research Center of Surgery

Aleksandrova E.N.

Petrovsky National Research Center of Surgery

Risk factors of chronic postoperative pain in cardiac surgery: mental characteristics and central sensitization

Authors:

Tsedinova Yu.B., Churyukanov M.V., Zagorulko O.I., Medvedeva L.A., Yarygin I.V., Dombrovskaya A.V., Kabanova M.N., Neizvestnykh D.P., Melkonyan K.U., Aleksandrova E.N.

More about the authors

Journal: Russian Journal of Pain. 2023;21(4): 32‑38

DOI: 10.17116/pain20232104132

Views: 926

Downloaded: 25

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Table of contents

To cite this article:

Tsedinova YuB, Churyukanov MV, Zagorulko OI, et al. . Risk factors of chronic postoperative pain in cardiac surgery: mental characteristics and central sensitization. Russian Journal of Pain. 2023;21(4):32‑38. (In Russ.)
https://doi.org/10.17116/pain20232104132

Подписка 2025 (Russian Journal of Pain)
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OBJECTIVE

To evaluate the role of central sensitization and psychological factors in chronic postoperative pain following cardiac surgery, to evaluate the correlation between central sensitization and psychological parameters of patients.

MATERIAL AND METHODS

The study included 100 patients who underwent cardiac and/or aortic surgery. All patients were preoperatively surveyed according to the Hospital Anxiety and Depression Scale, the Pain Catastrophizing Scale, the Chronic Pain Coping Inventory and the Central Sensitization Inventory. After 3—6 postoperative months, all patients were interviewed regarding chronic postoperative pain. Finally, all patients were divided into 2 groups: 30 patients with chronic postoperative pain and 70 patients without chronic postoperative pain. Statistical analysis included the Student’s t test, nonparametric Mann—Whitney U-test, Pearson’s chi-square test and Spearman’s rank correlation coefficient.

RESULTS

Chronic postoperative pain occurred in 30% of patients. We found significantly higher levels of pain catastrophizing (p=0.025) and anxiety (p=0.004) in the main group. There was a correlation between central sensitization and chronic postoperative pain (p=0.002). Central sensitization positively correlated with maladaptive pain coping strategies (rs=0.35, p=0.0003), depression (rs=0.5, p<0.0001), anxiety (rs=0.71, p<0.0001) and pain catastrophizing (rs=0.59, p<0.0001).

CONCLUSION

Understanding the risk factors of chronic postoperative pain will contribute to development of individual preventive programs.

Keywords:

chronic postoperative pain
cardiac surgery
central sensitization
pain catastrophizing
depression
anxiety
pain coping strategies

Authors:

Tsedinova Yu.B.

Petrovsky National Research Center of Surgery

Churyukanov M.V.

Petrovsky National Research Center of Surgery;
Sechenov First Moscow State Medical University (Sechenov University)

Zagorulko O.I.

Petrovsky National Research Center of Surgery

Medvedeva L.A.

Petrovsky National Research Center of Surgery

Yarygin I.V.

Petrovsky National Research Center of Surgery

Dombrovskaya A.V.

Petrovsky Russian Scientific Center of Surgery

Kabanova M.N.

Petrovsky National Research Center of Surgery

Neizvestnykh D.P.

Petrovsky National Research Center of Surgery

Melkonyan K.U.

Petrovsky National Research Center of Surgery

Aleksandrova E.N.

Petrovsky National Research Center of Surgery

Received:

14.06.2023

Accepted:

14.09.2023

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