Pain medicine

Chronic pain characteristics in COVID-19 survivors after an intensive care unit (ICU) stay. A cross-sectional study

Anaesth Crit Care Pain MedPublished Cross-sectional study

Authors' conclusion

New-onset chronic pain is common after an ICU stay for COVID-19 and may manifest in various forms. Secondary pain caused by ICU management is the most frequent.

Study context

Population
COVID-19 survivors after an ICU stay, assessed nine months after ICU dischargeof 204 ICU survivors
Participants
143 survivors
Outcome
New-onset chronic pain (ICD-11)
Follow-up
Nine months after ICU discharge
Methodological detailsmulticentre, face-to-face pain specialist consultation
  • Multicentre
  • Face-to-face pain specialist consultation

Main finding

As reported in the abstract

New-onset chronic pain

New-onset chronic pain

54%

Observational data: associations, not effects.

Further findings

Types of chronic pain

Forms of pain reported
102
Secondary pain: musculoskeletal
40%
Secondary pain: post-traumatic
34%
Secondary pain: neuropathic
25%
Secondary pain: visceral
13%
Primary chronic pain
7%
Most common sites: shoulders, chest, head

Pain intensity

Moderate to severe pain
75%
Higher intensity associated with greater impact on daily life

Associated factors

Anxiety, depression, post-traumatic stress, perceived stress and debilitating pain frequently associated
Intubation more frequent in patients with chronic pain

Specialized pain centre follow-up required

Of all survivors
21%
Of patients with new-onset chronic pain
40%

Original publication

Chronic pain characteristics in COVID-19 survivors after an ICU stay. A cross-sectional study. Anaesth Crit Care Pain Med. Published 24 June 2023. doi:10.1016/j.accpm.2023.101267

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