Cardiothoracic & vascular anesthesia
Incidence and Factors Associated With Post-Sternotomy Pain Syndrome in the National Heart Institute, Malaysia
Authors' conclusion
Poststernotomy pain syndrome is a complex issue affected by various factors.
Study context
- Population
- Adults who underwent open cardiac surgery at the National Heart Institute, Malaysia, in 2021
- Participants
- 1,395 adults
- Outcome
- Incidence of poststernotomy pain syndrome (PSPS) after open cardiac surgery
Methodological detailssingle-centre, logistic regression, Phone interviews to assess poststernotomy pain syndrome (PSPS); Brief Pain Inventory questionnaire in the positive group
- Single-centre
- Logistic regression
- Phone interviews to assess PSPS; Brief Pain Inventory questionnaire in the positive group
Main finding
As reported in the abstract
Incidence of PSPS
Incidence of PSPS after open cardiac surgery in 2021
20.35%
Observational data: associations, not effects.
Further findings
Pain affecting daily activities, sleep or emotions
- Patients reporting pain affected daily activities, sleep or emotions
- 17.7%
Factors associated with PSPS (univariate analysis)
- Age <60 years, BMI >30 kg/m², previous percutaneous coronary intervention, ejection fraction <50%, absence of chronic kidney disease (CKD), internal mammary artery harvesting associated with PSPS
- P < 0.05
Independent factors associated with PSPS (multivariate analysis)
- 4 independent factors: age <60 years, previous percutaneous coronary intervention, ejection fraction <50%, absence of CKD (vs CKD)
- P < 0.05
Original publication
Incidence and Factors Associated With Post-Sternotomy Pain Syndrome in the National Heart Institute, Malaysia. J Cardiothorac Vasc Anesth. Published 14 November 2023. doi:10.
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