TY - JOUR
T1 - Prevalence and time course of post-stroke pain
T2 - A multicenter prospective hospital-based study
AU - Paolucci, Stefano
AU - Iosa, Marco
AU - Toni, D.
AU - Barbanti, Piero
AU - Bovi, P.
AU - Cavallini, Anna Maria
AU - Candeloro, Elisa
AU - Mancini, Alessia
AU - Mancuso, Mauro
AU - Monaco, S.
AU - Pieroni, Alessio
AU - Recchia, Serena
AU - Sessa, Maria
AU - Strambo, Davide
AU - Tinazzi, Michele
AU - Cruccu, G.
AU - Truini, A.
PY - 2016/5/1
Y1 - 2016/5/1
N2 - Objective. Pain prevalence data for patients at various stages after stroke. Design. Repeated cross-sectional, observational epidemiological study. Setting. Hospital-based multicenter study. Subjects. Four hundred forty-three prospectively enrolled stroke survivors. Methods. Allpatientsunderwentbedside clinical examination. The different types of post-stroke pain (central post-stroke pain, musculoskeletal pains, shoulder pain, spasticity-related pain, and headache) were diagnosed with widely accepted criteria during the acute, subacute, and chronic stroke stages. Differences among the three stages were analyzed with v2-tests. Results. The mean overall prevalence of pain was 29.56% (14.06% in the acute, 42.73% in the subacute, and 31.90% in the chronic post-stroke stage). Time course differed significantly according to the various pain types (P< 0.001). The prevalence of musculoskeletal and shoulder pain was higher in the subacute and chronic than in the acute stages after stroke; the prevalence of spasticity-related pain peaked in the chronic stage. Conversely, headache manifested in the acute post-stroke stage. The prevalence of central post-stroke pain was higher in the subacute and chronic than in the acute poststroke stage. Fewer than 25% of the patients with central post-stroke pain received drug treatment. Conclusions. Pain after stroke is more frequent in the subacute and chronic phase than in the acute phase, but it is still largely undertreated.
AB - Objective. Pain prevalence data for patients at various stages after stroke. Design. Repeated cross-sectional, observational epidemiological study. Setting. Hospital-based multicenter study. Subjects. Four hundred forty-three prospectively enrolled stroke survivors. Methods. Allpatientsunderwentbedside clinical examination. The different types of post-stroke pain (central post-stroke pain, musculoskeletal pains, shoulder pain, spasticity-related pain, and headache) were diagnosed with widely accepted criteria during the acute, subacute, and chronic stroke stages. Differences among the three stages were analyzed with v2-tests. Results. The mean overall prevalence of pain was 29.56% (14.06% in the acute, 42.73% in the subacute, and 31.90% in the chronic post-stroke stage). Time course differed significantly according to the various pain types (P< 0.001). The prevalence of musculoskeletal and shoulder pain was higher in the subacute and chronic than in the acute stages after stroke; the prevalence of spasticity-related pain peaked in the chronic stage. Conversely, headache manifested in the acute post-stroke stage. The prevalence of central post-stroke pain was higher in the subacute and chronic than in the acute poststroke stage. Fewer than 25% of the patients with central post-stroke pain received drug treatment. Conclusions. Pain after stroke is more frequent in the subacute and chronic phase than in the acute phase, but it is still largely undertreated.
KW - Central post-stroke pain
KW - Hemiplegic shoulder pain
KW - Spasticity
KW - Stroke
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U2 - 10.1093/pm/pnv019
DO - 10.1093/pm/pnv019
M3 - Article
VL - 17
SP - 924
EP - 930
JO - Pain Medicine
JF - Pain Medicine
SN - 1526-2375
IS - 5
ER -