Affecting Factors for Chronic Pain After Sternotomy
NCT Number: NCT06534372
Status: NOT_YET_RECRUITING
Study Type: OBSERVATIONAL
Conditions: Cardiac Surgery|Sternotomy|Pain, Acute|Pain, Chronic
Interventions: PROCEDURE: Open cardiac surgery with sternotomy
Sponsor: Ankara Etlik City Hospital
Sex: ALL
Age: ADULT, OLDER_ADULT
Enrollment: 500
Study Design: Observational Model: |Time Perspective: p
Start Date: 2024-08-15
Completion Date: 2026-03-30
Locations: Ankara Etlik City Hospital, Ankara, 06290, Turkey

Summary:
Pain can be classified as anatomical, etiological, duration, intensity, and pathophysiological.

Classification according to duration is made according to the duration that the person feels the pain. Here, the classification is basically divided into acute and chronic. Acute pain is usually associated with acute injury or trauma. Chronic pain is defined as pain that continues after the expected period for the tissues to heal. Chronic pain is pain that lasts for 3 months or longer. Various conditions, usually including psychological and ethnic conditions, can affect the type of pain.

More than 2 million people worldwide undergo open heart surgery. Although mortality rates have decreased significantly thanks to advances in anesthesia and surgery, chronic pain after open heart surgery is still a serious problem. The rate of chronic pain varies between 11-40% within 1 year after cardiac surgery. Since open heart surgery is a very common procedure, it affects many people. Therefore; It is important to understand the factors related to the development of chronic pain.

Many risk factors have been identified for chronic pain after coronary artery bypass surgery. These are; female gender, young age, preoperative anxiety, intraoperative opioid use, and intense pain in the first days of the postoperative period. Although there are various retrospective and prospective studies on this subject, these studies are still insufficient and need support in the literature.

In this study, we aim to reveal the factors that increase chronic pain after sternotomy, take precautions against these factors and reduce the development of chronic pain.

Chronic pain is a problem that has been increasing in our country as well as all over the world in recent years. Therefore, defining the factors related to pain is very important. In our study, we aim to reveal the factors that increase chronic pain after sternotomy. By determining these factors, it will be possible to prevent the development of chronic pain in patients, reduce costs and increase the quality of life of patients.

Our study does not pose any risk for the patients to be included.

Primary Outcome Measures: Self-leeds assessment of neuropathic symptoms and sign findings in 3rd months., Patients' self-Leeds assessment of neuropathic symptoms and sign (S-LANSS) findings will be evaluated in the 3rd postoperative month. Patients with an S-LANSS score of 12 and above will be diagnosed with chronic neuropathic pain., 3rd postoperative month
Secondary Outcome Measures: Self-leeds assessment of neuropathic symptoms and sign findings at 6th months, Patients' self-Leeds assessment of neuropathic symptoms and sign (S-LANSS) findings will be evaluated in the 3rd postoperative month. Patients with an S-LANSS score of 12 and above will be diagnosed with chronic neuropathic pain., 6th postoperative month|Short Form 12 scores in the 3rd month., Short Form 12 scores will be evaluated in the 3rd month to evaluate the quality of life of the patients., 3rd postoperative month|Short Form 12 scores in the 6th month., Short Form 12 scores will be evaluated in the 6th month to evaluate the quality of life of the patients., 6th postoperative month|Acute pain score, Pain will be assessed at rest and while coughing using the visual analog scale on a scale from 0 (no pain) to 10 (worst pain). Pain assessment will be made at the time of extubation in the postoperative period., At the operation day|Acute pain score, Pain will be assessed at rest and while coughing using the visual analog scale on a scale from 0 (no pain) to 10 (worst pain). Pain assessment will be made in the first hour after extubation in the postoperative period., At the operation day|Acute pain score, Pain will be assessed at rest and while coughing using the visual analog scale on a scale from 0 (no pain) to 10 (worst pain). Pain assessment will be made in the 6th hour after extubation in the postoperative period., At the operation day|Acute pain score, Pain will be assessed at rest and while coughing using the visual analog scale on a scale from 0 (no pain) to 10 (worst pain). Pain assessment will be made in the 12th hour after extubation in the postoperative period., On the postoperative first day