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- Title
The pre-amputation pain and the postoperative deafferentation are the risk factors of phantom limb pain: a clinical survey in a sample of Chinese population.
- Authors
Yan Yin; Lan Zhang; Hong Xiao; Chuan-Bing Wen; Yue-E Dai; Guang Yang; Yun-Xia Zuo; Jin Liu
- Abstract
Background: To provide an overview of phantom limb pain (PLP) in China. This includes the prevalence of PLP and possible risk factors. Methods: In a retrospective study, telephone interviews were conducted with 391 amputation patients who underwent extremity amputations at a tertiary hospital in China. Results: PLP was found in 29% of the amputees. Pre-amputation pain (OR= 10.4, P =0.002) and postoperative analgesia (OR = 4.9, P =0.008) were identified as high-risk factors for PLP. 82.1% of PLP patients experienced pre-amputation pain. The average pain intensity of PLP was 5.1 ± 2.2, with 31.9% having severe intensity. The effects of PLP on the quality of the PLP patients were as follows: 7.8% of the patients had to limit their daily life and 29.0% of the patients had to limit their social activities. 17.3 and 25.7% of patients experienced depression and sleeping disorder respectively, while 18.9% had loss of interest and even 16.1% of PLP patients had attempted suicide. No effective treatments were found in 78.9% of these patients. Conclusions: PLP has markedly affected the lives of patients. Pre-amputation pain and postoperative epidural analgesia might be risk factors for the phantom limb pain after amputation. Prevention of pre-amputation pain and sudden post-amputation deafferentation should be recommended to the amputees.
- Subjects
CHINA; PAIN &; psychology; PAIN risk factors; HOSPITALS; INTERVIEWING; PAIN; PHANTOM limbs; POSTOPERATIVE period; PROBABILITY theory; QUALITY of life; RETROSPECTIVE studies; PREOPERATIVE period; TERTIARY care; ODDS ratio
- Publication
BMC Anesthesiology, 2017, Vol 17, p1
- ISSN
1471-2253
- Publication type
Article
- DOI
10.1186/s12871-017-0359-6