Prevalence and Time Course of Post-Stroke Pain: A Multicenter Prospective Hospital-Based Study

Pain Medicine : the Official Journal of the American Academy of Pain Medicine
Stefano PaolucciNeuropathic pain special interest group of the Italian Neurological Society

Abstract

Pain prevalence data for patients at various stages after stroke. Repeated cross-sectional, observational epidemiological study. Hospital-based multicenter study. Four hundred forty-three prospectively enrolled stroke survivors. All patients underwent bedside 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 χ(2)-tests. 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 post-stroke stage. Fewer than 25% of the patients with central post...Continue Reading

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Dec 30, 2016·Australian Occupational Therapy Journal·David Pérez-CruzadoAntonio I Cuesta-Vargas
Feb 16, 2018·Frontiers in Neurology·Janita Pak Chun ChauDavid R Thompson
Feb 1, 2019·Research in Gerontological Nursing·Andrea L Gilmore-BykovskyiAnn Kolanowski
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Nov 24, 2020·Topics in Stroke Rehabilitation·Wookyung ParkKyunghoon Min
Jan 12, 2021·Frontiers in Pharmacology·Damiana ScuteriPaolo Tonin

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