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Pain prevalence data for patients at various stages after stroke. Repeated cross-sectional, observational epidemiological study. Hospital-based multicenter study.
Here, in this study the pain after stroke is measured in the different phases leading to some interesting results. These stages are the: chronic, sub-acute and acute stages to reveal the intensity of pain.
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, sub acute, 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 sub acute, 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 sub acute 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 sub acute and chronic than in the acute post-stroke stage. Fewer than 25% of the patients with central post-stroke pain received drug treatment.
Pain after stroke is more frequent in the sub acute and chronic phase than in the acute phase, but it is still largely undertreated.
Pain Med. 2016 May;17(5):924-30
Prevalence and Time Course of Post-Stroke Pain: A Multicenter Prospective Hospital-Based Study
Stefano Paolucci et al.
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