Factors Related to Persistent Postoperative Pain after Cardiac Surgery: A Systematic Review and Meta-Analysis.

Purpose: This study aimed at identifying factors related to persistent postoperative pain after cardiac surgery and estimating their effect sizes. Methods: The literature search and selection was conducted in four different databases (CINAHL, Cochrane Library, PubMed, and PQDT) using the Preferred R...

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Publicado en:Journal of Korean Academy of Nursing Vol. 50; no. 2; pp. 159 - 178
Autores principales: Bae Jaewon, Shin Sujin
Formato: meta analysis research systematic review tables/charts Journal Article
Publicado: Korean Society of Nursing Science Apr2020
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Apr2020
      vid: 50
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      pub: Korean Society of Nursing Science
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        10.4040/jkan.2020.50.2.159
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        atl: Factors Related to Persistent Postoperative Pain after Cardiac Surgery: A Systematic Review and Meta-Analysis.
      aug:
        au:
          Bae Jaewon
          Shin Sujin
        affil: College of Nursing, University of Iowa, Iowa City, IA, USA
      sug:
        subj:
          Chronic Pain Risk Factors
          Postoperative Pain Risk Factors
          Cardiac Surgery Adverse Effects
          Risk Assessment
          Human
          Systematic Review
          Meta Analysis
          CINAHL Database
          Cochrane Library
          PubMed
          Effect Size
          Odds Ratio
          Sex Factors
          Male
          Female
          Mammary Arteries
          Descriptive Statistics
          Confidence Intervals
          Male
          Female
      ab: Purpose: This study aimed at identifying factors related to persistent postoperative pain after cardiac surgery and estimating their effect sizes. Methods: The literature search and selection was conducted in four different databases (CINAHL, Cochrane Library, PubMed, and PQDT) using the Preferred Reporting Items for Systematic Review and Meta-Analysis Statement. A total of 14 studies met the inclusion criteria and were systematically reviewed. For the meta-analysis, R was used to analyze 30 effect sizes of for both individual and operative factors as well as publication biases from a total of nine studies. Results: The meta-analysis revealed that persistent postoperative pain after cardiac surgery was related to one individual factor (gender) and two operative factors (acute postoperative pain and use of the internal mammary artery). Operative factors (OR=5.26) had a larger effect size than individual factors (OR=1.53). Conclusion: Female gender, acute pain after surgery, and use of the internal mammary artery are related factors to persistent postoperative pain. The development of interventions focusing on modifiable related factors, such as acute postoperative pain, may help to minimize or prevent PPP after cardiac surgery.
      pubtype: Academic Journal
      doctype:
        meta analysis
        research
        systematic review
        tables/charts
        Journal Article
      ougenre: Article
    language: Korean
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