Study of perioperative factors in postoperative chronicity of sternal pain

Authors

  • Lokesh Yadav Department of Cardiothoracic and Vascular Surgery, Nobel Medical College Teaching Hospital, Biratnagar, Koshi Pradesh https://orcid.org/0000-0001-7111-0985
  • Praman Sharma Department of Cardiothoracic and Vascular Surgery, Nobel Medical College Teaching Hospital, Biratnagar, Koshi Pradesh
  • Afroz Ansari Department of Cardiothoracic and Vascular Surgery, Nobel Medical College Teaching Hospital, Biratnagar, Koshi Pradesh
  • Nabin Paudyal Department of Cardiothoracic and Vascular Surgery, Nobel Medical College Teaching Hospital, Biratnagar, Koshi Pradesh

DOI:

https://doi.org/10.3126/nmcj.v25i4.60920

Keywords:

Cardiopulmonary bypass, perioperative period, post-operative pain, sternotomy

Abstract

Over two million people undergo sternotomy worldwide for heart surgery each year, and post operative sternal pain may last for months or reappears a long time after sternotomy. The exact etiology of post sternotomy pain is unknown. We aim to find out the association of peri-operative factors with chronicity of sternal pain after open-heart surgery. This is a retrospective observational study on 121 patients who underwent open heart surgeries for various cardiac problems from January 2020 to July 2022 at a tertiary care center. Convenient sampling was performed. Data were analyzed using SPSS-17. Male to female ratio similar with male 60 (49.6%) and female 61 (50.4%), and 95.0% had body mass index (kg/m2) <30. Ninety (76.9%) were individuals without diabetes, 75 (62.0%) were non-hypertensive, 97 (80.2%) were nonsmokers and 22 (18.2%) had abnormal thyroid function. Only 2 (1.7%) had chronic obstructive airway disease and 1 (0.8%) had renal failure. Majority was in sinus rhythm 88 (72.7). Forty (33.1%) had valvular and 53 (43.8%) had ischemic etiology. Majority 110 (90.9%) were ventilated for less than 6 hours and 15 (9.4%) had surgical site infection. Peri-operative risk factors like age of patient, etiology, hypertension, operative procedure, ventilator hours, cardiopulmonary bypass time, intensive care unit stay, and total hospital stay had a significant association with chronicity of pain.

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Published

2023-12-22

How to Cite

Yadav, L. ., Sharma, P., Ansari, A., & Paudyal, N. (2023). Study of perioperative factors in postoperative chronicity of sternal pain. Nepal Medical College Journal, 25(4), 318–323. https://doi.org/10.3126/nmcj.v25i4.60920

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Section

Original Articles