TY - JOUR
T1 - Factors related to persistent postoperative pain after cardiac surgery
T2 - A systematic review and meta-analysis
AU - Bae, Jaewon
AU - Shin, Sujin
N1 - Publisher Copyright:
© 2020 Korean Society of Nursing Science.
PY - 2020/4
Y1 - 2020/4
N2 - 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.
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.
KW - Cardiac Surgical Procedure
KW - Meta-Analysis
KW - Pain
KW - Postoperative
KW - Systematic Review
UR - http://www.scopus.com/inward/record.url?scp=85084383444&partnerID=8YFLogxK
U2 - 10.4040/jkan.2020.50.2.159
DO - 10.4040/jkan.2020.50.2.159
M3 - Article
C2 - 32376806
AN - SCOPUS:85084383444
SN - 1598-2874
VL - 50
SP - 159
EP - 177
JO - Journal of Korean Academy of Nursing
JF - Journal of Korean Academy of Nursing
IS - 2
ER -