지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2020.1
- 수록면
- 267 - 274 (8page)
이용수
초록· 키워드
오류제보하기
Background: General anesthesia (GA) has been considered the anesthetic technique which most frequent leads to phantom limb pain (PLP) after a limb amputation. However, these prior reports were limited by small sample sizes. The aims of this study were to evaluate the incidence of PLP according to the various anesthetic techniques used for limb amputation and also to compare the occurrence of PLP according to amputation etiology using the Korean Health Insurance Review and Assessment Service for large-scale demographic information. Methods: The claims of patients who underwent limb amputation were reviewed by analyzing the codes used to classify standardized medical behaviors. The patients were categorized into three groups—GA, neuraxial anesthesia (NA), and peripheral nerve block (PNB)—in accordance with the anesthetic technique. The recorded diagnosis was confirmed using the diagnostic codes for PLP registered within one year after the limb amputation. Results: Finally, 7,613 individuals were analyzed. According to the recorded diagnoses, 362 patients (4.8%) developed PLP after amputation. Among the 2,992 patients exposed to GA, 191 (6.4%) were diagnosed with PLP, whereas 121 (4.3%) of the 2,840 patients anesthetized with NA, and 50 (2.8%) of the 1,781 patients anesthetized under PNB developed PLP. The relative risks were 0.67 (95% confidence interval [CI], 0.53–0.84; P < 0.001) for NA and 0.43 (95% CI, 0.32–0.59; P < 0.001) for PNB. Conclusions: In this retrospective cohort study, using large-scale population-based databases, the incidence rates of PLP after limb amputations were, in the order of frequency, GA, NA, and PNB.
목차
등록된 정보가 없습니다.
참고문헌 (38)
참고문헌 신청
Hsu E / 2013 / Postamputation pain : epidemiology, mechanisms, and treatment / J Pain Res 6:121~136
Kawashima N / 2013 / Inter-individual difference in the effect of mirror reflection-induced visual feedback on phantom limb awareness in forearm amputees / PLoS One 8:e69324
Nardone R / 2015 / Modulation of non-painful phantom sensation in subjects with spinal cord injury by means of rTMS / Brain Res Bull 118:82~86
Wilkins KL / 2004 / Prospective diary study of nonpainful and painful phantom sensations in a preselected sample of child and adolescent amputees reporting phantom limbs / Clin J Pain 20:293~301
Sherman RA / 1983 / Prevalence and characteristics of chronic phantom limb pain among American veterans. Results of a trial survey / Am J Phys Med 62:227~238
Kawashima N / 2013 / Inter-individual difference in the effect of mirror reflection-induced visual feedback on phantom limb awareness in forearm amputees / PLoS One 8:e69324
Nardone R / 2015 / Modulation of non-painful phantom sensation in subjects with spinal cord injury by means of rTMS / Brain Res Bull 118:82~86
Wilkins KL / 2004 / Prospective diary study of nonpainful and painful phantom sensations in a preselected sample of child and adolescent amputees reporting phantom limbs / Clin J Pain 20:293~301
Sherman RA / 1983 / Prevalence and characteristics of chronic phantom limb pain among American veterans. Results of a trial survey / Am J Phys Med 62:227~238
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