Traumatic peripheral nerve injuries: epidemiological findings, neuropathic pain and quality of life in 158 patients

The objectives of this study were (1) epidemiological analysis of traumatic peripheral nerve injuries; (2) assessment of neuropathic pain and quality of life in patients affected by traumatic neuropathies. All consecutive patients with a diagnosis of traumatic neuropathies from four Italian centres...

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Bibliographic Details
Published in:Journal of the peripheral nervous system Vol. 15; no. 2; pp. 120 - 127
Main Authors: Ciaramitaro, Palma, Mondelli, Mauro, Logullo, Francesco, Grimaldi, Serena, Battiston, Bruno, Sard, Arman, Scarinzi, Cecilia, Migliaretti, Giuseppe, Faccani, Giuliano, Cocito, Dario
Format: Journal Article
Language:English
Published: Oxford, UK Blackwell Publishing Ltd 01.06.2010
Subjects:
Adolescent
Adult
Age Factors
Aged
Aged, 80 and over
Brachial Plexus - injuries
Child
Child, Preschool
Cohort Studies
Comorbidity
Electromyography
Female
Humans
Iatrogenic Disease - epidemiology
iatrogenic nerve injuries
Infant
Italy - epidemiology
Male
Middle Aged
neuropathic pain
Pain - epidemiology
Pain - etiology
Pain - psychology
Peripheral Nerve Injuries
Peripheral Nervous System Diseases - epidemiology
Peripheral Nervous System Diseases - etiology
Peripheral Nervous System Diseases - psychology
Quality of Life
Regression Analysis
Sex Factors
Socioeconomic Factors
Trauma, Nervous System - complications
Trauma, Nervous System - epidemiology
Trauma, Nervous System - psychology
traumatic neuropathy
Work
Italy
ISSN:1085-9489, 1529-8027, 1529-8027
Online Access:Get full text
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Summary:The objectives of this study were (1) epidemiological analysis of traumatic peripheral nerve injuries; (2) assessment of neuropathic pain and quality of life in patients affected by traumatic neuropathies. All consecutive patients with a diagnosis of traumatic neuropathies from four Italian centres were enrolled. Electromyography confirmed clinical level and site diagnosis of peripheral nerve injury. All patients were evaluated by disability scales, pain screening tools, and quality of life tests. 158 consecutive patients for a total of 211 traumatic neuropathies were analysed. The brachial plexus was a frequent site of traumatic injury (36%) and the radial, ulnar, and peroneal were the most commonly involved nerves with 15% of iatrogenic injuries. Seventy‐two percent of the traumatic neuropathies were painful. Pain was present in 66% and neuropathic pain in 50% of all patients. Patients had worse quality of life scores than did the healthy Italian population. Moreover, there was a strong correlation between the quality of life and the severity of the pain, particularly neuropathic pain (Short Form‐36 [SF‐36] p < 0.005; Beck Depression Inventory [BDI] p < 0.0001). Traumatic neuropathies were more frequent in young males after road accidents, mainly in the upper limbs. Severe neuropathic pain and not only disability contributed to worsening the quality of life in patients with traumatic neuropathies.
Bibliography:istex:60ACCFCB3CDD8527A80B36F4C776448F3AE51E97
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ArticleID:JNS5260
ObjectType-Article-1
SourceType-Scholarly Journals-1
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ISSN:1085-9489
1529-8027
1529-8027
DOI:10.1111/j.1529-8027.2010.00260.x