Prevalence of Musculoskeletal Pain in Patients Following Cardiac Surgery in Peshawar: A Cross Sectional Study

Abstract

Background: Cardiovascular diseases causes more deaths and disability in developing countries than any other  disease in the world, for these diseases, CABG (Coronary artery bypass grafting) and VR (valvular replacement) are the best treatment options, although, these surgeries improve the chances of survival but they may cause chronic post operative musculoskeletal pain. Musculoskeletal pain can arise from different body musculoskeletal structures such as muscles, tendons, ligaments and joints and knowing the exact cause of this musculoskeletal pain is very difficult and challenging. Chronic musculoskeletal pain patients may have different signs of pain and spread of pain to degrees which are related to pain intensity and duration, so in management, it is very important to reduce duration and intensity of pain.

Methods: A cross-sectional survey design was conducted among 199 cardiac patients in Peshawar from both genders, from June 2018-November 2018 among patients at RMI, KTH.,LRH and at other private clinics. Tool used for data collection named as Orebro musculoskeletal pain questionnaire and self- made questionnaire was used in this study.

Results: Patients mean age was 53.49±11.88, 69.8% were males and 30.2% were females. The results showed that most common MSK pain site is upper back 27.6% and most common surgery is CABG. This study analyzed that different surgical procedure through which participants had been undergone. The surgical procedures were categorized into 4 main domains as shown in table 8 and frequency analysis was done which shows that most common surgical procedure is CABG (Coronary artery bypass grafting) 64.3%. The result of this study shows that  diagnosis domain descriptive analysis was done to find out the frequency of the present pain conditions of the participants which exhibits that most common pain occurs in the back 27.6% and in the shoulder 25.1%

Conclusion: Results among patients of Peshawar showed that most common surgery performed is CABG while PCI intervention is the next. Most of the patients are suffered from upper back pain while leg pain and cervical pain is not so common.