Characteristics of the XXXX induced by thoracotomy: a 4-month follow-up study with psychophysical examination.

@entity1 @entity1183 @entity1931 @entity16 @entity1897 @entity158 @entity9
OBJECTIVES: To explore the role of @entity16 in persistent @entity158 after thoracotomy, combining a clinical follow-up and a psychophysical examination of the operated area. METHODS: Seventy-three @entity1 were followed and examined at their discharge from hospital, 6 weeks and 4 months after pneumonectomy under thoracotomy. Spontaneous and evoked @entity158 was assessed by clinical examination, a 7-day @entity158 score, and the @entity9 Symptom Inventory. At the fourth month follow-up, @entity158 and tolerance thresholds to pinprick, heat, and warm sensation threshold were measured on both sides of the thorax. RESULTS: The rate of spontaneous @entity158 was 40% at discharge and went up to 59% at the sixth week follow-up. @entity158 was rare at discharge (11%), most cases appearing at the sixth week follow-up (47%). The evolution profiles of @entity158 between the sixth week and the fourth month follow-up were heterogeneous with a tendency to decrease. Young age, female sex, and spontaneous @entity158 observed at discharge from hospital were identified as early predictive factors of spontaneous @entity158 persisting at the fourth month follow-up. On the side of operation, thresholds tended to increase for warm and hot stimuli, and to decrease for mechanical stimuli. At the fourth month follow-up, spontaneous @entity158 and evoked @entity158 were associated to @entity1931 , persisting @entity1183 , low mechanical thresholds, altered sensation of heat, and impaired quality of life. DISCUSSION: @entity1897 is common after thoracotomy, with variant characteristics, ranging from subclinical disturbances to severe @entity158 . The process seems to develop between the discharge from hospital and the sixth week after thoracotomy.
