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The transition from acute to chronic pain: might intensive care unit patients be at risk?

Overview of attention for article published in Annals of Intensive Care, August 2012
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Title
The transition from acute to chronic pain: might intensive care unit patients be at risk?
Published in
Annals of Intensive Care, August 2012
DOI 10.1186/2110-5820-2-36
Pubmed ID
Authors

Maria Kyranou, Kathleen Puntillo

Abstract

Pain remains a significant problem for patients hospitalized in intensive care units (ICUs). As research has shown, for some of these patients pain might even persist after discharge and become chronic. Exposure to intense pain and stress during medical and nursing procedures could be a risk factor that contributes to the transition from acute to chronic pain, which is a major disruption of the pain neurological system. New evidence suggests that physiological alterations contributing to chronic pain states take place both in the peripheral and central nervous systems. The purpose of this paper is to: 1) review cutting-edge theories regarding pain and mechanisms that underlie the transition from acute to chronic pain, such as increases in membrane excitability of peripheral and central nerve fibers, synaptic plasticity, and loss of the function of descending inhibitory pain fibers; 2) provide information on the association between the immune system and pain and its crucial contribution to development of chronic pain syndromes, and 3) discuss mechanisms at brain levels in the nervous system and their contribution to affective (i.e., emotional) states associated with chronic pain conditions. Finally, we will offer suggestions for ICU clinical interventions to attempt to prevent the transition from acute to chronic pain.

X Demographics

X Demographics

The data shown below were collected from the profile of 1 X user who shared this research output. Click here to find out more about how the information was compiled.
Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 132 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Brazil 2 2%
France 1 <1%
Czechia 1 <1%
Iran, Islamic Republic of 1 <1%
Philippines 1 <1%
Unknown 126 95%

Demographic breakdown

Readers by professional status Count As %
Student > Master 17 13%
Student > Ph. D. Student 15 11%
Other 13 10%
Student > Bachelor 13 10%
Student > Doctoral Student 12 9%
Other 37 28%
Unknown 25 19%
Readers by discipline Count As %
Medicine and Dentistry 52 39%
Nursing and Health Professions 17 13%
Neuroscience 9 7%
Agricultural and Biological Sciences 6 5%
Biochemistry, Genetics and Molecular Biology 5 4%
Other 14 11%
Unknown 29 22%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 20 August 2012.
All research outputs
#20,657,128
of 25,374,917 outputs
Outputs from Annals of Intensive Care
#1,054
of 1,197 outputs
Outputs of similar age
#137,223
of 174,033 outputs
Outputs of similar age from Annals of Intensive Care
#13
of 22 outputs
Altmetric has tracked 25,374,917 research outputs across all sources so far. This one is in the 10th percentile – i.e., 10% of other outputs scored the same or lower than it.
So far Altmetric has tracked 1,197 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 18.2. This one is in the 7th percentile – i.e., 7% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 174,033 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 9th percentile – i.e., 9% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 22 others from the same source and published within six weeks on either side of this one. This one is in the 22nd percentile – i.e., 22% of its contemporaries scored the same or lower than it.