Paresthesia in Hand and Antebrachium Following CardiacSurgery: Incidence, Risk Factors and Clinical Course

Rigshospitalet

Status: Completed

Conditions: Paresthesia; Peri-operative Injury; Upper Limb Nerve Lesion; Complication,Postoperative

Treatments: Other: Heart surgery

Study type: Observational

Funder types: Other

Identifiers

NCT06088823

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Details and patient eligibility

About

To describe the incidence and severity of Paresthesia in Hand and Antebrachium in patients that have undergone CardiacSurgery.

Full description

Some patients report tingling and/or numbness in hand and/or antebrachium after cardiac surgery, but potential risc factors and clinical course are not well described, and the incidence or severity is not known. Many factors may impact on the development of these complaints: age, BMI, pre-operative neurological deficits, diabetes, type, technique and duration of cardiac surgery, positioning of arms and hands during surgery, placement of the arterial line, time-to-extubation and post-operative positioning during this period.

The investigators aim to describe incidence and clinical course of these complaints and possibly identify modifiable risc factors in a retrospective cohort of patients that have undergone fast-track cardiac surgery, as a part of the on-going patient-centered quality improvement.

The study included 361 patients. Conclusion The incidence of hand paresthesia following cardiac surgery was 10%. This study found an increased occurrence of paresthesia after aortic valve surgery and prolonged aortic cross-clamp duration; these differences were not statistically significant. The impact of arterial line placement and patient positioning as a risk factor remains unclear. The majority of patients with paresthesia were overweight and had pre-existing comorbidity, with 11% reporting preoperative paresthesia. The clinical course of hand paresthesia following cardiac surgery was predominantly transient and not severe.

Enrollment: 361 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion and exclusion criteria

Inclusion Criteria:

• adult patients
• cardiac surgery in the period from january 2022 to december 2023
• perioperative data entered into the quality database SafeBrain

Trial design

361 participants in 2 patient groups

No paresthesia

Description:

Patients that had no registration of post-operative paresthesia in hand or lower arm after cardiac surgery

Treatment:

Other: Heart surgery

Paresthesia

Description:

Patients that had one o more registrations of post-operative paresthesia in hand or lower arm after cardiac surgery

Treatment:

Other: Heart surgery