Carolina Donado, MD, of Boston Children’s Hospital, and colleagues analyzed EHRs for 102 pediatric CRPS patients between 2003 to 2014. Researchers documented primary outcomes and pain and function scores.
Here’s what they found:
1. Researchers found that the patients’ pain, function and disability scores improved during hospitalizations and in the four month follow-up period.
2. Approximately 70 percent of patients achieved a clinically significant benefit — 56 percent had their pain reduced and 40 percent had increased functionality.
3. Favorable outcomes were more likely when a patient’s numeric pain rating scale score was less than six, however mean pain scores greater than three during regional anesthesia infusion predicted less favorable outcomes.
Researchers concluded, “Continuous regional anesthesia may be an option to facilitate intensive rehabilitation for selected pediatric patients with CRPS.” They recommend further research into the regional anesthesia’s role in a comprehensive management program.
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