Predictors of Acute Postoperative Pain After Elective Surgery

被引:154
作者
Sommer, Michael [1 ]
de Rijke, Janneke M. [1 ]
van Kleef, Maarten [1 ]
Kessels, Alfons G. H. [2 ]
Peters, Madelon L. [3 ]
Geurts, Jose W. [1 ]
Patijn, Jacob [1 ]
Gramke, Hans-Fritz [1 ]
Marcus, Marco A. E. [1 ]
机构
[1] Univ Hosp Maastricht, Dept Anaesthesiol & Pain Treatment, NL-6202 AZ Maastricht, Netherlands
[2] Univ Hosp Maastricht, Dept Clin Epidemiol & MTA, NL-6202 AZ Maastricht, Netherlands
[3] Univ Hosp Maastricht, Dept Clin Psychol Sci, NL-6202 AZ Maastricht, Netherlands
关键词
pain; predictors; prevalence; postoperative; surgery; MULTIPLE IMPUTATION; ANXIETY; MANAGEMENT; SCALE; GABAPENTIN; INTENSITY; SATISFACTION; INHIBITION; RECOVERY; MODERATE;
D O I
10.1097/AJP.0b013e3181b43d68
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
Objectives: Objectives: Despite efforts to improve acute postoperative pain management, a substantial number of patients still experience moderate to severe pain during the immediate postoperative days. The purpose of the present study was to identify predictors of moderate to severe acute postoperative pain. Methods: Methods: A total of 1490 patients undergoing heterogeneous Surgical procedures recorded their pain 3 times a day oil a 100-mm visual analog scale front the day before the operation until 5 days postoperation. For each postoperative day, pain intensity was classified as moderate when the mean pain score was 41 to 74mm and as "severe when the mean pain score was 75 to 100 turn. Using logistic regression analyses. we examined the predictive value of a comprehensive set of preoperative and perioperative variables for moderate to severe pain. Results: Results: The most important predictors seemed to be; preoperative pain, expected pain, Surgical fear, and pain catastrophizing. Discussion: Discussion: Several predictive factors of postoperative pain were identified in this study. These factors could be taken into account in postoperative pain management.
引用
收藏
页码:87 / 94
页数:8
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