Pain Intensity in the First 96 Hours After Abdominal Surgery: A Prospective Cohort Study

Abstract Objective Multimodal pain management strategies aim to improve postoperative pain control. The purpose of this study was to analyze pain scores and risk factors for acute postoperative pain after various abdominal surgery procedures. Methods Data on 11 different abdominal surgery procedures...

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Veröffentlicht in:	Pain medicine (Malden, Mass.) Mass.), 2020-04, Vol.21 (4), p.803-813
Hauptverfasser:	Cachemaille, Matthieu, Grass, Fabian, Fournier, Nicolas, Suter, Marc R, Demartines, Nicolas, Hübner, Martin, Blanc, Catherine
Format:	Artikel
Sprache:	eng
Schlagworte:	Abdomen Abdominal surgery Age Factors Aged Analgesics Analgesics - therapeutic use Analgesics, Non-Narcotic - therapeutic use Analgesics, Opioid - therapeutic use Anesthesia, Epidural - methods Anesthetics, Local - therapeutic use Bariatric Surgery Cohort analysis Cohort Studies Combined modality therapy Complications and side effects Digestive System Surgical Procedures Elective Surgical Procedures Emergencies Female Herniorrhaphy Humans Ketamine - therapeutic use Laparoscopy Laparotomy Lidocaine - therapeutic use Logistic Models Lymph Node Excision Male Multivariate Analysis Narcotics Operative Time Opioids Pain Pain management Pain Management - methods Pain Measurement Pain, Postoperative Pain, Postoperative - drug therapy Pain, Postoperative - physiopathology Pain, Postoperative - prevention & control Parathyroidectomy Patient Satisfaction Patients Prospective Studies Risk factors Surgery Thyroidectomy
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Zusammenfassung:	Abstract Objective Multimodal pain management strategies aim to improve postoperative pain control. The purpose of this study was to analyze pain scores and risk factors for acute postoperative pain after various abdominal surgery procedures. Methods Data on 11 different abdominal surgery procedures were prospectively recorded. Pain intensity (rest, mobilization) and patient satisfaction at discharge were assessed using a visual analog scale (VAS; 0–10), and analgesic consumption was recorded until 96 hours postoperation. Demographic, surgery-related, and pain management–related univariate risk factors for insufficient pain control (VAS ≥ 4) were entered in a multivariate logistic regression model. Results A total of 1,278 patients were included. Overall, mean VAS scores were
ISSN:	1526-2375 1526-4637
DOI:	10.1093/pm/pnz156