The prevalence of postoperative pain in a sample of 1490 surgical inpatients

BACKGROUND AND OBJECTIVE:To measure the prevalence of postoperative pain, an assessment was made of 1490 surgical inpatients who were receiving postoperative pain treatment according to an acute pain protocol. METHODS:Measurements of pain (scores from 0 to 100 on a visual analogue scale) were obtain...

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Veröffentlicht in:European journal of anaesthesiology 2008-04, Vol.25 (4), p.267-274
Hauptverfasser: Sommer, M., de Rijke, J. M., van Kleef, M., Kessels, A. G. H., Peters, M. L., Geurts, J. W. J. M., Gramke, H.-F., Marcus, M. A. E.
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container_end_page 274
container_issue 4
container_start_page 267
container_title European journal of anaesthesiology
container_volume 25
creator Sommer, M.
de Rijke, J. M.
van Kleef, M.
Kessels, A. G. H.
Peters, M. L.
Geurts, J. W. J. M.
Gramke, H.-F.
Marcus, M. A. E.
description BACKGROUND AND OBJECTIVE:To measure the prevalence of postoperative pain, an assessment was made of 1490 surgical inpatients who were receiving postoperative pain treatment according to an acute pain protocol. METHODS:Measurements of pain (scores from 0 to 100 on a visual analogue scale) were obtained three times a day on the day before surgery and on days 0-4 postoperatively; mean pain intensity scores were calculated. Patients were classified as having no pain (score 0-5), mild pain (score 6-40), moderate pain (score 41-74) or severe pain (score 75-100). RESULTS:Moderate or severe pain was reported by 41% of the patients on day 0, 30% on days 1 and 19%, 16% and 14% on days 2, 3 and 4. The prevalence of moderate or severe pain in the abdominal surgery group was high on postoperative days 0-1 (30-55%). A high prevalence of moderate or severe pain was found during the whole of days 1-4 in the extremity surgery group (20-71%) and in the back/spinal surgery group (30-64%). CONCLUSION:We conclude that despite an acute pain protocol, postoperative pain treatment was unsatisfactory, especially after intermediate and major surgical procedures on an extremity or on the spine.
doi_str_mv 10.1017/S0265021507003031
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M. ; van Kleef, M. ; Kessels, A. G. H. ; Peters, M. L. ; Geurts, J. W. J. M. ; Gramke, H.-F. ; Marcus, M. A. E.</creator><creatorcontrib>Sommer, M. ; de Rijke, J. M. ; van Kleef, M. ; Kessels, A. G. H. ; Peters, M. L. ; Geurts, J. W. J. M. ; Gramke, H.-F. ; Marcus, M. A. E.</creatorcontrib><description>BACKGROUND AND OBJECTIVE:To measure the prevalence of postoperative pain, an assessment was made of 1490 surgical inpatients who were receiving postoperative pain treatment according to an acute pain protocol. METHODS:Measurements of pain (scores from 0 to 100 on a visual analogue scale) were obtained three times a day on the day before surgery and on days 0-4 postoperatively; mean pain intensity scores were calculated. Patients were classified as having no pain (score 0-5), mild pain (score 6-40), moderate pain (score 41-74) or severe pain (score 75-100). RESULTS:Moderate or severe pain was reported by 41% of the patients on day 0, 30% on days 1 and 19%, 16% and 14% on days 2, 3 and 4. The prevalence of moderate or severe pain in the abdominal surgery group was high on postoperative days 0-1 (30-55%). A high prevalence of moderate or severe pain was found during the whole of days 1-4 in the extremity surgery group (20-71%) and in the back/spinal surgery group (30-64%). CONCLUSION:We conclude that despite an acute pain protocol, postoperative pain treatment was unsatisfactory, especially after intermediate and major surgical procedures on an extremity or on the spine.</description><identifier>ISSN: 0265-0215</identifier><identifier>EISSN: 1365-2346</identifier><identifier>DOI: 10.1017/S0265021507003031</identifier><identifier>PMID: 18053314</identifier><language>eng</language><publisher>Cambridge, UK: Cambridge University Press</publisher><subject>Adult ; Analgesics - therapeutic use ; Cesarean section ; Cross-Sectional Studies ; Extremities - surgery ; Female ; Health care policy ; Heart surgery ; Hospitals ; Humans ; Male ; Middle Aged ; Pain management ; Pain Measurement ; Pain, Postoperative - drug therapy ; Pain, Postoperative - epidemiology ; Postoperative period ; Prevalence ; Protocol ; Psychology ; R&amp;D ; Research &amp; development ; Sample size ; Severity of Illness Index ; Spine - surgery ; Studies ; Surgery ; Surgical Procedures, Operative - adverse effects ; Task forces ; Time Factors</subject><ispartof>European journal of anaesthesiology, 2008-04, Vol.25 (4), p.267-274</ispartof><rights>Copyright © European Society of Anaesthesiology 2007</rights><rights>2008 European Society of Anaesthesiology</rights><rights>European Society of Anaesthesiology</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5492-be67c99ccc11c12c9b3799e8b61bd15f88922900413927f987876b4848b401ec3</citedby><cites>FETCH-LOGICAL-c5492-be67c99ccc11c12c9b3799e8b61bd15f88922900413927f987876b4848b401ec3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18053314$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Sommer, M.</creatorcontrib><creatorcontrib>de Rijke, J. 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Patients were classified as having no pain (score 0-5), mild pain (score 6-40), moderate pain (score 41-74) or severe pain (score 75-100). RESULTS:Moderate or severe pain was reported by 41% of the patients on day 0, 30% on days 1 and 19%, 16% and 14% on days 2, 3 and 4. The prevalence of moderate or severe pain in the abdominal surgery group was high on postoperative days 0-1 (30-55%). A high prevalence of moderate or severe pain was found during the whole of days 1-4 in the extremity surgery group (20-71%) and in the back/spinal surgery group (30-64%). 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ispartof European journal of anaesthesiology, 2008-04, Vol.25 (4), p.267-274
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source Journals@Ovid Ovid Autoload; MEDLINE
subjects Adult
Analgesics - therapeutic use
Cesarean section
Cross-Sectional Studies
Extremities - surgery
Female
Health care policy
Heart surgery
Hospitals
Humans
Male
Middle Aged
Pain management
Pain Measurement
Pain, Postoperative - drug therapy
Pain, Postoperative - epidemiology
Postoperative period
Prevalence
Protocol
Psychology
R&D
Research & development
Sample size
Severity of Illness Index
Spine - surgery
Studies
Surgery
Surgical Procedures, Operative - adverse effects
Task forces
Time Factors
title The prevalence of postoperative pain in a sample of 1490 surgical inpatients
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