Chronic postsurgical pain in mixed surgical population. Does an acute pain service make a difference?
| Authors | |
|---|---|
| Year of publication | 2017 |
| Type | Article in Periodical |
| Magazine / Source | Bratislava Medical Journal - Bratislavské lekárske listy |
| MU Faculty or unit | |
| Citation | |
| Web | http://www.elis.sk/index.php?page=shop.product_details&flypage=flypage.tpl&product_id=5498&category_id=135&option=com_virtuemart&Itemid=1 |
| Doi | http://dx.doi.org/10.4149/BLL_2017_141 |
| Field | Other medical specializations |
| Keywords | chronic postsurgical pain; acute pain service; questionnaire |
| Description | OBJECTIVES: To investigate the influence of an Acute Pain Service (APS) on the incidence of chronic postsurgical pain (CPSP). To assess the acute pain intensity as a risk factor for CPSP. The impact of an APS on the incidence of CPSP has not yet been studied. METHODS: Retrospective questionnaire given to randomized cohorts study, performed in two hospitals-Hospital A with an APS and Hospital B without such service. 1444 patients underwent eight different surgical procedures in both hospitals within one year, 175 patients from each hospital were randomized. RESULTS: 208 questionnaires were analysed. There was a significant difference in acute pain intensity in the first 24 hours after surgery. The difference of CPSP incidence between hospitals was not significant (Hospital A nine patients (8.6 %), Hospital B sixteen patients (15.5 %). The patients with CPSP experienced significantly more intensive pain in the first 24 hours and at discharge than patients without CPSP regardless of the hospital. CONCLUSION: The study did not demonstrate the incidence of CPSP was lower in the hospital with an APS despite the lower postoperative pain scores. However there was a noticeable trend toward higher incidence of CPSP in the hospital without an APS. The study demonstrated that APS decreases intensity of an acute postoperative pain and acute pain intensity is a risk factor for CPSP incidence (Tab. 5, Ref. 27). Text in PDF www.elis.sk. |