Audit of postoperative pain management after open thoracotomy and the incidence of chronic postthoracotomy pain in more than 500 patients at a tertiary center
Study objective To evaluate the quality of postoperative pain relief during the first 3 days after surgery and to evaluate with the incidence of persistent pain at 6 months after surgery. Design Retrospective single-center audit. Setting University hospital. Patients Five hundred four patients who underwent thoracotomy. Interventions Review of patient records, questionnaire, and telephone review. Results Of the 364 survivors, 306 were contacted. Five or more episodes of severe pain (numerical rating scale >6/10 at rest or movement) during the first 72 hours after surgery occurred in 133 patients. Persistent postsurgical pain at 6 months was present in 82% (109/133) of these patients. Patient satisfaction with acute postoperative pain management was excellent (36%), good (43%), and fair or poor (21%).The incidence of postthoracotomy pain was 56% (mild 32%, moderate 18%, and severe 6%). Conclusions Poorly controlled acute postoperative pain correlated with persistent postsurgical pain at 6 months. In view of such a high incidence in thoracotomy patients, preventative strategies assume great significance..
| Medienart: |
Artikel |
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| Erscheinungsjahr: |
2017 |
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| Erschienen: |
2017 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:36 |
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| Enthalten in: |
Journal of clinical anesthesia - 36(2017), Seite 174-177 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Niraj, G [VerfasserIn] |
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| Links: |
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| BKL: | |
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| Themen: |
Audits |
| doi: |
10.1016/j.jclinane.2016.10.011 |
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| Förderinstitution / Projekttitel: |
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OLC1991140118 |
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| 245 | 1 | 0 | |a Audit of postoperative pain management after open thoracotomy and the incidence of chronic postthoracotomy pain in more than 500 patients at a tertiary center |
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| 520 | |a Study objective To evaluate the quality of postoperative pain relief during the first 3 days after surgery and to evaluate with the incidence of persistent pain at 6 months after surgery. Design Retrospective single-center audit. Setting University hospital. Patients Five hundred four patients who underwent thoracotomy. Interventions Review of patient records, questionnaire, and telephone review. Results Of the 364 survivors, 306 were contacted. Five or more episodes of severe pain (numerical rating scale >6/10 at rest or movement) during the first 72 hours after surgery occurred in 133 patients. Persistent postsurgical pain at 6 months was present in 82% (109/133) of these patients. Patient satisfaction with acute postoperative pain management was excellent (36%), good (43%), and fair or poor (21%).The incidence of postthoracotomy pain was 56% (mild 32%, moderate 18%, and severe 6%). Conclusions Poorly controlled acute postoperative pain correlated with persistent postsurgical pain at 6 months. In view of such a high incidence in thoracotomy patients, preventative strategies assume great significance. | ||
| 650 | 4 | |a Risk assessment | |
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| 650 | 4 | |a Ostomy | |
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| 700 | 1 | |a Tait, Frances |4 oth | |
| 700 | 1 | |a Mcmillan, Theresa |4 oth | |
| 700 | 1 | |a Rathinam, Sridhar |4 oth | |
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