Evaluating persistent postoperative pain in one tertiary hospital: Incidence, quality of life, associated factors, and treatment

• Type: Article in International Scientific Journal
• Date: 2016

Authors

Guimaraes Pereira, L (Author) Other; Valdoleiros, I (Author) Other; Reis, P (Author) Other; Abelha, F (Author) Other

Journal

Title: Anesthesiology and Pain Medicine

Vol. 6

ISSN: 2228-7523

Publisher: Kowsar Publishing Company

Indexing

Scopus - 15 Citations

Other information

Authenticus ID: P-00K-DNZ

DOI: 10.5812/aapm.36461

Abstract (EN): Background: Persistent postoperative pain (PPP) is defined as persistent pain after surgery of greater than threemonths¿ duration. Objectives: Identify the incidence of PPP in our hospital and its associated factors; evaluate quality of life (QoL) and treatment of patients. Patients and Methods: We conducted an observational prospective study in adults proposed to various types of surgery using the brief pain inventory short form preoperatively (T0), one day after surgery, and three months later (T3). If the patient had pain at T3 and other causes of pain were excluded, they were considered to have PPP, and the McGill Pain Questionnaire Short Form was applied. QoL was measured with the EuroQol 5-dimension questionnaire (EQ-5D). Results: One hundred seventy-five patients completed the study. The incidence of PPP was 28%, and the affected patients presented lower QoL. The majority referred to a moderate to severe level of interference in their general activity. Cholecystectomies were less associated with PPP,andtotal knee/hip replacements weremoreassociated with it. Preoperative pain, preoperative benzodiazepines or antidepressants, and more severe acute postoperative pain were associated with the development of PPP. Half of the patients with PPP were under treatment, and they refer a mean symptomatic relief of 69%. Conclusions: This study, apart from attempting to better characterize the problem of PPP, emphasizes the lack of its treatment. © 2016, Iranian Society of Regional Anesthesia and Pain Medicine (ISRAPM).

Language: English

Type (Professor's evaluation): Scientific