scholarly journals Predictors of Acute Postsurgical Pain following Gastrointestinal Surgery: A Prospective Cohort Study

2021 ◽  
Vol 2021 ◽  
pp. 1-8
Author(s):  
Qing-Ren Liu ◽  
Mu-Huo Ji ◽  
Yu-Chen Dai ◽  
Xing-Bing Sun ◽  
Cheng-Mao Zhou ◽  
...  
Keyword(s):  
Cohort Study ◽  
Pain Intensity ◽  
Prospective Cohort Study ◽  
Prospective Cohort ◽  
Rating Scale ◽  
Gastrointestinal Surgery ◽  
Oral Morphine ◽  
Preoperative Anxiety ◽  
Postsurgical Pain ◽  
Chronic Postsurgical Pain

Background. Several predictors have been shown to be independently associated with chronic postsurgical pain for gastrointestinal surgery, but few studies have investigated the factors associated with acute postsurgical pain (APSP). The aim of this study was to identify the predictors of APSP intensity and severity through investigating demographic, psychological, and clinical variables. Methods. We performed a prospective cohort study of 282 patients undergoing gastrointestinal surgery to analyze the predictors of APSP. Psychological questionnaires were assessed 1 day before surgery. Meanwhile, demographic characteristics and perioperative data were collected. The primary outcomes are APSP intensity assessed by numeric rating scale (NRS) and APSP severity defined as a clinically meaningful pain when NRS ≥4. The predictors for APSP intensity and severity were determined using multiple linear regression and multivariate logistic regression, respectively. Results. 112 patients (39.7%) reported a clinically meaningful pain during the first 24 hours postoperatively. Oral morphine milligram equivalent (MME) consumption (β 0.05, 95% CI 0.03–0.07, p < 0.001 ), preoperative anxiety (β 0.12, 95% CI 0.08–0.15, p < 0.001 ), and expected postsurgical pain intensity (β 0.12, 95% CI 0.06–0.18, p < 0.001 ) were positively associated with APSP intensity. Furthermore, MME consumption (OR 1.15, 95% CI 1.10–1.21, p < 0.001 ), preoperative anxiety (OR 1.33, 95% CI 1.21–1.46, p < 0.001 ), and expected postsurgical pain intensity (OR 1.36, 95% CI 1.17–1.57, p < 0.001 ) were independently associated with APSP severity. Conclusion. These results suggested that the predictors for APSP intensity following gastrointestinal surgery included analgesic consumption, preoperative anxiety, and expected postsurgical pain, which were also the risk factors for APSP severity.

Chronic postsurgical pain in patients 5 years after cardiac surgery: A prospective cohort study

2016 ◽  
Vol 21 (3) ◽  
pp. 425-433 ◽  
Author(s):  
K.H. Gjeilo ◽  
R. Stenseth ◽  
A. Wahba ◽  
S. Lydersen ◽  
P. Klepstad
Keyword(s):  
Cardiac Surgery ◽  
Cohort Study ◽  
Prospective Cohort Study ◽  
Prospective Cohort ◽  
Postsurgical Pain ◽  
Chronic Postsurgical Pain

scholarly journals Modified model for predicting early C-reactive protein levels after gastrointestinal surgery: A prospective cohort study

PLoS ONE ◽  
2020 ◽  
Vol 15 (9) ◽  
pp. e0239709
Author(s):  
Yui Kawasaki ◽  
Soonhee Park ◽  
Kazunori Miyamoto ◽  
Ryusuke Ueki ◽  
Nobutaka Kariya ◽  
...  
Keyword(s):  
Cohort Study ◽  
Prospective Cohort Study ◽  
Prospective Cohort ◽  
Gastrointestinal Surgery ◽  
C Reactive Protein ◽  
Modified Model ◽  
Protein Levels ◽  
Reactive Protein

scholarly journals The use of pre-operative virtual reality to reduce anxiety in women undergoing gynaecological surgeries:  a prospective cohort study

2020 ◽  
Author(s):  
Jason Ju In Chan ◽  
Cheng Teng Yeam ◽  
Hwei Min Kee ◽  
Chin Wen Tan ◽  
Rehena Sultana ◽  
...  
Keyword(s):  
Virtual Reality ◽  
Cohort Study ◽  
Prospective Cohort Study ◽  
Trait Anxiety ◽  
Prospective Cohort ◽  
New Technology ◽  
Depression Scale ◽  
Preoperative Anxiety ◽  
Breathing Exercises ◽  
Anxiety Depression

Abstract Background: Virtual reality (VR) is a promising new technology that offers opportunities to modulate patient experience and cognition. There is limited work on VR effectiveness during the preoperative period in the local setting. We investigated the feasibility and practicability of employing VR in anxiety management for patients undergoing minor gynaecological surgery, with the primary outcome being the changes in preoperative anxiety levels before and after the VR experience. Methods: A prospective cohort study was conducted in the KK Women’s and Children’s hospital between March 2019 and January 2020. Female patients undergoing gynaecological surgeries were recruited after obtaining informed consent. Patients were given a VR headset accompanied with a handphone loaded with VR experiences comprising sceneries, background meditation music and breathing exercises. The VR experience was administered for 10 mins and pre- and post-VR psychological assessments surveys were conducted. Results: Data analysis from 108 patients showed that our patient population had moderate state anxiety (39.6 (SD 11.14) and trait anxiety 40.1 (9.07) on the State-Trait Anxiety Inventory (STAI). The use of VR before surgery could reduce both Hospital Anxiety and Depression Scale (HADS) anxiety (7.2 ± 3.3 down to 4.6 ± 3.0; p<0.0001) and depression (4.7 ± 3.3 down to 2.9 ± 2.5; p<0.0001) scores. EQ-5D-3Lshowed no significant change in dimensions of ‘mobility’ and ‘self-care’ but significant changes to reported ‘usual activities’, ‘pain/discomfort’ and anxiety/ depression’ dimensions. Level 1 for ‘usual activities’ (“no problems with performing usual activities”) increased from 102 (94.4%) to 107 (99.1%) (p= 0.0253), ‘pain/discomfort’ (“I have no pain/discomfort”) increased from 72 (66.7%) to 84 (77.8%) and ‘anxiety/ depression’ (“I am not anxious/ depressed”) increased from 62 (57.4%) to 90 (83.3%) between pre- and post-VR experience. About 82% of patients rated the VR experience as ‘Good’ or ‘Excellent’.Conclusions: Our study showed significant reduction in preoperative anxiety after VR experience and has positive patient satisfaction. The use of VR may be suitable for patients with high anxiety preoperatively without the use of anxiolytics. Future work could include implementation studies upon adoption in clinical practice and the use in other surgical populations. Trial registration: Clinicaltrials.gov NCT03685422. Registered 26Sep2018 https://clinicaltrials.gov/ct2/show/NCT03685422?term=NCT03685422&draw=2&rank=1

scholarly journals Electronic Continuous Pain Measurement vs Verbal Rating Scale in gynaecology: A prospective cohort study

2021 ◽  
Vol 256 ◽  
pp. 263-269
Author(s):  
Marjoleine D. Louwerse ◽  
Wouter J.K. Hehenkamp ◽  
Paul J.M. van Kesteren ◽  
Birgit I. Lissenberg ◽  
Hans A.M. Brölmann ◽  
...  
Keyword(s):  
Cohort Study ◽  
Prospective Cohort Study ◽  
Prospective Cohort ◽  
Pain Measurement ◽  
Rating Scale ◽  
Verbal Rating Scale

scholarly journals Validation of the Critical-Care Pain Observation Tool-Neuro in brain-injured adults in the intensive care unit: a prospective cohort study

Critical Care ◽  
2021 ◽  
Vol 25 (1) ◽  
Author(s):  
Céline Gélinas ◽  
Mélanie Bérubé ◽  
Kathleen A. Puntillo ◽  
Madalina Boitor ◽  
Melissa Richard-Lalonde ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Critical Care ◽  
Cohort Study ◽  
Intensive Care ◽  
Pain Intensity ◽  
Prospective Cohort Study ◽  
Prospective Cohort ◽  
Data Set ◽  
Icu Patients ◽  
Brain Injured

Abstract Background Pain assessment in brain-injured patients in the intensive care unit (ICU) is challenging and existing scales may not be representative of behavioral reactions expressed by this specific group. This study aimed to validate the French-Canadian and English revised versions of the Critical-Care Pain Observation Tool (CPOT-Neuro) for brain-injured ICU patients. Methods A prospective cohort study was conducted in three Canadian and one American sites. Patients with a traumatic or a non-traumatic brain injury were assessed with the CPOT-Neuro by trained raters (i.e., research staff and ICU nurses) before, during, and after nociceptive procedures (i.e., turning and other) and non-nociceptive procedures (i.e., non-invasive blood pressure, soft touch). Patients who were conscious and delirium-free were asked to provide their self-report of pain intensity (0–10). A first data set was completed for all participants (n = 226), and a second data set (n = 87) was obtained when a change in the level of consciousness (LOC) was observed after study enrollment. Three LOC groups were included: (a) unconscious (Glasgow Coma Scale or GCS 4–8); (b) altered LOC (GCS 9–12); and (c) conscious (GCS 13–15). Results Higher CPOT-Neuro scores were found during nociceptive procedures compared to rest and non-nociceptive procedures in both data sets (p < 0.001). CPOT-Neuro scores were not different across LOC groups. Moderate correlations between CPOT-Neuro and self-reported pain intensity scores were found at rest and during nociceptive procedures (Spearman rho > 0.40 and > 0.60, respectively). CPOT-Neuro cut-off scores ≥ 2 and ≥ 3 were found to adequately classify mild to severe self-reported pain ≥ 1 and moderate to severe self-reported pain ≥ 5, respectively. Interrater reliability of raters’ CPOT-Neuro scores was supported with intraclass correlation coefficients > 0.69. Conclusions The CPOT-Neuro was found to be valid in this multi-site sample of brain-injured ICU patients at various LOC. Implementation studies are necessary to evaluate the tool’s performance in clinical practice.

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