Postoperative Pain in Adult Patients.

Andrzej Frycz Modrzewski Krakow University620 enrolled

Overview

Each surgical intervention associated with even a minor tissue injury is a source of pain which needs to be effectively controlled. Although the Polish national guidelines for post-operative pain management have been published, many patients experience moderate and severe pain in the postoperative period. The aim of this study is (1) to assess pain severity among adult patients after different types of surgeries; (2) to identify demographic and clinical factors associated with postoperative pain.

Study Type

OBSERVATIONAL

Enrollment

620

Conditions

Pain, Postoperative Surgical Procedures, Operative

Interventions

Observational studyOTHER

Pain assessment, Anxiety assessment, Depression assessment

Eligibility

Sex: ALLMin age: 19 Years

Medical Language ↔ Plain English

Inclusion Criteria: * adult * elective surgery * the American Society of Anesthesiologists score 1-3 Exclusion Criteria: * diagnosed mental illness, alcohol abuse disorders, intellectual disability * traumatic events within the last 6 months (e.g. death, breakdown of a relationship, job loss) * problems with verbal communication

Locations (1)

Andrzej Frycz-Modrzewski Krakow University

Krakow, Lesser Poland Voivodeship, Poland

Outcomes

Primary Outcomes

Pain intensity scores at rest

Pain intensity is assessed using the Numeric Rating Scale (NRS), where 0 meant no pain and 10 maximum pain. Numeric scores of 1-3, 4-6, and 7-10 corresponded to mild, moderate and severe pain.

Time frame: first 24 hours after surgery

Pain intensity scores on movement

Pain intensity is assessed using the Numeric Rating Scale (NRS), where 0 meant no pain and 10 maximum pain. Numeric scores of 1-3, 4-6, and 7-10 corresponded to mild, moderate and severe pain.

Time frame: first 24 hours after surgery

Secondary Outcomes

Anxiety scores

Anxiety is evaluated using the Hospital Anxiety and Depression Scale - HADS. It consists of 7 items grouped in sub-scales: anxiety (HADS-A) and depression (HADS-D). The answers describe the patient's well-being over the last week and are coded on a scale of 0-3 points. HADS-A: the total score amounts to 0-21 points (0-7 points = norm, 8-10 = borderline, ≥11 points = clinical levels of symptoms).

Time frame: day prior to surgery

Depression scores

Depression is evaluated using the Hospital Anxiety and Depression Scale - HADS. It consists of 7 items grouped in sub-scales: anxiety (HADS-A) and depression (HADS-D). The answers describe the patient's well-being over the last week and are coded on a scale of 0-3 points. HADS-D: the total score amounts to 0-21 points (0-7 points = norm, 8-10 = borderline, ≥11 points = clinical levels of symptoms).

Time frame: day prior to surgery

Data from ClinicalTrials.gov

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