Postop Pain in the MICS Patients Versus Sternotomy Patients

Wake Forest University Health Sciences179 enrolled

Overview

To adequately assess postoperative pain in the coronary artery bypass surgical population a multicentered retrospective chart review was carried out; the study utilized a nonexperimental comparative descriptive study design. The retrospective review was conducted over a six-month time frame, consisting of June 2017 through November 2017, at two hospitals within the same organization. The data collection process began in late December of 2017 and January of 2018. The assessment of postop pain was performed by using a standard 11-point numeric pain rating scale on post extubation day one and the day of discharge.

Study Type

OBSERVATIONAL

Enrollment

179

Conditions

Pain, Postoperative Surgery

Interventions

Coronary bypass surgeryPROCEDURE

Reviewed postoperative coronary bypass patients and compared postoperative pain levels

Medical Language ↔ Plain English

Inclusion Criteria: * Patients who had an isolated coronary artery bypass surgery at Charlotte Medical Center (CMC) and CMC-Pineville * Minimally invasive cardiac surgery * Traditional sternotomy cardiac surgery Exclusion Criteria: * Documented history of any chronic pain syndromes requiring active treatment * The "relative" recent requirement of narcotic analgesic use for pain relief prior to operation * Any CABG operation that inadvertently resulted in an operative surgical complication * Patient cases that resulted in a readmission within 30 days from surgery.

Outcomes

Primary Outcomes

Highest reported pain level, on the standard 0-10 pain scale, post extubation day one

The highest recorded pain level, taken by the nursing staff, on the day following. extubation. Utilized day post due to the washout/possible confounding variable of sedation administration within 24hrs.

Time frame: The first 24 hours post extubation

Highest reported pain level, on the standard 0-10 pain scale, on the day of discharge.

The highest reported pain, measured by the nursing staff on within 24hrs from discharge.

Time frame: Within 24 hours from discharge