Chronic post-surgical pain is a problem that has historically been underestimated. Over the last few years there has been a search for strategies to both predict and prevent its occurrence in patients undergoing surgery. The Gendolcat index is the only predictive model that uses only objective pre-surgical variables to assess the risk of suffering chronic post-surgical pain. However, it is only validated for the following surgeries: thoracotomy, hysterectomy and open inguinal hernia. Our aim is to test whether the Gendolcat model is also valid for cesarean section.
Study Type
OBSERVATIONAL
Enrollment
371
All patients should complete the following questionnaires: On the day of surgery: * Patient registration. * Complete medical history. * Gendolcat scale (including the Spanish version of the SF-12 scale). * Spanish version of the catastrophizing scale.
The investigators should complete a questionnaire during the surgical procedure specifying the anesthetic technique used, drugs and doses used and record any incident during the surgical procedure
The investigators should complete a questionnaire 24 hours after surgery to assess the possible presence of postoperative pain as well as the intensity and need for rescue analgesia.
At 3 months, patients will be called and a structured questionnaire will be completed to assess the presence of chronic postoperative pain.
Those women who, after the telephone call, are considered to have chronic post-surgical pain will undergo a physical examination to confirm it. The type of pain and its intensity will also be evaluated. The impact on their daily physical activity and quality of life will be evaluated by means of a questionnaire.
Hospital Universitari Germans Trias i Pujol
Badalona, Barcelona, Spain
RECRUITINGGendolcat score
The Gendolcat score assesses the likelihood of suffering chronic post-surgical pain
Time frame: The Gendolcat score will be assessed on the day patients are included in the study
Categoric Pain Scale
These pain scales give people a simple way to rate their pain intensity using a verbal or visual descriptor of their pain.
Time frame: Done during physical examination will be performed 3 months after cesarean section.
Numeric Pain Scale
Patients are asked to circle the number between 0 and 10, 0 and 20 or 0 and 100 that fits best to their pain intensity
Time frame: Done during physical examination will be performed 3 months after cesarean section.
Short Edition of the Brief Pain Inventory
Rapidly assesses the severity of pain and its impact on functioning
Time frame: Done during physical examination will be performed 3 months after cesarean section.
DN4 Questionnaire
To estimate the probability of neuropathic pain
Time frame: Done during physical examination will be performed 3 months after cesarean section.
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