J 2017

Chronic postsurgical pain in mixed surgical population. Does an acute pain service make a difference?

KUBRICHT, Viktor and Pavel ŠEVČÍK

Basic information

Original name

Chronic postsurgical pain in mixed surgical population. Does an acute pain service make a difference?

Name in Czech

Chronická pooperační bolest ve smíšené populaci chirurgických pacientů. Jaký je vliv Acute Pain Service?

Authors

KUBRICHT, Viktor (203 Czech Republic, guarantor, belonging to the institution) and Pavel ŠEVČÍK (203 Czech Republic, belonging to the institution)

Edition

Bratislava Medical Journal - Bratislavské lekárske listy, BRATISLAVA, Univerzita Komenského, 2017, 0006-9248

Other information

Language

English

Type of outcome

Článek v odborném periodiku

Field of Study

30223 Anaesthesiology

Country of publisher

Slovakia

Confidentiality degree

není předmětem státního či obchodního tajemství

References:

Impact factor

Impact factor: 0.678

RIV identification code

RIV/00216224:14110/17:00098165

Organization unit

Faculty of Medicine

DOI

UT WoS

000423269900007

Keywords (in Czech)

chronická pooperační bolest, léčba akutní bolesti, acute pain service

Keywords in English

chronic postsurgical pain; acute pain service; questionnaire

Tags

Tags

International impact, Reviewed
Změněno: 8/3/2018 14:46, Soňa Böhmová

Abstract

ORIG CZ

V originále

OBJECTIVES: To investigate the influence of an Acute Pain Service (APS) on the incidence of chronic postsurgical pain (CPSP). To assess the acute pain intensity as a risk factor for CPSP. The impact of an APS on the incidence of CPSP has not yet been studied. METHODS: Retrospective questionnaire given to randomized cohorts study, performed in two hospitals-Hospital A with an APS and Hospital B without such service. 1444 patients underwent eight different surgical procedures in both hospitals within one year, 175 patients from each hospital were randomized. RESULTS: 208 questionnaires were analysed. There was a significant difference in acute pain intensity in the first 24 hours after surgery. The difference of CPSP incidence between hospitals was not significant (Hospital A nine patients (8.6 %), Hospital B sixteen patients (15.5 %). The patients with CPSP experienced significantly more intensive pain in the first 24 hours and at discharge than patients without CPSP regardless of the hospital. CONCLUSION: The study did not demonstrate the incidence of CPSP was lower in the hospital with an APS despite the lower postoperative pain scores. However there was a noticeable trend toward higher incidence of CPSP in the hospital without an APS. The study demonstrated that APS decreases intensity of an acute postoperative pain and acute pain intensity is a risk factor for CPSP incidence (Tab. 5, Ref. 27). Text in PDF www.elis.sk.

In Czech

Studie neprokázala jasný vliv acute pain service na snížení incidecnce chronické pooperační bolesti. Acute pain service snížil intenzitu prožívané akutní pooperační bolesti. Pacienti s chronickou pooperační bolestí zažili silnější akutní pooperační bolest.