Influence of preoperative emotional state on postoperative pain following orthopedic and trauma surgery
Por:
Robleda, G, Sillero-Sillero, A, Puig, T, Gich, I, Banos, JE
Publicada:
1 sep 2014
Resumen:
Objectives: to analyze the relationship between preoperative emotional state and the prevalence and intensity of postoperative pain and to explore predictors of postoperative pain. Method: observational retrospective study undertaken among 127 adult patients of orthopedic and trauma surgery. Postoperative pain was assessed with the verbal numeric scale and with five variables of emotional state: anxiety, sweating, stress, fear, and crying. The Chi-squared test, Student's t test or ANOVA and a multivariate logistic regression analysis were used for the statistical analysis. Results: the prevalence of immediate postoperative pain was 28%. Anxiety was the most common emotional factor (72%) and a predictive risk factor for moderate to severe postoperative pain (OR: 4.60, 95% CI 1.38 to 15.3, p<0.05, AUC: 0.72, 95% CI: 0.62 to 0.83). Age exerted a protective effect (OR 0.96, 95% CI: 0.94-0.99, p<0.01). Conclusion: preoperative anxiety and age are predictors of postoperative pain in patients undergoing orthopedic and trauma surgery.
Filiaciones:
Robleda, G:
Hosp Santa Creu & Sant Pau, Dept Metodol Gest Clin & Invest, Barcelona 08025, Spain
Sillero-Sillero, A:
Hosp Santa Creu & Sant Pau, Area Quirurg, Barcelona 08025, Spain
Puig, T:
Univ Autonoma Barcelona, Serv Epidemiol Clin, Inst Invest Biomed St Pau, Hosp Santa Creu & St Pau, E-08193 Barcelona, Spain
Gich, I:
Univ Autonoma Barcelona, Serv Epidemiol Clin, Inst Invest Biomed St Pau, Hosp Santa Creu & St Pau, E-08193 Barcelona, Spain
Banos, JE:
Univ Pompeu Fabra, Dept Ciencias Expt & Salud, Barcelona, Spain
Gold, Green Published
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