Chronic post-surgical pain: an underestimated syndrome

Barbosa, Vera; Santos, Carolina Araújo dos; Rebelo, Teresa; Leite, A; Matos, Filipe

doi:10.1097/00003643-201406001-00621

Cited by 1 publication

(2 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The 30‐day follow‐up period was selected because the risk of CPSP increases exponentially in the first month postsurgery (Figure 1). 13–17 …”

Section: Methodsmentioning

confidence: 99%

“…Moreover, existing pediatric trials followed patients ranging from 24‐hours to a few days since the surgery, which may not be sufficiently long to capture the consequences of unmanaged pain. Literature reported that if acute pain is not controlled effectively, it may lead to unmanaged pain and further to chronic postsurgical pain (CPSP) that could last longer than 2 months postprocedure 13–17 . This would not only require longer term exposure to analgesics but may also result in additional pain‐related service utilizations including ER visits and hospital admissions.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Pain‐related hospitalization and emergency room visit following initial analgesic prescription after outpatient surgery

Nair,

Placencia,

Farber

et al. 2024

Pharmacoepidemiology and Drug

View full text Add to dashboard Cite

PurposeOur study examined the association between outpatient postsurgical analgesic prescription and risk of insufficiently managed pain characterized by pain‐associated hospital admission and emergency room (ER) visit.MethodsEligible individuals were children 1–17 years of age who filled an incident analgesic following an outpatient surgery during 2013–2018. Pain‐associated hospital admission or ER visit were measured within 30 days following the outpatient surgical procedure. A hierarchical multivariable logistic regression model with patients nested under prescribers was fitted to test the association between incident analgesic prescription and risk of having pain‐associated hospital admission or ER visit.ResultsOf 14 277 children meeting the inclusion criteria, 6224 (43.6%) received an incident opioid and 8053 (56.4%) received an incident non‐opioid analgesic prescription respectively. There were a total of 523 (3.7%) children undergoing surgical procedures that had pain‐related hospital admissions or ER visits with 5.1% initiated on non‐opioid analgesics and 1.8% on opioid analgesics. The multilevel model indicated that initial opioid analgesic recipients were 32% less likely of having a pain‐associated hospital admission or ER visit [aOR: 0.68 (95% CI: 0.3–0.8)].ConclusionMajority of postsurgical patients do not require additional pain management strategies. In the 3.7% of patients requiring additional pain management strategies, those initiated on non‐opioid analgesics are more likely to have a pain‐associated hospital admission or ER visit compared with their opioid recipient counterparts.

show abstract

“…The 30‐day follow‐up period was selected because the risk of CPSP increases exponentially in the first month postsurgery (Figure 1). 13–17 …”

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%