Predictors of severe pain in the immediate postoperative period in elderly patients following hip fracture surgery

Radinovic, Kristina; Milan, Zoka; Marković-Denić, Ljiljana; Dubljanin-Raspopovic, Emilija; Jovanović, B; Bumbaširević, Vesna

doi:10.1016/j.injury.2014.05.024

Cited by 28 publications

(15 citation statements)

References 22 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In our research, the intensity of postsurgical pain also correlated positively with a fatalistic time perspective. Such an attitude towards time may increase the sense of helplessness and hopelessness in a situation of experiencing pain as well as intensify pain catastrophizing (Tolver et al., ; Kinjo et al., ; Rakel et al., ; Pinto et al., , ; Radinovic et al., ). Our results suggest that hedonism is not significantly correlated with APSP.…”

Section: Discussionmentioning

confidence: 99%

Time perspective as a predictor of acute postsurgical pain and coping with pain following abdominal surgery

Sobol-Kwapińska

Płotek

Bąbel

et al. 2016

European Journal of Pain

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 99%

Time perspective as a predictor of acute postsurgical pain and coping with pain following abdominal surgery

Sobol-Kwapińska

Płotek

Bąbel

et al. 2016

European Journal of Pain

View full text Add to dashboard Cite

show abstract

“…Participants lost to follow-up were documented in five papers (Bitsch et al, 2006;Björkelund et al, 2011;Luger et al, 2014;Wang et al, 2008;Westhoff et al, 2013), accounting for 88 participants in total. From those who experienced delirium, mean age ranged from 73.7 years (Chrispal et al, 2010;Radinovic et al, 2014) to 88.3 years (Mézière et al, 2013), whilst in the non-delirium group, mean age ranged from 71.3 years (Chrispal et al, 2010) to 88.4 years (Luger et al, 2014).…”

Section: Characteristics Of Included Studiesmentioning

confidence: 99%

Factors predicting incidence of post‐operative delirium in older people following hip fracture surgery: a systematic review and meta‐analysis

Smith

Cooper

Peryer

et al. 2017

Int J Geriat Psychiatry

114

View full text Add to dashboard Cite

Objective: Delirium is one of the most common complications following hip fracture surgery in older people. This study identified pre-and peri-operative factors associated with the development of post-operative delirium following hip fracture surgery. Methods:Published and unpublished literature were searched to identify all evidence reporting variables on patient characteristics, on-admission, intra-operative and post-operative management assessing incident delirium in older people following hip fracture surgery. Pooled odds ratio (OR) and mean difference (MD) of those who experienced delirium compared to those who did not were calculated for each variable. Evidence was assessed using the Downs and Black appraisal tool and interpreted using the GRADE approach.Results: 6704 people (2090 people with post-operative delirium) from 32 studies were analysed.There was moderate evidence of nearly a two-times greater probability of post-operative delirium for those aged 80 years and over (OR: 1.77; 95% CI: 1.09, 2.87), whether patients lived in a care institution pre-admission (OR: 2.65; 95% CI: 1.79, 3.92), and a six-times greater probability of developing post-operative delirium with a pre-admission diagnosis of dementia (OR: 6.07, 95% CI: 4.84, 7.62). There was no association with intra-operative variables and probability of delirium. Conclusion:Clinicians treating people with a hip fracture should be vigilant towards postoperative delirium if their patients are older, have pre-existing cognitive impairment and poorer overall general health. This is also the case for those who experience post-operative complications such as pneumonia or a urinary tract infection.

show abstract

“…In the published literature, there have been multiple attempts to identify predictors of persistent pain and/or pain relief following orthopaedic procedures, including total knee and hip arthroplasty, 13 spinal surgery, 14,15 hip fractures, 16 and ankle fractures; 17 however, few studies have specifically assessed these factors in upper extremity procedures. Nonunion or delayed union of the osteotomy site can occur up to 10% of the cases, which has been associated with decreased functional outcomes, revision surgery, and persistent pain.…”

mentioning

confidence: 99%

Determinants of Pain and Predictors of Pain Relief after Ulnar Shortening Osteotomy for Ulnar Impaction Syndrome

et al. 2019

View full text Add to dashboard Cite

Background The purpose of this study is to characterize patient- and surgery-specific factors associated with perioperative pain level in patients undergoing ulnar shortening osteotomy (USO) for ulnar impaction syndrome (UIS). We hypothesize that preoperative opiate consumption, tobacco utilization, and severity of ulnar variance will be associated with less postoperative pain relief. Methods All cases of USO between January 2010 and December 2016 for management of UIS were retrospectively reviewed. Patient demographics, smoking status, type of labor, and opioid utilization before surgery were recorded. Radiographic measurements for ulnar variance, radial tilt and inclination, as well as triangular fibrocartilage complex and distal radial-ulnar joint (DRUJ) morphology were assessed. Pre- and postoperative pain score were recorded. Regression analysis was performed to determine predictors of pain scores. Results A total of 69 patients were included for the final analysis with a mean age of 44 years (range 17–73 years). Seventeen patients reported use of daily opioid medications at the time of surgery (25%). Patients who used opioid analgesics daily, active laborers, smokers, and patients involved in worker compensation claims had significantly less pain relief after surgery. Patients with osteotomy performed at the metaphysis had significantly more pain relief than patients that had diaphyseal osteotomy. Regression analysis identified tobacco utilization and anatomic site of osteotomy as independent predictors of postoperative pain. Conclusion The results from this study identified smoking and location of osteotomy as independent predictors of postoperative pain relief. While smoking cessation is paramount to prevent delayed/nonunion it may also help improve pain relief following USO. The potential to achieve greater shortening with a metaphyseal osteotomy suggests that in addition to the mechanical unloading the carpus, pain relief after USO may also stem from tensioning the ulnar collateral ligaments of the wrist, the ECU subsheath, and the radioulnar ligaments. Level of Evidence This is a Level III, therapeutic study.

show abstract

Predictors of severe pain in the immediate postoperative period in elderly patients following hip fracture surgery

Cited by 28 publications

References 22 publications

Time perspective as a predictor of acute postsurgical pain and coping with pain following abdominal surgery

Time perspective as a predictor of acute postsurgical pain and coping with pain following abdominal surgery

Factors predicting incidence of post‐operative delirium in older people following hip fracture surgery: a systematic review and meta‐analysis

Determinants of Pain and Predictors of Pain Relief after Ulnar Shortening Osteotomy for Ulnar Impaction Syndrome

Contact Info

Product

Resources

About