Association of pain ratings with the prediction of early physical recovery after general and orthopaedic surgery—A quantitative study with repeated measures

Eriksson, Kerstin; Wikström, Lotta; Fridlund, Bengt; Årestedt, Kristofer; Broström, Anders

doi:10.1111/jan.13331

Cited by 16 publications

(21 citation statements)

References 39 publications

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“…The main results confirm previous research using patients retrospectively stated average pain intensity when associations with physical recovery were analysed in the same manner as in this study (Eriksson et al, ). However, there were fewer significantly associated recovery items when using median pain scores in comparison with using patients' retrospective stated average scores.…”

Section: Discussionsupporting

confidence: 91%

“…Each patient's “real‐time” NRS scores were summarized daily into individual median scores on postoperative days 1 and 2, respectively. The calculated median scores were categorized into three groups (0–3, 4–6 and 7–10) to illustrate none to mild, moderate and severe pain, respectively, as done in previous research (Couceiro, Valenca, Lima, Menezes, & Raposo, ; Eriksson et al, ; Forsberg et al, ). The individual median values for pain intensity at rest and during activity were the above groups used in the logistic analysis (95% confidence interval) of associations between pain intensity and impact on early physical recovery.…”

Section: The Studymentioning

confidence: 99%

“…Therefore, there is a clinical need to find a simple strategy for measuring patients' possibility for physical postoperative recovery that is useful when decisions about care are taken. Significant associations between postoperative patients' experiences of pain, retrospectively expressed with the NRS, and the prediction of early physical recovery have been shown (Eriksson, Wikström, Fridlund, Årestedt, & Broström, ). Furthermore, the validity of a daily summary of patients' self‐reported “real‐time” pain scores obtained using the NRS has been determined (Wikström et al, ).…”

Section: Introductionmentioning

confidence: 99%

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The association of patients' daily summarized self‐rated “real‐time” pain scores with physical recovery after major surgery – A repeated measurement design

Wikström

Nilsson²,

Eriksson

2019

Nursing Open

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AimTo determine the associations of patients' documented self‐rated pain with self‐rated early postoperative physical recovery.DesignObservational with repeated measures.MethodsGeneral and orthopaedic inpatients (N = 479) were during the period 2012–2015 screened for pain. Individual daily median pain scores at rest and during activity were based on 4–9 self‐ratings on postoperative days 1 and 2, using the Numeric Rating Scale. Nine items reflecting physical recovery from the “Postoperative Recovery Profile” were used in a questionnaire.ResultsAssociations between median pain scores on postoperative day 1 and physical recovery (fatigue, sleeping difficulties, bladder function, mobilization, muscle weakness and personal hygiene) the same day were found. Additionally, associations were found between median pain scores on day 1 and physical recovery (fatigue, sleeping difficulties, mobilization and muscle weakness) on day 2.

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Section: Discussionsupporting

confidence: 91%

Section: The Studymentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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The association of patients' daily summarized self‐rated “real‐time” pain scores with physical recovery after major surgery – A repeated measurement design

Wikström

Nilsson²,

Eriksson

2019

Nursing Open

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“…This justifies the use of nausea to indirectly monitor the recovery progress. However, in comparison with a recent study about pain intensity (Eriksson et al., ), nausea intensity had a lower ability to reflect recovery. In contrast to pain intensity, average nausea intensity on day 1 had the ability to reflect the impact on recovery for day 2 about appetite changes, which pain intensity did not (Eriksson et al., ).…”

Section: Discussioncontrasting

confidence: 87%

“…In a recent study, average pain intensity was associated with early physical recovery (Eriksson et al., ). However, the possibility of using nausea intensity to reflect early physical recovery and whether this varies among surgical specialties has not been explored.…”

Section: Introductionmentioning

confidence: 97%

Nausea intensity as a reflector of early physical recovery after surgery

Eriksson

Årestedt

Broström

et al. 2018

Journal of Advanced Nursing

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Aim To compare different levels of self‐rated average nausea intensity with early physical recovery and determine if nausea can reflect recovery in patients undergoing general or orthopaedic surgery. Background Nausea has been found to influence postoperative physical recovery. Despite the incidence of nausea in postoperative care, there is a knowledge gap about the possibility of using average nausea intensity to reflect recovery, motivating further investigation. Design An observational design with repeated measures. Methods General and orthopaedic patients answered a questionnaire (October 2012–January 2015) about nausea and impact on recovery on postoperative days 1 (N = 479) and 2 (N = 441). Questions about average nausea intensity at rest and during activity were answered based on the Numeric Rating Scale (NRS) (0–10). Impact on recovery was evaluated using three dimensions from the postoperative recovery profile tool. Results About one‐fifth of the patients reported nausea intensity as moderate to severe on days 1 and 2. Nausea intensity was associated with eight of nine aspects of recovery on postoperative day 1. Nausea intensity on day 1 also reflected four of nine aspects of recovery on day 2. About reflecting physical recovery, the association was strongest between nausea intensity and appetite changes. Conclusions As postoperative nausea is common, regular assessments by healthcare professionals are needed. Assessment of nausea is of importance since it reflects physical recovery. This also shows the importance of treating nausea without delay. Using the NRS to measure nausea intensity is a simple method that is easy to use in clinic.

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Local wound infiltration with a mixture of tramadol and bupivacaine versus bupivacaine alone in those undergoing lower abdominal surgery: Prospective cohort study, 2020

Gebremedhin

Obsa²,

Andebirku³

et al. 2022

International Journal of Surgery Open

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Background: Postoperative pain can have immediate and long-term consequences, including poor outcomes and prolonged hospitalization. It can also lead to chronic pain if not treated. Wound site infiltration with local anesthetic agents provides desirable analgesia for postoperative pain relief. The purpose of this study was to compare the analgesic effectiveness of local wound infiltration with a mixture of bupivacaine and tramadol (BT) versus bupivacaine alone (BA) for postoperative analgesia. Method: A prospective cohort study design was employed on 120 patients who underwent elective lower abdominal surgery under general or spinal anesthesia and were selected by using a systematic random sampling technique. Patients were divided into two groups based on the anesthetist in charge of postoperative pain management. Patients who received BT at the end of surgery are called BT groups, and patients who received BA are called BA groups (control). Result: The median (interquartile range) of pain severity score was significantly lower in the BT group as compared to the BA group with a p-value of 0.001. And, the median time to first analgesic request in the BT group was significantly longer as compared to patients in the BA group, with a p-value of 0.001. Conclusion: Local wound infiltration with BT decreases the postoperative pain score, total analgesic consumption, and has a prolonged time to first analgesia request as compared to BA. Therefore, we recommend using a local wound infiltration with BT to be effective for postoperative analgesia in patients undergoing elective lower abdominal surgery under general or spinal anesthesia. Highlights

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Association of pain ratings with the prediction of early physical recovery after general and orthopaedic surgery—A quantitative study with repeated measures

Abstract: Pain intensity reflected general and orthopaedic patients' physical recovery postoperative day 1 and predicted recovery for day 2. By monitoring patients' pain and impact on recovery, patients' need for support becomes visible which is valuable during hospital stays.

Cited by 16 publications

References 39 publications

The association of patients' daily summarized self‐rated “real‐time” pain scores with physical recovery after major surgery – A repeated measurement design

The association of patients' daily summarized self‐rated “real‐time” pain scores with physical recovery after major surgery – A repeated measurement design

Nausea intensity as a reflector of early physical recovery after surgery

Local wound infiltration with a mixture of tramadol and bupivacaine versus bupivacaine alone in those undergoing lower abdominal surgery: Prospective cohort study, 2020

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