Determination of Clinically Meaningful Levels of Pain Reduction in Patients Experiencing Acute Postoperative Pain

Sloman, Rod; Wruble, Anna Woloski; Rosen, Gila; Rom, Miriam

doi:10.1016/j.pmn.2006.09.001

Cited by 98 publications

(79 citation statements)

References 14 publications

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“…So, it should always be evaluated and recorded together with other vital signs so that necessary adjustments are made to the treatment. Pain complaint should always be valued and respected due to the discomfort it brings 9,10 . Pain management policy, be it with its own control, be it by providing palliative care, is a major example of universality and transversality of interdisciplinary activities in the public health area.…”

Section: Introductionmentioning

confidence: 99%

Prevalência de dor crônica em uma Unidade Básica de Saúde de cidade de médio porte

Ruviaro¹,

Filippin²

2012

Rev. dor

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Section: Introductionmentioning

confidence: 99%

Prevalência de dor crônica em uma Unidade Básica de Saúde de cidade de médio porte

Ruviaro¹,

Filippin²

2012

Rev. dor

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“…Postoperative pain control is critical for patients' integral assistance and its adequate management depends on a correct evaluation 5 . Due to the relevance of this clinical symptom, both the Agency for Healthcare Research and Quality and the American Society of Pain and the Joint Commission on Accreditation on Healthcare Organizations (JCAHO) recommend that, to optimally control pain, it should be regularly and adequately measured and in the same clinical environment of vital signs, being defined as the "fifth vital sign" 6 . Considering pain as the fifth vital sign is a way to systematize pain perceived by patiens 5 .…”

Section: Introductionmentioning

confidence: 99%

Patients' satisfaction with the implementation of the concept of pain as the fifth vital sign to control postoperative pain

Iuppen¹,

Sampaio²,

Stadnik³

2011

Rev. dor

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“…The minimal clinically important difference for the NPRS after orthopaedic surgery has been reported as 28.6%, and patients in this study clearly did not report that degree of pain reduction. 44 The higher level of satisfaction may also be attributable to greater patient contact with the staff who replaced ice and water in the device and conducted skin checks every 4 hours. Regardless of the underlying potential causes of higher patient-reported satisfaction, our findings provide evidence that the choice of compression and cooling methods may be guided by patient preference rather than by evidence of a definitive beneficial effect on pain, PROM, lower limb function, blood loss, or LOS.…”

Section: Discussionmentioning

confidence: 99%

Device or Ice: The Effect of Consistent Cooling Using a Device Compared with Intermittent Cooling Using an Ice Bag after Total Knee Arthroplasty

Bech

Moorhen

Cho

et al. 2015

Physiotherapy Canada

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Purpose: To determine the comparative effectiveness of consistent cooling using an icing device (DonJoy Iceman, DJO Canada, Mississauga, ON) versus intermittent cooling using an ice bag (usual care) for the first 48 hours after total knee arthroplasty (TKA). Method: A sample of 78 patients (intervention group, n ¼ 37; control group, n ¼ 34) undergoing primary TKA were randomized to intervention (device) or control (ice) groups. The primary outcome was pain intensity, measured by numerical pain rating scale (NPRS). Secondary outcomes were passive range of motion (PROM), nausea or vomiting, opioid use, blood loss, lower limb function, hospital length of stay, and patient-reported compliance and satisfaction. Results: No significant differences in the primary outcome (pain intensity measured via NPRS) were observed between control and intervention groups. Patients in the intervention group were significantly more satisfied (8.4 vs. 6.0, p ¼ 0.002); used the device more consistently, day and night (85.7% vs. 29.6% and 87.6% vs. 30.8%, respectively, p < 0.001); and were more likely to recommend this method of cooling (96.8% vs. 68.0%, p ¼ 0.004). Conclusion: The study found no additional benefit of consistent cryotherapy using the icing device over intermittent ice bags on postoperative pain, PROM, nausea or vomiting, opioid use, blood loss, lower limb function, or length of stay, despite significant differences in patient-reported compliance and satisfaction.Key Words: arthroplasty; cryotherapy; knee. RÉ SUMÉObjet: Dé terminer l'efficacité comparative du refroidissement constant au moyen d'un dispositif de refroidissement (DonJoy Iceman, DJO Canada, Mississauga, Ontario) en comparaison du refroidissement intermittent dé coulant de l'utilisation d'un sac à glace (soins habituels) dans les 48 premiè res heures suivant l'arthroplastie totale du genou. Mé thode: Un é chantillon de 78 patients (groupe d'intervention n ¼ 37; groupe té moin n ¼ 34) ayant subi une premiè re arthroplastie totale du genou ont é té randomisé s dans des groupes d'intervention (dispositif) ou té moin (glace). Le ré sultat principal é tait l'intensité de la douleur, mesuré e selon une é chelle d'é valuation numé rique de la douleur. Les ré sultats secondaires é taient l'amplitude passive du mouvement, les nausé es/vomissements, l'utilisation d'opioïde, la perte de sang, la fonction des membres infé rieurs, la duré e du sé jour à l'hô pital, et la conformité et la satisfaction dé claré es par les patients. Ré sultats: On n'a observé aucune diffé rence significative dans le ré sultat principal (intensité de la douleur mesuré e selon une é chelle d'é valuation numé rique de la douleur) entre les groupes té moin et d'intervention. Les patients du groupe d'intervention é taient consid-é rablement plus satisfaits (8,4 contre 6, 0, p ¼ 0,002); utilisaient le dispositif de fac¸on plus uniforme, le jour et la nuit (85.7% contre 29.6% et 87.6% contre 30.8%, respectivement, p < 0,001); et é taient plus susceptibles de recommander cette mé thode de r...

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Determination of Clinically Meaningful Levels of Pain Reduction in Patients Experiencing Acute Postoperative Pain

Cited by 98 publications

References 14 publications

Prevalência de dor crônica em uma Unidade Básica de Saúde de cidade de médio porte

Prevalência de dor crônica em uma Unidade Básica de Saúde de cidade de médio porte

Patients' satisfaction with the implementation of the concept of pain as the fifth vital sign to control postoperative pain

Device or Ice: The Effect of Consistent Cooling Using a Device Compared with Intermittent Cooling Using an Ice Bag after Total Knee Arthroplasty

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