Perioperative predictors of moderate and severe postoperative pain in idiopathic scoliosis patients following spinal correction and fusion operations

Fan, Qingqing; Xie, Han; Ma, Zhengliang; Chen, Zhengxiang; Yan, Tianhua; Ge, Weihong

doi:10.1097/md.0000000000013215

Cited by 4 publications

(3 citation statements)

References 17 publications

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“…Of the 17 studies (Bennett-Branson & Craig, 1993; Berghmans et al, 2018; Cai et al, 2017; Chidambaran et al, 2017; Chieng et al, 2013; Cook-Sather et al, 2020; Fan et al, 2018; Ferland et al, 2017; Gholami et al, 2020; Jaaniste et al, 2021; Knoetze et al, 2020; Martin & John, 2020; Pagé et al, 2012; Postier et al, 2020; Uhl et al, 2019; Voepel-Lewis et al, 2017; Zavras et al, 2015), 14 reported no significant association between age and APSP (Bennett-Branson & Craig, 1993; Berghmans et al, 2018; Cai et al, 2017; Chidambaran et al, 2017; Chieng et al, 2013; Fan et al, 2018; Ferland et al, 2017; Gholami et al, 2020; Knoetze et al, 2020; Martin & John, 2020; Postier et al, 2020; Uhl et al, 2019; Voepel-Lewis et al, 2017; Zavras et al, 2015), one reported association of younger age and greater pain (Cook-Sather et al, 2020), and two other studies showed that age was positively associated with pain intensity (Jaaniste et al, 2021; Pagé et al, 2012).…”

Section: Resultsmentioning

confidence: 99%

Risk and protective factors in predicting pediatric acute postsurgical pain: A systematic review and meta-analysis.

Chow¹,

Yu²,

Wang³

et al. 2023

Health Psychology

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Objective: Acute postsurgical pain (APSP), defined as pain within 3 months after surgery, is reported in most surgical pediatric patients, and a significant number of patients experience pain interfering with their daily life activities. We aimed to identify perioperative and psychosocial factors associated with APSP severity in pediatric patients undergoing surgery. Method: MEDLINE, EMBASE, CINAHL, PsycINFO, Web of Science, and CENTRAL were searched from database inception to October 2021. Studies that reported an association between risk or protective factors and acute pain in children were included. The primary outcome was the magnitude of association between identified factors and APSP, as measured by standardized effect sizes. Results: Thirty-eight studies (7,936 participants aged 1–18 years) were included. Meta-analysis of 12 studies (1,192 participants) revealed child preoperative pain, pain immediately after surgery, anticipated pain, temperament, pain catastrophizing, age, preoperative anxiety, parent pain catastrophizing, and parent preoperative anxiety were positively associated with APSP. Child pain coping efficacy was protective against APSP. We identified several modifiable child and parent psychosocial factors as predictors of APSP severity. Conclusion: Given the small degree of association between identified factors and postsurgical pain, there is value in pursuing other factors that may better explain the variability in pain. Recognizing patients at risk for moderate to severe APSP enables early implementation of interventions to minimize pain burden. Interventions to enhance coping, an adaptive characteristic, may also help to reduce APSP.

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Section: Resultsmentioning

confidence: 99%

Risk and protective factors in predicting pediatric acute postsurgical pain: A systematic review and meta-analysis.

Chow¹,

Yu²,

Wang³

et al. 2023

Health Psychology

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“…On one hand, adolescents submitted to major surgery reported difficulty in controlling pain due to the complexity of factors that interfere [16]. Scoliosis surgery is an invasive surgical procedure, which usually results in high levels of postoperative pain [31]. This surgery is a stressful and painful experience, and some adolescents mighty experience pain during months, or years [32].…”

Section: Physical Aspectsmentioning

confidence: 99%

Adolescents’ perioperative experiences in relation to inpatient and outpatient elective surgery – a qualitative study

Pestana-Santos

Santos

et al. 2021

Scandinavian Caring Sciences

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Background Perioperative experience can be very distressing in adolescence if not managed properly by healthcare professionals. In the clinical context, the emotional expression of the adolescent is less spontaneous, which makes the assessment of anxiety, pain or even the desire to be involved in the perioperative process, difficult. Listening to their perioperative experiences will permit an understanding of their difficulties and expectations, regardless of the surgical intervention undergone. Aim To explore the adolescents’ perioperative experiences in relation to inpatient and outpatient elective surgery. Methods Qualitative exploratory study, with thematic analysis approach. A purposive sample of 40 adolescents aged 14–18 years and in the perioperative period, from two paediatric surgery settings in a university hospital, was questioned from January to July 2020. Data were collected using a semi‐structured interview and analysed inductively with qualitative thematic analysis. Results The data yielded one major theme, five themes, and 14 sub‐themes. The major theme, Adolescent in perioperative period, included the five themes: (1) emotional and psychological aspects; (2) physical aspects; (3) social aspects; (4) organizational aspects; (5) previous surgical experience. Adolescents expressed fear of the unknown, anxiety, difficulty in pain control, and feelings of autonomy loss. Issues related to withdrawal from school and friends is also a focus of adolescent concern during the perioperative period. Despite showing satisfaction with the way they were cared for, they complained about the lack of pre‐ and post‐operative preparation. Conclusion There are aspects that should be considered when caring for adolescents in perioperative period. As far as possible, programmes to prevent adolescents’ anxiety in perioperative period should be designed in a holistic perspective, with aim at the psychological, physical, sociocultural, and organisational aspects.

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“…Therefore, the study of factors affecting postoperative acute pain has important clinical significance for optimizing postoperative acute pain management ( 11 ). Doctors, nurses, and pharmacists need to understand the influencing factors of postoperative analgesic effect of the operation, intervene with these factors, and formulate individualized analgesic schemes, so as to reduce the occurrence of excessive or insufficient analgesia.…”

Section: Introductionmentioning

confidence: 99%

Predictive Factors for Acute Postoperative Pain After Open Radical Gastrectomy for Gastric Cancer

Xie

Wei

et al. 2022

Front. Public Health

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BackgroundPain has become an important factor in evaluating patients' quality of life and clinical treatment. For gastric cancer (GC) patients, open radical gastrectomy (OG) causes significant trauma to the body, increases patients' pain after operation, and delays early recovery. The aim of this study was to investigate the predictive factors of acute pain after OG within postoperative 72 h.MethodsFrom March 2020 to September 2021, 307 patients who underwent OG were included in the study in Nanjing Drum Tower Hospital. The predictors included demographic predictors, pathological data, surgical predictors, and intraoperative predictors. The pain scores at 12, 24, 48, and 72 h after operation were evaluated by numeric rating scale (NRS). The predictors of acute pain were determined by univariate and multivariate analysis.ResultsThe average pain score (NRS) of patients showed a downward trend over time within 72 h after OG. Multivariate analysis indicated that total gastrectomy (OR 1.823, 95% CI 1.094–3.040, P < 0.05), AJCC TNM stage (II) (OR.232, 95% CI 0.062–0.872, P < 0.05), AJCC TNM stage(III) (OR.185, 95% CI 0.049–0.698, P < 0.05), BMI (kg/m2) (OR 1.75, 95% CI 1.029–2.976, P < 0.05), distant metastasis (OR 3.054, 95% CI 1.019–9.155, P < 0.05), intraoperative transfusion (OR 2.246, 95% CI 1.267–3.982, P < 0.01) were significant predictive factors for acute pain after OG.ConclusionReasonable postoperative acute pain control was the prerequisite for accelerating the postoperative rehabilitation of patients. In order to reduce the occurrence of excessive or insufficient analgesia, it was necessary for patients who underwent OG to formulate appropriate analgesics according to risk factors.

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Perioperative predictors of moderate and severe postoperative pain in idiopathic scoliosis patients following spinal correction and fusion operations

Cited by 4 publications

References 17 publications

Risk and protective factors in predicting pediatric acute postsurgical pain: A systematic review and meta-analysis.

Risk and protective factors in predicting pediatric acute postsurgical pain: A systematic review and meta-analysis.

Adolescents’ perioperative experiences in relation to inpatient and outpatient elective surgery – a qualitative study

Predictive Factors for Acute Postoperative Pain After Open Radical Gastrectomy for Gastric Cancer

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