Predicting and evaluating pain after surgery…Newer methods to the rescue?

Sharma, Ridhima; Shah, PratibhaJain; Sahu, Sandeep; Karim, HabibMd Reazaul

doi:10.4103/ija.ija_65_23

Cited by 3 publications

(1 citation statement)

References 33 publications

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“…Mainly, that includes dissimilarity in pain intensity among pediatric patients, the right time for introducing analgesics, and removing anxiety, thereby as a measure of probable diagnostic prediction. Many studies have proved that pain assessment tools effectively get data for formulating physicians' diagnoses and helping evaluate patients' care [ 7 , 8 ]. Many studies show that comparable results of pain scales vary from various studies [ 9 ].…”

Section: Introductionmentioning

confidence: 99%

The Verbal Numerical Rating Scale and Faces Pain Scale-Revised in Children With Acute Pain: A Comparative Study for Determining the Need for Analgesia

Lamture,

Lamture

2024

Cureus

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Introduction The primary complaint in all age groups of patients, including children, is pain, which drives the patient to the hospital. A good assessment of pain severity is necessary to determine the right therapy for this primary complaint. Pain scales, especially in children, are given little importance in all hospitals in India. We need more data about its effectiveness. As a result, we conducted this study to compare the effectiveness of two pain scales in an admitted patient. Methods An observational study was conducted on pediatric patients aged 8-17 admitted to a tertiary care unit in pediatric wards included in the study. The study team identified the participants with painful and nonpainful conditions by asking patients of the above age group if they had "any pain" or "any hurt." The verbal numerical rating scale (vNRS) was determined by asking, "On a scale of zero to 10, where zero signifies no pain and ten means severe pain." The child was advised to select from among the six faces using the faces pain scale-revised (FPS-R), showing increasing levels of pain intensity (from left to right), with score options 0, 2, 4, 6, 8, and 10 demonstrated below each face. Result We enrolled 140 children, of which 22 of vNRS and 15 of FPS-R were removed from the study as these children did not understand vNRS and FPS-R. The two-tailed t-test revealed that the p-value was 0.9144. By conventional criteria, in the context of statistical analysis, conventional criteria typically refer to commonly accepted thresholds for determining statistical significance. The most common threshold for significance is a p-value of 0.05 or less. In the provided scenario, the two-tailed t-test resulted in a p-value of 0.9144. By conventional criteria (i.e., using the threshold of 0.05), this p-value is considered not significant. This means that there is not enough evidence to reject the null hypothesis, which suggests that there is no significant difference between the two groups being compared (in this case, the efficacy and reliability of the two scales). Therefore, based on conventional criteria, the difference in efficacy and reliability between the two scales is considered not significant, indicating that they are likely to be equally effective and reliable. This difference is considered not significant. Hence, it is suggestive of equal efficacy and reliability on both scales. Conclusion Pain scales are a practical guide for managing and recognizing pain in children. It needs to be considered in identifying children's pain. They can provide a valuable outcome for measuring pain, which, when practiced regularly, can save time and extra burden on health staff. In the present study, both pain scales (vNRS and FPR-R) have equal efficacy.

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Section: Introductionmentioning

confidence: 99%

The Verbal Numerical Rating Scale and Faces Pain Scale-Revised in Children With Acute Pain: A Comparative Study for Determining the Need for Analgesia

Lamture,

Lamture

2024

Cureus

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Capabilities Toward Intravenous Patient-Controlled Analgesia: A Cross-Sectional Study of Registered Nurses Working in Two Tertiary Hospitals in China and Thailand

Maneewat,

Kaewamporn,

Ren

et al. 2024

Pain Management Nursing

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Impact of Demographics and Psychological Factors on Three-Day Postoperative Pain Perception Following Hand Surgery

Borna,

Ho,

Gomez-Cabello

et al. 2024

JCM

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Background: Effective pain management is crucial for both comfort and outcomes, yet predicting and managing this pain is difficult. This study aimed to analyze postoperative pain in patients undergoing hand surgery at the Mayo Clinic Florida, examining how patient characteristics and anxiety affect pain outcomes. Methods: We conducted a single-arm clinical trial at Mayo Clinic Florida, recruiting patients undergoing hand surgery. Preoperative pain and anxiety were assessed using the Pain Catastrophizing Scale (PCS) and State-Trait Anxiety Inventory (STAI). Postoperatively, patients used an iPhone app to record pain levels and medication use every four hours. Devices were collected three days after surgery. We analyzed the relationship between demographics, PCS, STAI scores, and pain levels using linear and logistic regression models. All statistical tests were two-sided with significance set at p < 0.05, analyzed with R4.2.2. Results: Data were collected from 62 patients (62.9% women, 37.1% men) undergoing hand surgery. Participants were mainly White (90.3%), with 50% being in the middle-aged adult group. Most had low anxiety levels (80.6% STAI-S, 82.3% STAI-T) and low catastrophizing (61.3% PCS). Postoperative pain was low, with median scores between 1.0 and 2.0 over three days. Demographics, anxiety, and catastrophizing were not significant predictors of pain levels. Logistic regression showed time as a significant factor, with pain levels peaking on Day 3. Conclusions: Postoperative pain after hand surgery was generally low, with time being a significant predictor of increased pain. Demographic factors, anxiety, and catastrophizing did not significantly affect pain levels. Pain management should emphasize time-sensitive interventions and ongoing monitoring.

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Predicting and evaluating pain after surgery…Newer methods to the rescue?

Cited by 3 publications

References 33 publications

The Verbal Numerical Rating Scale and Faces Pain Scale-Revised in Children With Acute Pain: A Comparative Study for Determining the Need for Analgesia

The Verbal Numerical Rating Scale and Faces Pain Scale-Revised in Children With Acute Pain: A Comparative Study for Determining the Need for Analgesia

Capabilities Toward Intravenous Patient-Controlled Analgesia: A Cross-Sectional Study of Registered Nurses Working in Two Tertiary Hospitals in China and Thailand

Impact of Demographics and Psychological Factors on Three-Day Postoperative Pain Perception Following Hand Surgery

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