Prevalence of Pain in Postoperative Patients for One Week After Ambulatory Surgery

2.50
Hdl Handle:
http://hdl.handle.net/10755/304412
Category:
Abstract
Type:
Presentation
Title:
Prevalence of Pain in Postoperative Patients for One Week After Ambulatory Surgery
Author(s):
Odom-Forren, Jan; Apfel, Christian C.; Rush, Carrell
Lead Author STTI Affiliation:
Non-member
Author Details:
Jan Odom-Forren, PhD, RN, CPAN, FAAN, jlforr2@uky.edu; Christian C. Apfel, MD, PhD; Carrell Rush, MPH;
Abstract:

Session presented on: Tuesday, July 23, 2013

Purpose: Over 35 million patients undergo ambulatory surgery each year in the United States, and similar data from the World Health Organization supports an increase in ambulatory surgery internationally.    Little is known about postoperative pain in the ambulatory setting.  The purpose of this study was to determine the prevalence and describe the progression of postoperative pain for one week after ambulatory surgery.

Methods: A total of 248 patients who experienced ambulatory surgery were included in this secondary analysis.  The primary study included data on incidence (yes/no) and intensity (0=none;10=worst) of post discharge nausea and vomiting over 7 days.  Pain was also measured with a visual analog scale (0= none; 10 = worst).  

Results: On the day of surgery, 53.7% of the patient experienced moderate to severe pain with 51.2 % experiencing moderate to severe pain on postoperative Day 1 decreasing to 18.6% on Day 7.  Patients with surgeries that involved the shoulder and knee reported significantly higher mean levels of pain.  Postoperative level of pain was significantly related to the presence of nausea on each of the 7 days with patients who experienced nausea also experiencing higher levels of pain.  In a logistic regression, age less than 50 with an odds ratio of 2.7 and arthroscopy approach to surgery with an odds ratio of 11.9 were the two independent variables that predicted presence of severe pain.

Conclusion: This study confirmed that a large number of ambulatory surgery patients continue to experience moderate to severe pain over 7 days after ambulatory surgery.  The type of surgical procedure can influence the intensity of pain and should be considered in an analgesic management plan.  A symptom cluster that includes pain and nausea requires further research to determine how best to self-manage multiple symptoms at home.

Keywords:
postoperative pain; ambulatory surgery
Repository Posting Date:
22-Oct-2013
Date of Publication:
22-Oct-2013
Conference Date:
2013
Conference Name:
24th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Prague, Czech Republic
Description:
24th International Nursing Research Congress Theme: Bridge the Gap Between Research and Practice Through Collaboration. Held at the Hilton Prague Hotel.
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titlePrevalence of Pain in Postoperative Patients for One Week After Ambulatory Surgeryen_GB
dc.contributor.authorOdom-Forren, Janen_GB
dc.contributor.authorApfel, Christian C.en_GB
dc.contributor.authorRush, Carrellen_GB
dc.contributor.departmentNon-memberen_GB
dc.author.detailsJan Odom-Forren, PhD, RN, CPAN, FAAN, jlforr2@uky.edu; Christian C. Apfel, MD, PhD; Carrell Rush, MPH;en_GB
dc.identifier.urihttp://hdl.handle.net/10755/304412-
dc.description.abstract<p>Session presented on: Tuesday, July 23, 2013</p><b>Purpose: </b>Over 35 million patients undergo ambulatory surgery each year in the United States, and similar data from the World Health Organization supports an increase in ambulatory surgery internationally.    Little is known about postoperative pain in the ambulatory setting.  The purpose of this study was to determine the prevalence and describe the progression of postoperative pain for one week after ambulatory surgery. <p><b>Methods: </b>A total of 248 patients who experienced ambulatory surgery were included in this secondary analysis.  The primary study included data on incidence (yes/no) and intensity (0=none;10=worst) of post discharge nausea and vomiting over 7 days.  Pain was also measured with a visual analog scale (0= none; 10 = worst).   <p><b>Results: </b>On the day of surgery, 53.7% of the patient experienced moderate to severe pain with 51.2 % experiencing moderate to severe pain on postoperative Day 1 decreasing to 18.6% on Day 7.  Patients with surgeries that involved the shoulder and knee reported significantly higher mean levels of pain.  Postoperative level of pain was significantly related to the presence of nausea on each of the 7 days with patients who experienced nausea also experiencing higher levels of pain.  In a logistic regression, age less than 50 with an odds ratio of 2.7 and arthroscopy approach to surgery with an odds ratio of 11.9 were the two independent variables that predicted presence of severe pain. <p><b>Conclusion: </b>This study confirmed that a large number of ambulatory surgery patients continue to experience moderate to severe pain over 7 days after ambulatory surgery.  The type of surgical procedure can influence the intensity of pain and should be considered in an analgesic management plan.  A symptom cluster that includes pain and nausea requires further research to determine how best to self-manage multiple symptoms at home.en_GB
dc.subjectpostoperative painen_GB
dc.subjectambulatory surgeryen_GB
dc.date.available2013-10-22T20:35:20Z-
dc.date.issued2013-10-22-
dc.date.accessioned2013-10-22T20:35:20Z-
dc.conference.date2013en_GB
dc.conference.name24th International Nursing Research Congressen_GB
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen_GB
dc.conference.locationPrague, Czech Republicen_GB
dc.description24th International Nursing Research Congress Theme: Bridge the Gap Between Research and Practice Through Collaboration. Held at the Hilton Prague Hotel.en_GB
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission.en_GB
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