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Pain characteristics and analgesic intake before and following cardiac surgery.
- Source :
- European Journal of Cardiovascular Nursing; Feb2016, Vol. 15 Issue 1, p47-54, 8p
- Publication Year :
- 2016
-
Abstract
- Background: Cardiac surgery is a common intervention that involves several pain-sensitive structures, and intense postoperative pain is a predictor of persistent pain. Aims: To describe pain characteristics (i.e. intensity, location, interference, relief) and analgesic intake preoperatively and across postoperative days 1 to 4 after cardiac surgery, and to explore associations between postoperative pain and demographic and clinical characteristics. Methods: Four hundred and sixteen patients (24% women) undergoing elective coronary artery bypass grafting and/or valve surgery were enrolled in a randomized controlled trial. Data were collected using standardized measures including the Brief Pain Inventory-short form. A linear mixed model analysis estimated the impact of sex, age, body mass index, analgesic intake and preoperative pain on postoperative worst pain ratings in the previous 24 hours from postoperative days 1 to 4 prior to discharge Results: Thirty-eight per cent of the cardiac surgery patients reported preoperative pain. Postoperative worst pain remained in the moderate to severe range for the majority of patients across day 1 (85%) to day 4 (57%), mainly around the chest incision area for the majority (70%). Mean oral morphine intake was 17 mg/24 h (day 1: 27mg; day 4: 10mg). Lower age, female sex, preoperative pain and analgesic intake had a statistically significant association with higher postoperative worst pain ratings. Conclusion: Study findings demonstrated a high prevalence of moderate to severe pain after cardiac surgery and insufficient analgesic administration. Results indicated that patients were discharged from hospital with unrelieved pain and a potential risk for further postoperative complications. [ABSTRACT FROM AUTHOR]
- Subjects :
- ANALGESICS
AGE distribution
CHI-squared test
CONFIDENCE intervals
CORONARY artery bypass
FISHER exact test
CARDIAC surgery
PROSTHETIC heart valves
PATIENT education
POSTOPERATIVE pain
POSTOPERATIVE period
QUESTIONNAIRES
RESEARCH funding
STATISTICAL sampling
SEX distribution
T-test (Statistics)
COMORBIDITY
PAIN measurement
RANDOMIZED controlled trials
TREATMENT effectiveness
PREOPERATIVE period
DATA analysis software
DESCRIPTIVE statistics
MANN Whitney U Test
Subjects
Details
- Language :
- English
- ISSN :
- 14745151
- Volume :
- 15
- Issue :
- 1
- Database :
- Complementary Index
- Journal :
- European Journal of Cardiovascular Nursing
- Publication Type :
- Academic Journal
- Accession number :
- 112801947
- Full Text :
- https://doi.org/10.1177/1474515114550441