Vidaña-Martínez G, Molina-Niño E, Tapia-García I, Gordillo-Moscoso A, Medina-Moreno Ú

Language: Spanish
References: 32
Page: 243-250
PDF size: 297.44 Kb.

ABSTRACT

Introduction: inadequate postoperative pain management can lead to complications, prolonged hospital stays, delayed rehabilitation, and reduced functional level and quality of life. Variables such as age, cognitive status, previous pain experience, anxiety and helplessness contribute to pain perception. It is important to know their interaction and effect using a validated tool such as Pain Out. Objective: to evaluate the association between persistent postoperative pain and associated factors, as assessed by Pain Out, in obstetric and gynecological patients. Material and methods: prospective cohort that included adult patients of Hospital Central "Dr. Ignacio Morones Prieto" who accepted and signed the informed consent, stayed more than 6 hours in the general ward, had 24 hours of their postoperative and were able to answer the International Pain Outcome Questionnaire. Bivariate analysis and logistic regression analysis were performed to determine the OR. Results: the frequency of the worst persistent pain was 12%. Tramadol consumption was higher in postoperative. Emergency gynecological surgery has a 5.6 times higher risk of severe intractable pain. The initial dose of morphine and the consumption of > 2 g paracetamol seem to be protective. In the group without severe persistent pain, the observed adverse effects are related to the higher morphine consumption.

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