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2016, Number 2

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Acta Med 2016; 14 (2)

Postoperative pain prevalence

Domínguez HJG, Sandoval LCG, Domínguez CLG

Language: Spanish
References: 19
Page: 84-89
PDF size: 140.65 Kb.


ABSTRACT

Background: The knowledge of the prevalence of postoperative pain allows to develop effective programs to achieve the optimal “hospital without pain”. Objective: Identify, in a prospective cohort study, the prevalence of postoperative pain in consecutive inpatients. Material and methods: Patients over 18 years undergoing surgery of any specialty, identifying pain in the first 48 hours. Verbal numerical rating scale (VNRS) was used to measure pain intensity; we also evaluated the number of painful events, established treatment, mean time of pain relief and distribution by specialty. Results: 80 patients with mean age of 42 ± 16.4 years; 50% corresponding to each gender. One or more pain events were documented in 37.5% of patients; 83.3% showed a single event. Average pain intensity in VNRS was 5.7 ± 2.6 and pain duration was 16.5 ± 4.5 minutes; 70% of patients presented pain in the first two hours. Drugs used: ketorolac in 50% of cases and opioids alone in 20.83%. The specialties with the highest percentage of pain were plastic surgery (75%) and general surgery (50%). Conclusions: The prevalence of postoperative pain is high during the first two hours; close monitoring of pain and its early control are important for the welfare of the patient.


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