Predictors of acute postoperative pain after elective surgery
Open accessAbstract
OBJECTIVES: Objectives:Despite efforts to improve acute postoperative pain management, a substantial number of patients still experience moderate to severe pain during the immediate postoperative days. The purpose of the present study was to identify predictors of moderate to severe acute postoperative pain. METHODS: Methods: A total of 1490 patients undergoing heterogeneous surgical procedures recorded their pain 3 times a day on a 100-mm visual analog scale from the day before the operation until 5 days postoperation. For each postoperative day, pain intensity was classified as moderate when the mean pain score was 41 to 74mm and as "severe when the mean pain score was 75 to 100 mm. Using logistic regression analyses, we examined the predictive value of a comprehensive set of preoperative and perioperative variables for moderate to severe pain. RESULTS: Results: The most important predictors seemed to be; preoperative pain, expected pain, surgical fear, and pain catastrophizing. DISCUSSION: Discussion: Several predictive factors of postoperative pain were identified in this study. These factors could be taken into account in postoperative pain management.
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Prospective studies have found psychological factors among the risk factors for early and late postsurgical pain.
“Prospective studies have identified various risk factors for both early and late postsurgical pain, including psychological factors.23,40,41,50”
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- Authors
- Sommer, M., de Rijke, J. M., van Kleef, M., Kessels, A. G. H., Peters, M. L., Geurts, J. W., Patijn, J., Gramke, H.-F., & Marcus, M. A. E.
- Affiliations
- Maastricht University Medical Centre (NL)
- Corresponding author
- Sommer, Michael
- Geurts, José W.
- Patijn, Jacob
- Gramke, Hans-Fritz
- Marcus, Marco A. E.
- Venue
- The Clinical Journal of Pain
- Published
- 2010-02
- Volume
- 26
- Issue
- 2
- Pages
- 87-94
- ISSN
- 0749-8047 (ISSN-L)
- OpenAlex
- W2169296912
- Cited by
- 214
- References
- 36
- Citations by year
- 2026: 7 · 2025: 8 · 2024: 14 · 2023: 17 · 2022: 7 · 2021: 15 · 2020: 21 · 2019: 17 · 2018: 17 · 2017: 18 · 2016: 20 · 2015: 14 · 2014: 15 · 2013: 9 · 2012: 6
- FWCI
- 7.75
- Type
- journal article
- Language
- en
- Open access
- Licence
- other-oa
- Locations
- Clinical Journal of Pain (publishedVersion)
- PubMed (publishedVersion)
- Research Publications (Maastricht University) (submittedVersion, other-oa)
- Topics
- Health Sciences › Medicine › Surgery › Anesthesia and Pain Management
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Pediatric Pain Management Techniques
- Health Sciences › Medicine › Anesthesiology and Pain Medicine › Pain Management and Opioid Use
- Keywords
- acute postoperative pain, predictors of pain, elective surgery, preoperative pain, surgical fear, pain catastrophizing, pain intensity, postoperative pain management
- MeSH terms
- Acetaminophen, Adult, Aged, Anti-Inflammatory Agents, Non-Steroidal, Drug Administration Schedule, Drug Therapy, Combination, Female, Humans, Male, Middle Aged, Pain Measurement, Postoperative Pain, Predictive Value of Tests, Retrospective Studies, Time Factors, Logistic Models, Elective Surgical Procedures, Analgesics, Non-Narcotic
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