Observational study of post-operative pain control before and after the implementation of a clinical practice guideline for postoperative pain management

Ángeles Mesas Idáñez, Cristina Aguilera Martin, Concepción Muñoz Alcaide, Antonio Vallano Ferraz, M. Victoria Ribera Canudas, Gloria Agreda Martínez, Cristina Aguilera Martin, Carme Bosch Graupera, Dolors Botella Samaranch, Jesús Caballero López, María Victoria García Aparicio, Jordi García López, Pilar Gil Rubio, Lluís Gros Subias, Esther Les Morell, Maria Oliveras Arena, Dolors Planas Gras, Lucrecia Ramírez Garceran, María Victoria Ribera Canudas, Sabina Salicrú RieraAna María Sánchez Reyes, Trinidad Trull Ventura, Antoni Vallano Ferraz

Research output: Contribution to journalArticleResearch

Abstract

© 2019 Elsevier España, S.L.U. Background and objectives: Postoperative pain is common in hospitals. Clinical practice guidelines for the control of postoperative pain (CPGPP) have been developed to improve its treatment. The objective of this study was to evaluate the prevalence and intensity of postoperative pain and analgesic norms, before and after the implementation of a CPGPP. Material and method: An observational study was carried out that included 2 cross-sectional studies in 2 separate periods, before and after implementation of the CPGPP. Adult patients postoperated on the first day of admission in the surgery plants were included. Demographic, clinical and pharmacological variables were collected from clinical histories. The intensity of the pain was collected through individual interviews with patients. Results: We included 306 patients in the first period and 317 in the second. There were no differences between patients’ demographic and clinical variables and the 2 periods. The prevalence of pain was 92% (IC 95%: 87%-95%) in the first period and 77% (IC 95%: 72%-82%) in the second (P < 0.05). The most frequent pain in the last 24 hours was moderate or intense in 53% (IC 95%: 48%-59%) of patients in the first period and in 33% (IC 95%: 28%-38%) of the patients in the second (P < 0.05). Conclusions: After the implementation of the CPGPP, a decrease in the prevalence and intensity of pain in patients was observed, but without reaching an optimal level. Continued pain training and assessment measures are therefore necessary for proper pain treatment over time.
Original languageEnglish
Pages (from-to)312-318
JournalMedicina Clinica
Volume153
DOIs
Publication statusPublished - 25 Oct 2019

Keywords

  • Clinical practice guideline
  • Observational study before-after
  • Postoperative pain

Fingerprint Dive into the research topics of 'Observational study of post-operative pain control before and after the implementation of a clinical practice guideline for postoperative pain management'. Together they form a unique fingerprint.

  • Cite this

    Mesas Idáñez, Á., Aguilera Martin, C., Muñoz Alcaide, C., Vallano Ferraz, A., Ribera Canudas, M. V., Agreda Martínez, G., Aguilera Martin, C., Bosch Graupera, C., Botella Samaranch, D., Caballero López, J., Victoria García Aparicio, M., García López, J., Gil Rubio, P., Gros Subias, L., Les Morell, E., Oliveras Arena, M., Planas Gras, D., Ramírez Garceran, L., Victoria Ribera Canudas, M., ... Vallano Ferraz, A. (2019). Observational study of post-operative pain control before and after the implementation of a clinical practice guideline for postoperative pain management. Medicina Clinica, 153, 312-318. https://doi.org/10.1016/j.medcli.2019.01.035