Risk factors associated with postoperative pain after ophthalmic surgery: a prospective study

Mladen Lesin,1,* Mirna Dzaja Lozo,1,* Zeljka Duplancic-Sundov,1 Ivana Dzaja,1 Nikolina Davidovic,2 Adriana Banozic,3 Livia Puljak3 1Department of Ophthalmology, 2Department of Psychiatry, University Hospital Split, 3Laboratory for Pain Research, University of Split School of Medicine, Split, Croati...

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Autores principales:	Lesin M, Dzaja Lozo M, Duplancic-Sundov Z, Dzaja I, Davidovic N, Banozic A, Puljak L
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2016
Materias:	postoperative pain factors personality psychology affect pain catastrophizing sociodemographics Therapeutics. Pharmacology RM1-950
Acceso en línea:	https://doaj.org/article/2238baa0bda14a1ea66d39e59994f603
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spelling	oai:doaj.org-article:2238baa0bda14a1ea66d39e59994f6032021-12-02T11:34:20ZRisk factors associated with postoperative pain after ophthalmic surgery: a prospective study1178-203Xhttps://doaj.org/article/2238baa0bda14a1ea66d39e59994f6032016-01-01T00:00:00Zhttps://www.dovepress.com/risk-factors-associated-with-postoperative-pain-after-ophthalmic-surge-peer-reviewed-article-TCRMhttps://doaj.org/toc/1178-203XMladen Lesin,1,* Mirna Dzaja Lozo,1,* Zeljka Duplancic-Sundov,1 Ivana Dzaja,1 Nikolina Davidovic,2 Adriana Banozic,3 Livia Puljak3 1Department of Ophthalmology, 2Department of Psychiatry, University Hospital Split, 3Laboratory for Pain Research, University of Split School of Medicine, Split, Croatia *These authors contributed equally to this work Background: Risk factors associated with postoperative pain intensity and duration, as well as consumption of analgesics after ophthalmic surgery are poorly understood. Methods: A prospective study was conducted among adults (N=226) who underwent eye surgery at the University Hospital Split, Croatia. A day before the surgery, the patients filled out questionnaires assessing personality, anxiety, pain catastrophizing, sociodemographics were given and details about the procedure, anesthesia, and analgesia for each postoperative day. All scales were previously used for the Croatian population. The intensity of pain was measured using a numerical rating scale from 0 to 10, where 0 was no pain and 10 was the worst imaginable pain. The intensity of pain was measured before the surgery and then 1 hour, 3 hours, 6 hours, and 24 hours after surgery, and then once a day until discharge from the hospital. Univariate and multivariate analyses were performed. Results: A multivariate analysis indicated that independent predictors of average pain intensity after the surgery were: absence of premedication before surgery, surgery in general anesthesia, higher pain intensity before surgery and pain catastrophizing level. Independent predictors of postoperative pain duration were intensity of pain before surgery, type of anesthesia, and self-assessment of health. Independent predictors of pain intensity ≥5 during the first 6 hours after the procedure were the type of procedure, self-assessment of health, premedication, and the level of pain catastrophizing. Conclusion: Awareness about independent predictors associated with average postoperative pain intensity, postoperative pain duration, and occurrence of intensive pain after surgery may help health workers to improve postoperative pain management in ophthalmic surgery. Keywords: postoperative pain, factors, personality, psychology, affect, pain catastrophizing, sociodemographicsLesin MDzaja Lozo MDuplancic-Sundov ZDzaja IDavidovic NBanozic APuljak LDove Medical Pressarticlepostoperative painfactorspersonalitypsychologyaffectpain catastrophizingsociodemographicsTherapeutics. PharmacologyRM1-950ENTherapeutics and Clinical Risk Management, Vol 2016, Iss Issue 1, Pp 93-102 (2016)
institution	DOAJ
collection	DOAJ
language	EN
topic	postoperative pain factors personality psychology affect pain catastrophizing sociodemographics Therapeutics. Pharmacology RM1-950
spellingShingle	postoperative pain factors personality psychology affect pain catastrophizing sociodemographics Therapeutics. Pharmacology RM1-950 Lesin M Dzaja Lozo M Duplancic-Sundov Z Dzaja I Davidovic N Banozic A Puljak L Risk factors associated with postoperative pain after ophthalmic surgery: a prospective study
description	Mladen Lesin,1,* Mirna Dzaja Lozo,1,* Zeljka Duplancic-Sundov,1 Ivana Dzaja,1 Nikolina Davidovic,2 Adriana Banozic,3 Livia Puljak3 1Department of Ophthalmology, 2Department of Psychiatry, University Hospital Split, 3Laboratory for Pain Research, University of Split School of Medicine, Split, Croatia *These authors contributed equally to this work Background: Risk factors associated with postoperative pain intensity and duration, as well as consumption of analgesics after ophthalmic surgery are poorly understood. Methods: A prospective study was conducted among adults (N=226) who underwent eye surgery at the University Hospital Split, Croatia. A day before the surgery, the patients filled out questionnaires assessing personality, anxiety, pain catastrophizing, sociodemographics were given and details about the procedure, anesthesia, and analgesia for each postoperative day. All scales were previously used for the Croatian population. The intensity of pain was measured using a numerical rating scale from 0 to 10, where 0 was no pain and 10 was the worst imaginable pain. The intensity of pain was measured before the surgery and then 1 hour, 3 hours, 6 hours, and 24 hours after surgery, and then once a day until discharge from the hospital. Univariate and multivariate analyses were performed. Results: A multivariate analysis indicated that independent predictors of average pain intensity after the surgery were: absence of premedication before surgery, surgery in general anesthesia, higher pain intensity before surgery and pain catastrophizing level. Independent predictors of postoperative pain duration were intensity of pain before surgery, type of anesthesia, and self-assessment of health. Independent predictors of pain intensity ≥5 during the first 6 hours after the procedure were the type of procedure, self-assessment of health, premedication, and the level of pain catastrophizing. Conclusion: Awareness about independent predictors associated with average postoperative pain intensity, postoperative pain duration, and occurrence of intensive pain after surgery may help health workers to improve postoperative pain management in ophthalmic surgery. Keywords: postoperative pain, factors, personality, psychology, affect, pain catastrophizing, sociodemographics
format	article
author	Lesin M Dzaja Lozo M Duplancic-Sundov Z Dzaja I Davidovic N Banozic A Puljak L
author_facet	Lesin M Dzaja Lozo M Duplancic-Sundov Z Dzaja I Davidovic N Banozic A Puljak L
author_sort	Lesin M
title	Risk factors associated with postoperative pain after ophthalmic surgery: a prospective study
title_short	Risk factors associated with postoperative pain after ophthalmic surgery: a prospective study
title_full	Risk factors associated with postoperative pain after ophthalmic surgery: a prospective study
title_fullStr	Risk factors associated with postoperative pain after ophthalmic surgery: a prospective study
title_full_unstemmed	Risk factors associated with postoperative pain after ophthalmic surgery: a prospective study
title_sort	risk factors associated with postoperative pain after ophthalmic surgery: a prospective study
publisher	Dove Medical Press
publishDate	2016
url	https://doaj.org/article/2238baa0bda14a1ea66d39e59994f603
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Risk factors associated with postoperative pain after ophthalmic surgery: a prospective study

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