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Rev Lat Am Enfermagem. 2014 Oct;22(5):785-91.

Influence of preoperative emotional state on postoperative pain following orthopedic and trauma surgery.

[Article in English, Portuguese, Spanish]

Author information

1
Departamento de Metodología, Gestión Clínica e Investigación, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain.
2
Área Quirúrgica, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain.
3
Servicio de Epidemiologia Clínica, Institut d'Investigació Biomèdica Sant Pau, Hospital de la Santa Creu i Sant Pau, Universidad Autónoma de Barcelona, Spain.
4
Departamento de Ciencias Experimentales y de la Salud, Universitat Pompeu Fabra, Barcelona, Spain.

Abstract

OBJECTIVES:

To analyze the relationship between preoperative emotional state and the prevalence and intensity of postoperative pain and to explore predictors of postoperative pain.

METHOD:

Observational retrospective study undertaken among 127 adult patients of orthopedic and trauma surgery. Postoperative pain was assessed with the verbal numeric scale and with five variables of emotional state: anxiety, sweating, stress, fear, and crying. The Chi-squared test, Student's t test or ANOVA and a multivariate logistic regression analysis were used for the statistical analysis.

RESULTS:

The prevalence of immediate postoperative pain was 28%. Anxiety was the most common emotional factor (72%) and a predictive risk factor for moderate to severe postoperative pain (OR: 4.60, 95% CI 1.38 to 15.3, p<0.05, AUC: 0.72, 95% CI: 0.62 to 0.83). Age exerted a protective effect (OR 0.96, 95% CI: 0.94-0.99, p<0.01).

CONCLUSION:

Preoperative anxiety and age are predictors of postoperative pain in patients undergoing orthopedic and trauma surgery.

PMID:
25493674
PMCID:
PMC4292684
[Indexed for MEDLINE]
Free PMC Article

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