TY - JOUR
T1 - Prevalence and predictors of postoperative pain in (ENT) patients
AU - Sommer, M.
AU - Geurts, J.W.
AU - Stessel, B.
AU - Kessels, A.G.H.
AU - Peters, M.L.
AU - Patijn, J.
AU - van Kleef, M.
AU - Kremer, B.
AU - Marcus, M.A.E.
PY - 2009/1/1
Y1 - 2009/1/1
N2 - Objective: To determine postoperative pain in different types of ear, nose, and throat (ENT) surgery and their psychological preoperative predictors. Design: Prospective cohort study. Setting: Academic hospital. Patients: A total of 217 patients undergoing ENT surgery. Interventions: All ENT, neck, and salivary gland surgery. Main Outcome Measures: Postoperative pain and predictors for postoperative pain. Results: Fifty percent of the patients undergoing surgery on the oral, pharyngeal, and laryngeal region and on the neck and salivary gland region had a visual analog scale score higher than 40 mm on day 1. In the patients who underwent oropharyngeal region operations the VAS score remained high on all 4 days. A VAS pain score higher than 40 mm was found in less than 30% of patients after endoscopic procedures and less than 20% after ear and nose surgery. After bivariate analysis, 6 variables-age, sex, preoperative pain, expected pain, short-term fear, and pain catastrophizing-had a predictive value. Multivariate analysis showed only preoperative pain, pain catastrophizing, and anatomical site of operation as independent predictors. Conclusions: Differences exist in the prevalence of unacceptable postoperative pain between ENT operations performed on different anatomical sites. A limited set of variables can be used to predict the occurrence of unacceptable postoperative pain after ENT surgery.
AB - Objective: To determine postoperative pain in different types of ear, nose, and throat (ENT) surgery and their psychological preoperative predictors. Design: Prospective cohort study. Setting: Academic hospital. Patients: A total of 217 patients undergoing ENT surgery. Interventions: All ENT, neck, and salivary gland surgery. Main Outcome Measures: Postoperative pain and predictors for postoperative pain. Results: Fifty percent of the patients undergoing surgery on the oral, pharyngeal, and laryngeal region and on the neck and salivary gland region had a visual analog scale score higher than 40 mm on day 1. In the patients who underwent oropharyngeal region operations the VAS score remained high on all 4 days. A VAS pain score higher than 40 mm was found in less than 30% of patients after endoscopic procedures and less than 20% after ear and nose surgery. After bivariate analysis, 6 variables-age, sex, preoperative pain, expected pain, short-term fear, and pain catastrophizing-had a predictive value. Multivariate analysis showed only preoperative pain, pain catastrophizing, and anatomical site of operation as independent predictors. Conclusions: Differences exist in the prevalence of unacceptable postoperative pain between ENT operations performed on different anatomical sites. A limited set of variables can be used to predict the occurrence of unacceptable postoperative pain after ENT surgery.
U2 - 10.1001/archoto.2009.3
DO - 10.1001/archoto.2009.3
M3 - Article
C2 - 19221238
SN - 0886-4470
VL - 135
SP - 124
EP - 130
JO - Archives of Otolaryngology-Head & Neck Surgery
JF - Archives of Otolaryngology-Head & Neck Surgery
ER -