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Postoperative Pain, an Unmet Problem in Day or Overnight Italian Surgery Patients: A Prospective Study

Background. Because of economic reasons, day surgery rates have steadily increased in many countries and the trend is to perform around 70% of all surgical procedures as day surgery. Literature shows that postoperative pain treatment remains unfulfilled in several fields such as orthopedic and gener...

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Autores principales: Campagna, Sara, Antonielli D'Oulx, Maria Delfina, Paradiso, Rosetta, Perretta, Laura, Re Viglietti, Silvia, Berchialla, Paola, Dimonte, Valerio
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5225384/
https://www.ncbi.nlm.nih.gov/pubmed/28115878
http://dx.doi.org/10.1155/2016/6104383
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author Campagna, Sara
Antonielli D'Oulx, Maria Delfina
Paradiso, Rosetta
Perretta, Laura
Re Viglietti, Silvia
Berchialla, Paola
Dimonte, Valerio
author_facet Campagna, Sara
Antonielli D'Oulx, Maria Delfina
Paradiso, Rosetta
Perretta, Laura
Re Viglietti, Silvia
Berchialla, Paola
Dimonte, Valerio
author_sort Campagna, Sara
collection PubMed
description Background. Because of economic reasons, day surgery rates have steadily increased in many countries and the trend is to perform around 70% of all surgical procedures as day surgery. Literature shows that postoperative pain treatment remains unfulfilled in several fields such as orthopedic and general surgery patients. In Italy, the day surgery program is not yet under governmental authority and is managed regionally by local practices. Aim. To investigate the trends in pain intensity and its relation to type of surgeries and pain therapy protocols, in postoperative patients, discharged from three different Ambulatory Surgeries located in North West Italy (Piedmont region). Method. The present study enrolled 276 patients who undergone different surgical procedures in ambulatory regimen. Patients recorded postoperative pain score twice a day, compliance with prescribed drugs, and pain related reasons for contacting the hospital. Monitoring lasted for 7 days. Results. At discharge, 72% of patients were under weak opioids, 12% interrupted the treatment due to side effects, 17% of patients required extra drugs, and 15% contacted the hospital reporting pain problems. About 50% of patients experienced moderate pain during the first day after surgery. Results from our study show that most of the patients experienced avoidable pain after discharge.
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spelling pubmed-52253842017-01-23 Postoperative Pain, an Unmet Problem in Day or Overnight Italian Surgery Patients: A Prospective Study Campagna, Sara Antonielli D'Oulx, Maria Delfina Paradiso, Rosetta Perretta, Laura Re Viglietti, Silvia Berchialla, Paola Dimonte, Valerio Pain Res Manag Research Article Background. Because of economic reasons, day surgery rates have steadily increased in many countries and the trend is to perform around 70% of all surgical procedures as day surgery. Literature shows that postoperative pain treatment remains unfulfilled in several fields such as orthopedic and general surgery patients. In Italy, the day surgery program is not yet under governmental authority and is managed regionally by local practices. Aim. To investigate the trends in pain intensity and its relation to type of surgeries and pain therapy protocols, in postoperative patients, discharged from three different Ambulatory Surgeries located in North West Italy (Piedmont region). Method. The present study enrolled 276 patients who undergone different surgical procedures in ambulatory regimen. Patients recorded postoperative pain score twice a day, compliance with prescribed drugs, and pain related reasons for contacting the hospital. Monitoring lasted for 7 days. Results. At discharge, 72% of patients were under weak opioids, 12% interrupted the treatment due to side effects, 17% of patients required extra drugs, and 15% contacted the hospital reporting pain problems. About 50% of patients experienced moderate pain during the first day after surgery. Results from our study show that most of the patients experienced avoidable pain after discharge. Hindawi Publishing Corporation 2016 2016-12-28 /pmc/articles/PMC5225384/ /pubmed/28115878 http://dx.doi.org/10.1155/2016/6104383 Text en Copyright © 2016 Sara Campagna et al. https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Campagna, Sara
Antonielli D'Oulx, Maria Delfina
Paradiso, Rosetta
Perretta, Laura
Re Viglietti, Silvia
Berchialla, Paola
Dimonte, Valerio
Postoperative Pain, an Unmet Problem in Day or Overnight Italian Surgery Patients: A Prospective Study
title Postoperative Pain, an Unmet Problem in Day or Overnight Italian Surgery Patients: A Prospective Study
title_full Postoperative Pain, an Unmet Problem in Day or Overnight Italian Surgery Patients: A Prospective Study
title_fullStr Postoperative Pain, an Unmet Problem in Day or Overnight Italian Surgery Patients: A Prospective Study
title_full_unstemmed Postoperative Pain, an Unmet Problem in Day or Overnight Italian Surgery Patients: A Prospective Study
title_short Postoperative Pain, an Unmet Problem in Day or Overnight Italian Surgery Patients: A Prospective Study
title_sort postoperative pain, an unmet problem in day or overnight italian surgery patients: a prospective study
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5225384/
https://www.ncbi.nlm.nih.gov/pubmed/28115878
http://dx.doi.org/10.1155/2016/6104383
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