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The influence of preoperative anxiety on postoperative pain in patients undergoing cardiac surgery

Patients undergoing cardiac surgery represent a challenge in terms of pain management due to multiple factors relating to the patients and to the procedure itself. Our aim was to identify the influence of levels of preoperative anxiety on postoperative pain in patients undergoing cardiac surgery and...

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Autores principales: Fernández-Castro, Mercedes, Jiménez, José-María, Martín-Gil, Belén, Muñoz-Moreno, María-Fe, Martín-Santos, Ana-Belén, del Río-García, Isaías, Redondo-Pérez, Natán, López, María
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Nature Publishing Group UK 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9526739/
https://www.ncbi.nlm.nih.gov/pubmed/36183003
http://dx.doi.org/10.1038/s41598-022-20870-9
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author Fernández-Castro, Mercedes
Jiménez, José-María
Martín-Gil, Belén
Muñoz-Moreno, María-Fe
Martín-Santos, Ana-Belén
del Río-García, Isaías
Redondo-Pérez, Natán
López, María
author_facet Fernández-Castro, Mercedes
Jiménez, José-María
Martín-Gil, Belén
Muñoz-Moreno, María-Fe
Martín-Santos, Ana-Belén
del Río-García, Isaías
Redondo-Pérez, Natán
López, María
author_sort Fernández-Castro, Mercedes
collection PubMed
description Patients undergoing cardiac surgery represent a challenge in terms of pain management due to multiple factors relating to the patients and to the procedure itself. Our aim was to identify the influence of levels of preoperative anxiety on postoperative pain in patients undergoing cardiac surgery and explore associations between preoperative anxiety, postoperative pain, analgesic requirements, and sex. We present a prospective cohort study of 116 patients undergoing cardiac surgery between January and April 2020. Preoperative anxiety was evaluated using the State-Trait Anxiety Inventory and the amount of morphine needed to keep pain intensity below 4 on the verbal numerical rating scale was recorded for 48 h post-surgery. Given the extracorporeal circulation time, type of surgery and body surface, it was observed that every percentile increase in preoperative state anxiety led to an extra 0.068 mg of morphine being administered. For each extra year of age, the amount of morphine needed decreased by 0.26 mg, no difference was observed between men and women in terms of preoperative anxiety or postoperative analgesics requirements. It may be concluded that in cardiac surgery, postoperative analgesic requirements increased with higher levels of preoperative state anxiety and decreased for every extra year of age.
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spelling pubmed-95267392022-10-03 The influence of preoperative anxiety on postoperative pain in patients undergoing cardiac surgery Fernández-Castro, Mercedes Jiménez, José-María Martín-Gil, Belén Muñoz-Moreno, María-Fe Martín-Santos, Ana-Belén del Río-García, Isaías Redondo-Pérez, Natán López, María Sci Rep Article Patients undergoing cardiac surgery represent a challenge in terms of pain management due to multiple factors relating to the patients and to the procedure itself. Our aim was to identify the influence of levels of preoperative anxiety on postoperative pain in patients undergoing cardiac surgery and explore associations between preoperative anxiety, postoperative pain, analgesic requirements, and sex. We present a prospective cohort study of 116 patients undergoing cardiac surgery between January and April 2020. Preoperative anxiety was evaluated using the State-Trait Anxiety Inventory and the amount of morphine needed to keep pain intensity below 4 on the verbal numerical rating scale was recorded for 48 h post-surgery. Given the extracorporeal circulation time, type of surgery and body surface, it was observed that every percentile increase in preoperative state anxiety led to an extra 0.068 mg of morphine being administered. For each extra year of age, the amount of morphine needed decreased by 0.26 mg, no difference was observed between men and women in terms of preoperative anxiety or postoperative analgesics requirements. It may be concluded that in cardiac surgery, postoperative analgesic requirements increased with higher levels of preoperative state anxiety and decreased for every extra year of age. Nature Publishing Group UK 2022-10-01 /pmc/articles/PMC9526739/ /pubmed/36183003 http://dx.doi.org/10.1038/s41598-022-20870-9 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Article
Fernández-Castro, Mercedes
Jiménez, José-María
Martín-Gil, Belén
Muñoz-Moreno, María-Fe
Martín-Santos, Ana-Belén
del Río-García, Isaías
Redondo-Pérez, Natán
López, María
The influence of preoperative anxiety on postoperative pain in patients undergoing cardiac surgery
title The influence of preoperative anxiety on postoperative pain in patients undergoing cardiac surgery
title_full The influence of preoperative anxiety on postoperative pain in patients undergoing cardiac surgery
title_fullStr The influence of preoperative anxiety on postoperative pain in patients undergoing cardiac surgery
title_full_unstemmed The influence of preoperative anxiety on postoperative pain in patients undergoing cardiac surgery
title_short The influence of preoperative anxiety on postoperative pain in patients undergoing cardiac surgery
title_sort influence of preoperative anxiety on postoperative pain in patients undergoing cardiac surgery
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9526739/
https://www.ncbi.nlm.nih.gov/pubmed/36183003
http://dx.doi.org/10.1038/s41598-022-20870-9
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