Keywords
non-ambulatory surgeries
pain management
perioperative analgesia.
Abstract
Introduction: Inadequate control of Acute Postoperative Pain (APOP) remains prevalent, impacting patient recovery and outcomes. This study aimed to determine the incidence of APOP in non-ambulatory surgeries and identify associated risk factors and pain management strategies. Methods: A monocentric prospective analytical cohort study in 2019. Data collection included preoperative, intraoperative, and postoperative variables. Pain assessments were performed using the Numeric Rating Scale (NRS). Univariate, bivariate, and logistic regression analyses were used to explain APOP and the evaluated variables. Results: The study included 355 patients, with an 82.81% incidence of APOP. Most surgeries were elective (81.69%), with orthopedic and abdominal/pelvic surgeries being the most common. Pain intensity peaked at 24 hours postoperatively. Factors associated with moderate to severe APOP included active substance use, lack of peripheral nerve blockade, and general anesthesia. Discussion: The general incidence of APOP is slightly higher than some international standards. There is a high incidence of mild pain, suggesting improved APOP control. However, moderate to severe APOP is lower than internationally reported. There was no significant association was found between surgical categories and pain risk. Preoperatively, male sex was a protective factor, while substance use was a risk factor for moderate to severe pain. Postoperatively, factors such as general anesthesia, experiencing postoperative pain crises, and lack of analgesic strategies were associated with higher pain likelihood. Conclusion: The study found that APOP incidence aligns with international and national standards. Lack of access to specialized services and inadequate management could contribute to pain persistence. Some identified risk factors include male sex, lack of regional analgesic management, and surgery under general anesthesia.References
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