Comparison of different pain management strategies during the perioperative period of esophageal squamous cell carcinoma: a retrospective cohort study
Authors' conclusion
The "5 + nursing" pain management strategy can effectively reduce the degree of postoperative pain and shorten the length of hospital stays, improving patient's quality of life.
Study context
- Population
- Patients undergoing surgery for esophageal squamous cell carcinoma (ESCC)
- Participants
- 274 patients
- Exposure
- 5 + nursing vs Conventional nursing
- 5 + nursingn = 147
- Conventional nursingn = 127reference
- Outcome
- Postoperative pain score, analgesic dosage, postoperative analgesic side effects and hospital LOS (main observation indicators)
Methodological detailssingle-centre
- Single-centre
Main finding
As reported in the abstract
Postoperative pain score and hospital LOS
- Significantly lower postoperative pain score in the 5 + nursing vs the conventional nursing group
- Significantly shorter hospital LOS in the 5 + nursing vs the conventional nursing group
Observational data: associations, not effects.
Further findings
Predictors of postoperative arrhythmias (multiple logistic regression)
- Postoperative pain score an independent risk factor for postoperative arrhythmias
Daily average postoperative opioid dose and pain score
- Pain score dropped fastest at a daily average opioid dose between 37.5 and 50 mg
Safety
Postoperative analgesic side effects
- No significant difference between the two groups
Original publication
Comparison of different pain management strategies during the perioperative period of esophageal squamous cell carcinoma: a retrospective cohort study. Perioper Med (Lond). Published 6 January 2025. doi:10. 1186/ s13741-024-00488-3
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