From pain level to pain experience: redefining acute pain assessment to enhance understanding of chronic postsurgical pain
Primary result · Independent predictors of CPSP at day 90 (multivariate analysis)Result — go to the resultOdds ratio 6.45 95% CI 1.65–25.26Authors' conclusion
This study underscores the role of patient-reported outcomes, specifically the pain experience dimension captured by the EVAN-G scale, in prediction of CPSP 90 days after surgery.
Study context
- Population
- Patients undergoing ambulatory orthopaedic surgery in an RCT of continuous perineural analgesia vs single-injection nerve block219 with complete data
- Participants
- 294 patients
- Comparison
- Poor vs better pain experience as predictor of chronic postsurgical pain (CPSP)
- Primary endpoint
- CPSP
- Follow-up
- 90 days after surgery
Methodological detailsexploratory prognostic analysis, univariate and multivariate analyses
- Exploratory prognostic analysis
- Univariate and multivariate analyses
Primary result
As reported in the abstract
Independent predictors of CPSP at day 90 (multivariate analysis)
Odds ratio
6.45
95% CI 1.65–25.26
P < 0.01
Poor vs better pain experience (EVAN-G pain dimension, POD 2) as predictor of CPSP
odds ratio 6.45 (95% CI 1.65–25.26); P < 0.01
- CPSP at day 90
- 63 (29%)
Original publication
From pain level to pain experience: redefining acute pain assessment to enhance understanding of chronic postsurgical pain. Br J Anaesth. Published 26 September 2024. doi:10. 1016/ j. bja. 2024. 08. 003
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