Incidence and Risk Factors of Chronic Postoperative Pain in Same-day Surgery: A Prospective Cohort Study
Authors' conclusion
Persistent postsurgical pain after same-day surgery is common, is usually moderate to severe in nature, and occurs mostly in patients without chronic pain before surgery.
Study context
- Population
- Patients ≥45 yr with comorbidities or ≥65 yr undergoing same-day (ambulatory) surgeryNov 2021–Jan 2023
- Participants
- 2,054 patients
- Outcome
- Chronic postsurgical pain (change >1 point in self-rated average pain at the surgical site, Brief Pain Inventory, baseline to 90 days)
- Follow-up
- 90 days
Methodological detailsinternational, multicentre
- International
- Multicentre
Main finding
As reported in the abstract
Chronic postsurgical pain
Incidence of chronic postsurgical pain
12%
New chronic pain at the surgical site (no pain before surgery), among those with chronic postsurgical pain
93.1%
Observational data: associations, not effects.
Further findings
Risk factors for chronic postsurgical pain (multivariable logistic regression)
| OR (95% CI) | ||
|---|---|---|
| Active smoking | 1.82 (1.20–2.76) | |
| Orthopedic surgery | 4.7 (2.24–9.7) | |
| Plastic surgery | 4.3 (1.97–9.2) | |
| Breast surgery | 2.74 (1.29–5.8) | |
| Vascular surgery | 2.71 (1.09–6.7) | |
| Hispanic/Latino ethnicity | 3.41 (1.68–6.9) | |
| First Nations/native persons | 4.0 (1.05–15.4) | |
| 0.050.21520Odds ratio (log scale) |
Moderate to severe chronic postsurgical pain (score >4 at 90 days)
- Incidence, overall participants
- 9%
Original publication
Incidence and Risk Factors of Chronic Postoperative Pain in Same-day Surgery: A Prospective Cohort Study. Anesthesiology. Published 26 April 2024. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →