Cardiothoracic & vascular anesthesia

Trajectories of Pain Scores and Analgesic Administration Following Cardiac Surgery

J Cardiothorac Vasc AnesthPublished Post hoc analysis of a retrospective cohort study

Authors' conclusion

Latent class trajectory modeling identified heterogeneous recovery patterns of pain and opioid use after cardiothoracic surgery.

Study context

Population
Adults undergoing cardiac surgery with CPB, 4 US hospital campuses, 2018–2023
Participants
11,172 adults
Primary endpoint
Joint trajectories of postoperative pain scores (0-10 verbal rating scale) and opioid administration (MME)
Follow-up
POD 0-7
Methodological detailslatent class trajectory modeling, multicentre
  • Latent class trajectory modeling
  • Multicentre

Primary result

As reported in the abstract

Joint pain and MME trajectory classes

Distinct pain and MME trajectory classes identified, from low pain/low MMEs to escalating or persistent pain/high MMEs

8

Most favorable class (class 1: consistently low pain and low opioid use), proportion

13%

Further findings

Predictors of class 1 membership

Class 1 more likely older, lower BMI, surgery in 2018 (vs 2023), intraoperative methadone; less likely preoperative chronic pain diagnosis
Odds of class membership varied by demographics, procedure type and intraoperative analgesia
  • Multinomial logistic regression

Original publication

Trajectories of Pain Scores and Analgesic Administration Following Cardiac Surgery. J Cardiothorac Vasc Anesth. Published 1 March 2026. doi:10.1053/j.jvca.2026.02.042

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