Prediction of post-operative pain after a laparoscopic tubal ligation procedure.
(2008) In Acta Anaesthesiologica Scandinavica 52(7). p.938-945- Abstract
- Background: Pre-operative identification of reliable predictors of post-operative pain may lead to improved pain management strategies. We investigated the correlation between pre-operative pain, psychometric variables, response to heat stimuli and post-operative pain following a laparoscopic tubal ligation procedure. Methods: Assessments of anxiety, mood, psychological vulnerability and pre-operative pain were made before surgery using the State-Trait Anxiety Inventory (STAI), the Hospital Anxiety Depression Scale (HADS), a psychological vulnerability test and the Short-Form McGill Pain Questionnaire (SF-MPQ), respectively. Pre-operative assessments of thermal thresholds and pain response to randomized series of heat stimuli (1 s, 44-48... (More)
- Background: Pre-operative identification of reliable predictors of post-operative pain may lead to improved pain management strategies. We investigated the correlation between pre-operative pain, psychometric variables, response to heat stimuli and post-operative pain following a laparoscopic tubal ligation procedure. Methods: Assessments of anxiety, mood, psychological vulnerability and pre-operative pain were made before surgery using the State-Trait Anxiety Inventory (STAI), the Hospital Anxiety Depression Scale (HADS), a psychological vulnerability test and the Short-Form McGill Pain Questionnaire (SF-MPQ), respectively. Pre-operative assessments of thermal thresholds and pain response to randomized series of heat stimuli (1 s, 44-48 degrees C) were made with quantitative sensory testing technique. Post-operative pain intensity was evaluated daily by a visual analogue scale during rest and during standardized dynamic conditions for 10 days following surgery. Univariate and multivariate regression analyses were used to construct prediction models. Results: Fifty-nine patients completed the study. Post-operative pain was significantly correlated with pre-operative pain (SF-MPQ), heat pain perception, psychological vulnerability, STAI and HADS. In the multiple regression model pre-operative pain and heat pain perception were significant predictive factors (R=0.537-0.609). Conclusion: The study indicates that pre-surgical pain and heat pain sensitivity are important pre-operative indicators of post-operative pain intensity, while psychological factors like vulnerability and anxiety seem to contribute to a lesser degree after laparoscopic tubal ligation. The prediction model accounted for 29-43% of the total variance in post-operative movement-related pain. (Less)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/1154231
- author
- Rudin, Åsa LU ; Wölner-Hanssen, Pål LU ; Hellbom, Maria LU and Werner, Mads LU
- organization
- publishing date
- 2008
- type
- Contribution to journal
- publication status
- published
- subject
- in
- Acta Anaesthesiologica Scandinavica
- volume
- 52
- issue
- 7
- pages
- 938 - 945
- publisher
- Wiley-Blackwell
- external identifiers
-
- wos:000257475400010
- pmid:18477083
- scopus:46749114363
- pmid:18477083
- ISSN
- 0001-5172
- DOI
- 10.1111/j.1399-6576.2008.01641.x
- language
- English
- LU publication?
- yes
- additional info
- The information about affiliations in this record was updated in December 2015. The record was previously connected to the following departments: Department of Obstetrics and Gynaecology (Lund) (013018000), Division of Nursing (Closed 2012) (013065000), Anaesthesiology and Intensive Care (013230022), Oncology, MV (013035000)
- id
- 930a86d2-1a20-464d-b4ae-8032814b35b8 (old id 1154231)
- alternative location
- http://www.ncbi.nlm.nih.gov/pubmed/18477083?dopt=Abstract
- date added to LUP
- 2016-04-01 12:19:06
- date last changed
- 2022-03-13 08:17:48
@article{930a86d2-1a20-464d-b4ae-8032814b35b8,
abstract = {{Background: Pre-operative identification of reliable predictors of post-operative pain may lead to improved pain management strategies. We investigated the correlation between pre-operative pain, psychometric variables, response to heat stimuli and post-operative pain following a laparoscopic tubal ligation procedure. Methods: Assessments of anxiety, mood, psychological vulnerability and pre-operative pain were made before surgery using the State-Trait Anxiety Inventory (STAI), the Hospital Anxiety Depression Scale (HADS), a psychological vulnerability test and the Short-Form McGill Pain Questionnaire (SF-MPQ), respectively. Pre-operative assessments of thermal thresholds and pain response to randomized series of heat stimuli (1 s, 44-48 degrees C) were made with quantitative sensory testing technique. Post-operative pain intensity was evaluated daily by a visual analogue scale during rest and during standardized dynamic conditions for 10 days following surgery. Univariate and multivariate regression analyses were used to construct prediction models. Results: Fifty-nine patients completed the study. Post-operative pain was significantly correlated with pre-operative pain (SF-MPQ), heat pain perception, psychological vulnerability, STAI and HADS. In the multiple regression model pre-operative pain and heat pain perception were significant predictive factors (R=0.537-0.609). Conclusion: The study indicates that pre-surgical pain and heat pain sensitivity are important pre-operative indicators of post-operative pain intensity, while psychological factors like vulnerability and anxiety seem to contribute to a lesser degree after laparoscopic tubal ligation. The prediction model accounted for 29-43% of the total variance in post-operative movement-related pain.}},
author = {{Rudin, Åsa and Wölner-Hanssen, Pål and Hellbom, Maria and Werner, Mads}},
issn = {{0001-5172}},
language = {{eng}},
number = {{7}},
pages = {{938--945}},
publisher = {{Wiley-Blackwell}},
series = {{Acta Anaesthesiologica Scandinavica}},
title = {{Prediction of post-operative pain after a laparoscopic tubal ligation procedure.}},
url = {{http://dx.doi.org/10.1111/j.1399-6576.2008.01641.x}},
doi = {{10.1111/j.1399-6576.2008.01641.x}},
volume = {{52}},
year = {{2008}},
}