Influence of preoperative emotional state on postoperative pain following orthopedic and trauma surgery

Gemma Robleda, Amalia Sillero-Sillero, Teresa Puig, Ignasi Gich, Josep-E Baños, Gemma Robleda, Amalia Sillero-Sillero, Teresa Puig, Ignasi Gich, Josep-E Baños

Abstract

Objectives: To analyze the relationship between preoperative emotional state and the prevalence and intensity of postoperative pain and to explore predictors of postoperative pain.

Method: Observational retrospective study undertaken among 127 adult patients of orthopedic and trauma surgery. Postoperative pain was assessed with the verbal numeric scale and with five variables of emotional state: anxiety, sweating, stress, fear, and crying. The Chi-squared test, Student's t test or ANOVA and a multivariate logistic regression analysis were used for the statistical analysis.

Results: The prevalence of immediate postoperative pain was 28%. Anxiety was the most common emotional factor (72%) and a predictive risk factor for moderate to severe postoperative pain (OR: 4.60, 95% CI 1.38 to 15.3, p<0.05, AUC: 0.72, 95% CI: 0.62 to 0.83). Age exerted a protective effect (OR 0.96, 95% CI: 0.94-0.99, p<0.01).

Conclusion: Preoperative anxiety and age are predictors of postoperative pain in patients undergoing orthopedic and trauma surgery.

Figures

Figure 1. - Emotional state during the…
Figure 1. - Emotional state during the preoperative period (n=127)

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