Abstract:
BACKGROUND:Cut-off points (CPs) of the numeric rating scale (NRS 0-10) are regularly used in postoperative pain treatment. However, there is insufficient evidence to identify the optimal CP between mild and moderate pain. METHODS:A total of 435 patients undergoing general, trauma, or oral and maxillofacial surgery were studied. To determine the optimal CP for pain treatment, four approaches were used: first, patients estimated their tolerable postoperative pain intensity before operation; secondly, 24 h after surgery, they indicated if they would have preferred to receive more analgesics; thirdly, satisfaction with pain treatment was analysed, and fourthly, multivariate analysis was used to calculate the optimal CP for pain intensities in relation to pain-related interference with movement, breathing, sleep, and mood. RESULTS:The estimated tolerable postoperative pain before operation was median (range) NRS 4.0 (0-10). Patients who would have liked more analgesics reported significantly higher average pain since surgery [median NRS 5.0 (0-9)] compared with those without this request [NRS 3.0 (0-8)]. Patients satisfied with pain treatment reported an average pain intensity of median NRS 3.0 (0-8) compared with less satisfied patients with NRS 5.0 (2-9). Analysis of average postoperative pain in relation to pain-related interference with mood and activity indicated pain categories of NRS 0-2, mild; 3-4, moderate; and 5-10, severe pain. CONCLUSIONS:Three of the four methods identified a treatment threshold of average pain of NRS≥4. This was considered to identify patients with pain of moderate-to-severe intensity. This cut-off was indentified as the tolerable pain threshold.
journal_name
Br J Anaesthjournal_title
British journal of anaesthesiaauthors
Gerbershagen HJ,Rothaug J,Kalkman CJ,Meissner Wdoi
10.1093/bja/aer195subject
Has Abstractpub_date
2011-10-01 00:00:00pages
619-26issue
4eissn
0007-0912issn
1471-6771pii
S0007-0912(17)33046-5journal_volume
107pub_type
杂志文章abstract:BACKGROUND:Early tracheostomy may decrease the duration of mechanical ventilation, sedation exposure, and intensive care stay, possibly resulting in improved clinical outcomes, but the evidence is conflicting. METHODS:Systematic review and meta-analysis of randomized trials in patients allocated to tracheostomy within...
journal_title:British journal of anaesthesia
pub_type: 杂志文章,meta分析,评审
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更新日期:2015-03-01 00:00:00
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journal_title:British journal of anaesthesia
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更新日期:1986-03-01 00:00:00
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pub_type: 临床试验,杂志文章,随机对照试验
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更新日期:2004-01-01 00:00:00
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pub_type: 杂志文章,评审
doi:10.1016/j.bja.2017.11.105
更新日期:2018-04-01 00:00:00
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journal_title:British journal of anaesthesia
pub_type: 临床试验,杂志文章,随机对照试验
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更新日期:1994-04-01 00:00:00
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pub_type: 临床试验,杂志文章,随机对照试验
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pub_type: 临床试验,杂志文章,随机对照试验
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更新日期:1995-06-01 00:00:00
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更新日期:1981-12-01 00:00:00
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更新日期:2019-07-01 00:00:00