Abstract:
BACKGROUND:We recently introduced the efficacy safety score (ESS) as a new "call-out algorithm" for management of postoperative pain and side effects. In this study, we report the influence of ESS recorded hourly during the first 8 hours after surgery on the mobility degree, postoperative nonsurgical complications, and length of hospital stay (LOS). METHODS:We randomized 1152 surgical patients into three groups for postoperative observation: (1) ESS group (n = 409), (2) Verbal Numeric Rate Scale (VNRS) for pain group (n = 417), and (3) an ordinary qualitative observation (Control) group (n = 326). An ESS > 10 or VNRS > 4 at rest or a nurse's observation of pain or adverse reaction to analgesic treatment in the Control group served as a "call-out alarm" for an anaesthesiologist. RESULTS:We found no significant differences in the mobility degree and number of postoperative nonsurgical complications between the groups. LOS was significantly shorter with 12.7 ± 6.3 days (mean ± SD) in the ESS group versus 14.2 ± 6.2 days in the Control group (P < 0.001). CONCLUSION:Postoperative ESS recording in combination with the possibility to call upon an anaesthesiologist when exceeding the threshold score might have contributed to the reductions of LOS in this two-centre study. This trial is registered with NCT02143128.
journal_name
Pain Res Managjournal_title
Pain research & managementauthors
Dybvik L,Skraastad E,Yeltayeva A,Konkayev A,Musaeva T,Zabolotskikh I,Bjertnaes L,Dahl V,Raeder J,Kuklin Vdoi
10.1155/2017/9431984subject
Has Abstractpub_date
2017-01-01 00:00:00pages
9431984eissn
1203-6765issn
1918-1523journal_volume
2017pub_type
杂志文章,多中心研究,随机对照试验abstract:BACKGROUND:Pediatric chronic pain is a common problem with significant economic implications and devastating consequences on quality of life. The present report describes a case involving a 15-year-old girl with severe and debilitating chronic pain. RESULTS:Before her referral to a pain rehabilitation program, the pat...
journal_title:Pain research & management
pub_type: 杂志文章
doi:10.1155/2014/745458
更新日期:2014-07-01 00:00:00
abstract:BACKGROUND:Pregabalin (PGB) is a novel antiepileptic drug and is also used as a first-line medication for the treatment of neuropathic pain. However, the mechanisms of its analgesic effects remain largely unknown. OBJECTIVES:To elucidate the mechanisms underlying the antiallodynic action of PGB in rats with neuropathi...
journal_title:Pain research & management
pub_type: 杂志文章
doi:10.1155/2014/623830
更新日期:2014-07-01 00:00:00
abstract:BACKGROUND:Very few studies have investigated the psychological factors associated with the pain experiences of children and adolescents in community samples. OBJECTIVES:To examine the lifetime prevalence of, and psychological variables associated with, persistent pain in a community sample of children and adolescents...
journal_title:Pain research & management
pub_type: 杂志文章
doi:10.1155/2011/534652
更新日期:2011-09-01 00:00:00
abstract:BACKGROUND:Methadone is one of the most important medications used for the treatment of refractory pain in the palliative care setting, and is usually initially prescribed by one of a limited number of physicians who have acquired authorization for its use. A lack of authorized physicians able to take over prescribing ...
journal_title:Pain research & management
pub_type: 杂志文章
doi:10.1155/2013/740379
更新日期:2013-03-01 00:00:00
abstract:BACKGROUND:Reports indicate that characteristics of older adults with chronic pain may be different than those of younger persons. OBJECTIVE:To study the pain characteristics of older patients presenting to a tertiary pain clinic for the first time. METHODS:Age, sex and relative contributions of biomedical versus psy...
journal_title:Pain research & management
pub_type: 杂志文章
doi:10.1155/2008/541963
更新日期:2008-09-01 00:00:00
abstract::The purpose of the present article was to assess the available literature concerning pain and autism. First, authors summarized the published articles on pain reactivity in people with autism. Second, the hypotheses envisaged to explain the presence of expressive particularities in people with autism spectrum disorder...
journal_title:Pain research & management
pub_type: 杂志文章,评审
doi:10.1155/2010/749275
更新日期:2010-07-01 00:00:00
abstract:Background:Despite the large body of research on sex differences in pain, there is a lack of knowledge about the influence of gender in the patient-provider encounter. The purpose of this study was to review literature on gendered norms about men and women with pain and gender bias in the treatment of pain. The second ...
journal_title:Pain research & management
pub_type: 杂志文章,评审
doi:10.1155/2018/6358624
更新日期:2018-02-25 00:00:00
abstract:Purpose:A possible relationship between sleep bruxism (SB) and several sleep disorders has been suggested in children, which could influence sleep quality and quality of life. This study aims to assess such correlations in a large sample of school children. Methods:Parents of 741 consecutive children aged between 8 an...
journal_title:Pain research & management
pub_type: 杂志文章
doi:10.1155/2020/3408928
更新日期:2020-07-30 00:00:00
abstract:BACKGROUND:Diminished executive function and attentional control has been reported in chronic pain patients. However, the precise pattern of impairment in these aspects of cognition in chronic pain remains unclear. Moreover, a decline in psychomotor speed could potentially influence executive and attentional control pe...
journal_title:Pain research & management
pub_type: 杂志文章
doi:10.1155/2012/962786
更新日期:2012-05-01 00:00:00
abstract::Chronic back pain is often a result of coexisting pathologies; secondary causes of pain can become more apparent sources of pain once the primary pathology has been addressed. The objective of our study was to determine if there is an increase in diagnosis of Sacroiliac joint pain following a Lumbar Rhizotomy. A list ...
journal_title:Pain research & management
pub_type: 杂志文章
doi:10.1155/2017/4830142
更新日期:2017-01-01 00:00:00
abstract:BACKGROUND:Exercising for ≥ 150 min/week is a recommended strategy for self-managing arthritis. However, exercise nonadherence is a problem. Arthritis pain anxiety may interfere with regular exercise. According to the fear-avoidance model, individuals may confront their pain anxiety by using adaptive self-regulatory re...
journal_title:Pain research & management
pub_type: 杂志文章
doi:10.1155/2015/853961
更新日期:2015-03-01 00:00:00
abstract:Objective:This study aimed at assessing the clinical effectiveness of acupuncture for lateral epicondylitis (LE). Methods:The following databases were systematically searched: China National Knowledge Infrastructure, Chinese Science and Technology Periodical Database, Wan Fang database, Chinese Biomedicine Literature,...
journal_title:Pain research & management
pub_type: 杂志文章,meta分析
doi:10.1155/2020/8506591
更新日期:2020-03-20 00:00:00
abstract::Staff shortages, deficient knowledge, inappropriate attitudes, demanding workloads, analgesic shortages, and low prioritization of pain management have been identified in earlier studies as the nursing-related barriers to optimal children's pain management. These studies have mainly been undertaken in developed countr...
journal_title:Pain research & management
pub_type: 杂志文章
doi:10.1155/2020/7125060
更新日期:2020-01-20 00:00:00
abstract::The provision of care for patients with type II diabetes in primary care must involve assessing patients for peripheral neuropathy of the feet. Objectives. This paper will demonstrate that painful diabetic neuropathy (PDN) is poorly assessed for and treated in primary care. Methods. A critical analysis of research wil...
journal_title:Pain research & management
pub_type: 杂志文章
doi:10.1155/2016/1974863
更新日期:2016-01-01 00:00:00
abstract::The Ways of Coping Questionnaire (WCQ) is a widely used measure of coping processes. Despite its use in a variety of populations, there has been concern about the stability and structure of the WCQ across different populations. This study examines the factor structure of the WCQ in a large sample of individuals diagno...
journal_title:Pain research & management
pub_type: 杂志文章
doi:10.1155/2016/7297826
更新日期:2016-01-01 00:00:00
abstract:Objective:In this study, we compared the effects of intermittent pneumatic compression along with conventional treatment with cold-pack treatment along with conventional treatment on clinical outcomes in patients with knee osteoarthritis. Methods:Eighty-nine patients with knee osteoarthritis participated in this study...
journal_title:Pain research & management
pub_type: 杂志文章,随机对照试验
doi:10.1155/2019/8514808
更新日期:2019-05-02 00:00:00
abstract::Safety issues are a major barrier to the use of cannabis and cannabinoid medications for clinical purposes. Information on the safety of herbal cannabis may be derived from studies of recreational cannabis use, but cannabis exposure and effects may differ widely between medical and recreational cannabis users. Standar...
journal_title:Pain research & management
pub_type: 杂志文章,评审
doi:10.1155/2005/312357
更新日期:2005-10-01 00:00:00
abstract:Background:Treatment of diabetic neuropathic pain (DNP) continues to be a major challenge, and underlying mechanisms of DNP remain elusive. We investigated treatment effects of B vitamins on DPN- and DNP-associated alterations of neurochemical signaling in the nociceptive dorsal root ganglion (DRG) neurons and the spin...
journal_title:Pain research & management
pub_type: 杂志文章
doi:10.1155/2020/3740162
更新日期:2020-02-10 00:00:00
abstract::Chronic pain syndromes are associated with alterations in sleep continuity and sleep architecture. One perspective of this relationship, which has not received much attention to date, is that disturbances of sleep affect pain. To fathom this direction of cause, experimental human and animal studies on the effects of s...
journal_title:Pain research & management
pub_type: 杂志文章,评审
doi:10.1155/2004/949187
更新日期:2004-04-01 00:00:00
abstract::Whiplash-associated disorder (WAD) represents a significant public health problem, resulting in substantial social and economic costs throughout the industrialized world. While many treatments have been advocated for patients with WAD, scientific evidence supporting their effectiveness is often lacking. A systematic r...
journal_title:Pain research & management
pub_type: 杂志文章,评审
doi:10.1155/2010/487279
更新日期:2010-09-01 00:00:00
abstract:BACKGROUND:Increasing attention is being devoted to cognitive-behavioural measures to improve interventions for chronic pain. OBJECTIVE:To develop an Italian version of the Coping Strategies Questionnaire - Revised (CSQ-R), and to validate it in a study involving 345 Italian subjects with chronic pain. METHODS:The qu...
journal_title:Pain research & management
pub_type: 杂志文章
doi:10.1155/2014/956828
更新日期:2014-05-01 00:00:00
abstract:OBJECTIVE:To analyze articles on neonatal pain indexed in MEDLINE from 1965 to 1999. METHODS:Papers published since 1965 and indexed in Medline (PubMed ) were considered. The search strategy was: 'pain' (MeSH terms) OR 'pain' (Title word) OR 'pain' (All Fields), AND 'infant, newborn' (MeSH terms). After the search was...
journal_title:Pain research & management
pub_type: 杂志文章,meta分析
doi:10.1155/2001/213030
更新日期:2001-04-01 00:00:00
abstract::Treatments for obesity have been shown to reduce pain secondary to weight loss. Intestinal microbiota, as an endogenous factor, influences obesity and pain sensitivity but the effect of oral probiotic supplementation on musculoskeletal pain perception has not been studied systematically. The present study examined the...
journal_title:Pain research & management
pub_type: 杂志文章
doi:10.1155/2016/5080438
更新日期:2016-01-01 00:00:00
abstract:BACKGROUND:As the North American population ages, the prevalence of knee osteoarthritis and the surgical interventions (ie, total knee arthroplasty [TKA]) aimed at correcting pain and disability will also rise proportionally. Therefore, efforts to better understand the factors associated with surgical outcomes are warr...
journal_title:Pain research & management
pub_type: 杂志文章
doi:10.1155/2007/394960
更新日期:2007-10-01 00:00:00
abstract:Objective:The aim of this study was to estimate the incidence of delirium and its risk factors among critically ill cancer patients in an intensive care unit (ICU). Materials and Methods:This is a prospective cohort study. The Confusion Assessment Method for the Intensive Care Unit (CAM-ICU) was measured daily at morn...
journal_title:Pain research & management
pub_type: 杂志文章
doi:10.1155/2018/4193275
更新日期:2018-07-08 00:00:00
abstract:BACKGROUND:Dynamic mechanical allodynia is traditionally induced by manual brushing of the skin. Brushing force and speed have been shown to influence the intensity of brush-evoked pain. There are still limited data available with respect to the optimal stroke number, length, force, angle and speed. Therefore, an autom...
journal_title:Pain research & management
pub_type: 杂志文章
doi:10.1155/2013/142582
更新日期:2013-01-01 00:00:00
abstract:BACKGROUND:Facial responses to pain are believed to be an act of communication and, as such, are likely to be affected by the relationship between sender and receiver. OBJECTIVES:To investigate this effect by examining the impact that variations in communicative relations (from being alone to being with an intimate ot...
journal_title:Pain research & management
pub_type: 杂志文章,随机对照试验
doi:10.1155/2014/195286
更新日期:2014-01-01 00:00:00
abstract::Introduction. Pain is unpleasant sensory and emotional experience associated with actual and potential tissue damage. Inadequate pain management has been shown to affect patient outcomes by potentially increasing hospital stay and delaying recovery; thus, the management of pain has major implications for nursing. The ...
journal_title:Pain research & management
pub_type: 杂志文章
doi:10.1155/2020/6036575
更新日期:2020-03-18 00:00:00
abstract:OBJECTIVE:A pilot study was conducted to assess whether both the rationale and feasibility exist for future randomized clinical trials to evaluate the combined use of naloxone infusion and tramadol/acetaminophen as opioid-sparing drugs in elderly patients undergoing lower extremity joint replacement surgery. DESIGN:Te...
journal_title:Pain research & management
pub_type: 临床试验,杂志文章
doi:10.1155/2009/497217
更新日期:2009-03-01 00:00:00
abstract::Context. Postthoracotomy Ipsilateral Shoulder Pain (IPS) is a common and sometimes intractable pain syndrome. IPS is different from chest wall pain in type, origin, and treatments. Various treatments are suggested or applied for it but none of them is regarded as popular accepted effective one. Objectives. To review d...
journal_title:Pain research & management
pub_type: 杂志文章,评审
doi:10.1155/2016/3652726
更新日期:2016-01-01 00:00:00