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

Robleda, GemmaSillero-Sillero, AmaliaPuig, TeresaGich, IgnasiBaños i Díez, Josep Eladi2015-06-182015-06-182014Robleda G, Sillero-Sillero A, Puig T, Gich I, Baños JE. Influence of preoperative emotional state on postoperative pain following orthopedic and trauma surgery. Revista Latino-Americana de Enfermagem. 2014;22(5):785-91. DOI: 10.1590/0104-1169.0118.24810104-1169http://hdl.handle.net/10230/23861OBJECTIVES: 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.application/pdfeng© 2014 Revista Latino-Americana de Enfermagem. This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (CC BY-NC). This license lets others distribute, remix, tweak, and build upon your work non-commercially, and although their new works must also acknowledge you and be non-commercial, they don’t have to license their derivative works on the same terms.Cirurgia ortopèdicaDolor postoperatoriAnsietatInfluence of preoperative emotional state on postoperative pain following orthopedic and trauma surgeryinfo:eu-repo/semantics/articlehttp://dx.doi.org/10.1590/0104-1169.0118.2481PainPostoperativeAnxietySurgeryOrthopedicsinfo:eu-repo/semantics/openAccess