Cristin-resultat-ID: 1373197
Sist endret: 19. januar 2017, 14:50
NVI-rapporteringsår: 2016
Resultat
Vitenskapelig artikkel
2016

Preoperative pain, symptoms, and psychological factors related to higher acute pain trajectories during hospitalization for total knee arthroplasty

Bidragsytere:
  • Maren Kristin Falch Lindberg
  • Christine Miaskowski
  • Tone Rustøen
  • Leiv Arne Rosseland
  • Steven M. Paul og
  • Anners Lerdal

Tidsskrift

PLOS ONE
ISSN 1932-6203
e-ISSN 1932-6203
NVI-nivå 1

Om resultatet

Vitenskapelig artikkel
Publiseringsår: 2016
Volum: 11
Hefte: 9
Open Access

Importkilder

Scopus-ID: 2-s2.0-84991269923

Beskrivelse Beskrivelse

Tittel

Preoperative pain, symptoms, and psychological factors related to higher acute pain trajectories during hospitalization for total knee arthroplasty

Sammendrag

Objectives Unrelieved postoperative pain after total knee arthroplasty (TKA) is a significant problem. This longitudinal study investigated how preoperative pain intensity, as well as a comprehensive list of preoperative and perioperative factors, influenced the severity of acute average and worst pain after TKA. Methods Prior to surgery, 203 patients completed a demographic questionnaire, Lee Fatigue Scale, Fatigue Severity Scale, Hospital Anxiety and Depression Scale, and Brief Illness Perception Questionnaire. Brief Pain Inventory was completed prior to surgery as well as through postoperative days (POD) 0 to 4. Clinical data were extracted from medical records. Results Several factors were associated with higher levels of preoperative and postoperative pain. Lower preoperative average and worst pain intensity scores were associated with increases in average and worst postoperative pain from POD1 to POD4. A higher number of comorbidities, higher C-reactive protein values, and higher pain interference with function were associated with higher preoperative levels of average pain. Older age, higher fatigue levels, and higher scores on identity and emotional responses to osteoarthritis (OA) were associated with higher preoperative levels of worst pain. Lower perceived consequences of OA were associated with higher pain from POD1 to POD4. Males and patients with lower preoperative scores for average pain had higher worst pain following surgery. Discussion Patients at higher risk for more severe postoperative pain can be identified through an assessment of pain and other risk factors identified in this study. Future research needs to test the efficacy of interventions that modify patients’ perceptions of living with OA and pain intensity before surgery on short and long term postoperative outcomes.

Bidragsytere

Aktiv cristin-person

Maren Falch Lindberg

Bidragsyterens navn vises på dette resultatet som Maren Kristin Falch Lindberg
  • Tilknyttet:
    Forfatter
    ved Avdeling for sykepleievitenskap ved Universitetet i Oslo
  • Tilknyttet:
    Forfatter
    ved Klinikk for Kirurgi ved Lovisenberg Diakonale Sykehus

Christine Miaskowski

  • Tilknyttet:
    Forfatter
    ved University of California, San Francisco

Tone Rustøen

  • Tilknyttet:
    Forfatter
    ved Akuttklinikken ved Oslo universitetssykehus HF
  • Tilknyttet:
    Forfatter
    ved Avdeling for sykepleievitenskap ved Universitetet i Oslo

Leiv Arne Rosseland

  • Tilknyttet:
    Forfatter
    ved Akuttklinikken ved Universitetet i Oslo
  • Tilknyttet:
    Forfatter
    ved Avdeling for FoU, Akuttklinikken ved Oslo universitetssykehus HF

Steven M. Paul

  • Tilknyttet:
    Forfatter
    ved University of California, San Francisco
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