Variability of post-operative acute pain management and the association of patients' socio-demographics on pain management outcome in Indonesia: A multicenter hospital-based observational study.
Обработка статьи · этапы, ошибки и управление
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Laksono Ristiawan Muji, Musba Andi Muhammad Takdir, Siswagama Taufiq Agus, Fitrisyah Aidyl, Rofiq Aunun, Adithya Bara, Wirabuana Belindo, Sutiyono Doso, Adhiany Eka, Purnomo Heri Dwi, Aribawa I Gusti Ngurah Mahaalit, Sitepu John Frans, Datu Madonna Damayanthie, Mahmud Mahmud, Mochamat Mochamat, Prihartono Mohamad Andy, Wirawan Nur Surya, Pryambodho Pryambodho, Suarjaya I Putu Pramana, Sukmono Raden Besthadi, Rahmi Rahmi, Zainal Rizal, Saputra Rory Denny, Sikumbang Kenanga Marwan, Sudadi Sudadi, Suwarman Suwarman, Hamdi Tasrif, Suleman Wahyuddin, Rehatta Nancy Margarita
Аннотация
METHODS: A descriptive multicenter observational study was conducted among patients undergoing elective surgery. Data collected included demographics, type of surgery, anesthesia, analgesics, pain intensity (preoperatively, in the recovery room, and 24 h postoperatively), patient satisfaction, and side effects. Correlation analyses were performed (α = 0.05 and 95% CI).
RESULTS: Among 6767 patients, orthopedic surgeries were the most common, with 94.3% receiving single anesthesia, primarily general anesthesia (75.3%). Analgesia was administered using either a single modality (24.2%) or a combination of modalities (75.8%), with combined analgesia predominantly applied intraoperatively (36.6%) and postoperatively (56.4%). Across all age groups, including neonates and infants (n = 129), patients aged 1-7 years (n = 410), patients older than 7 years (n = 6228), and critically ill patients (n = 71), individuals reporting no pain increased from 16.6 to 39.3% preoperatively to 37.2-73.2% at 24 h postoperatively. Side effects were minimal, and overall satisfaction was high. Significant associations were observed between demographic characteristics and postoperative pain outcomes.
CONCLUSION: Combined analgesia is an effective approach to managing postoperative acute pain, with high patient satisfaction. Demographic characteristics showed significant associations with postoperative pain management outcomes, underscoring the need for individualized pain management strategies.