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MINERVA ORTOPEDICA E TRAUMATOLOGICA
A Journal on Orthopedics and Traumatology
Minerva Ortopedica e Traumatologica 2013 October;64(5):507-18
Rehabilitation and pain: postoperative pain monitoring in patients subjected to orthopedic surgery under Week-Hospital regimen
Capacchione P. 1, Bistolfi A. 2, Berardino M. 3, Lioce E. 1-4, Collo G. 2, Massazza G. 1-2-4 ✉
1 Turin University, Turin, Italy;
2 Department of Orthopedics Traumatology and Rehabilitation AO Città della Salute e della Scienza, CTO Hospital, Turin, Italy;
3 Department of Anesthesia Intensive Care and Perioperative Medicine AO Città della Salute e della Scienza CTO Hospital, Turin, Italy;
4 School of Physical Medicine and Rehabilitation Turin, Italy
Aim: The aim of this work is to focus on the post-operating analgesia in order to prevent a discharge of the patients operated in Week Hospital pattern. This study monitored the post-operating pain (POP) advised by patients in the first two post-operating weeks after orthopedic surgery. The objectives were: 1) to assess and describe the use of analgesic therapies after different orthopedic surgeries, 2) to assess the compliance to the prescriptions and the use of analgesic at home, 3) to assess the consistency of the therapy currently in use. The objective of this last points were that the level of pain would be kept lower than an admissible value (Numerical Rating Scale, NRS<3) since the first hours of the release and that it remained the same in home-readiness.
Methods: The study included 150 patients undergoing orthopedic surgery carried out under the Week Hospital. 108 of the 150 questionnaires were analyzed. Was carried a prospective observational study.
Results: Concerning the therapeutic indications, the analgesic prescriptions issued in discharge were of three types: Hospital prescription, Family Doctor prescription and Self Administration. Patients discharged with an hospital prescription experienced a better control of the pain. The “self administration” and the delegation to the family doctors prescription are not recommended protocols.
Conclusion: The current algological protocol prescribed at discharge of patients operated in Week Hospital pattern not always resulted effective in keeping the pain below a tolerable value and too frequently there was a fall of the analgesic control at the home-readiness of the patient (NRS>3).