Multicenter study on effectiveness of controlling postoperative pain in Colombian patients

  • Jorge Enrique Machado-Alba Pharmacoepidemiology and Pharmacovigilance Research Group, Universidad Tecnológica de Pereira and Audifarma S.A., Pereira, Colombia
  • Javier Orlando Ramírez-Sarmiento Pharmacoepidemiology and Pharmacovigilance Research Group, Universidad Tecnológica de Pereira and Audifarma S.A., Pereira, Colombia
  • Diego Fernando Salazar-Ocampo Anesthesiology, Clínica Comfamiliar, Pereira, Colombia
Keywords: Analgésicos, Analgesia, Farmacoepidemiología, Dolor posoperatorio, Analgésicos opioides.

Abstract

Introduction: Postoperative pain can cause complications, prolonged hospital stays and has often been poorly assessed.

Objectives: To determine the intensity of pain in patients operated on using a visual analog scale (VAS) and to identify variables associated with a lack of control in seven cities in Colombia.

Materials and methods: Cross-sectional study in patients older than 18 years between 1st January and 30th September, 2014 in eight clinics across Colombia. The intensity of postoperative pain was assessed with a VAS 4h after the procedure. Socio-demographic, clinical and pharmacological variables were considered. Multivariate analysis was done using SPSS 22.0.

Results: A total of 1015 patients were evaluated. The mean age was 42.5 ± 17.1 years, and 63.8% were female. The mean pain level was 38.8 ± 19.4 mm, with a total of 600 (59.1% of patients) without pain control. Dipyrone was the most used analgesic, followed by morphine and tramadol. Being treated at Nuestra Señora del Rosario Clinic in Ibagué (OR: 1.65; 95%CI: 1.096-2.479; = 0.016), coming from urban areas (OR: 1.71; 95%CI: 1.186-2.463; = 0.005), being subjected to major surgery (OR: 2.02; 95%CI: 1.316-3.109; = 0.001), emergency surgery (OR: 1.46; 95%CI: 1.065-2.013; = 0.019), and suffering nausea (OR: 2.05; 95%CI: 1.341-3.118; = 0.001) were statistically associated with no pain control.

Conclusion: None of the clinics had acceptable percentages of patients with pain controlled 4 h after surgery. Clinical practice guides should be incorporated, institutional policies should be defined, health personnel should be trained, and the outcomes of the interventions should be evaluated.

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How to Cite
1.
Machado-Alba JE, Ramírez-Sarmiento JO, Salazar-Ocampo DF. Multicenter study on effectiveness of controlling postoperative pain in Colombian patients. Colomb. J. Anesthesiol. [Internet]. 2016Apr.1 [cited 2021May12];44(2):114–120. Available from: https://www.revcolanest.com.co/index.php/rca/article/view/458

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Published
2016-04-01
How to Cite
1.
Machado-Alba JE, Ramírez-Sarmiento JO, Salazar-Ocampo DF. Multicenter study on effectiveness of controlling postoperative pain in Colombian patients. Colomb. J. Anesthesiol. [Internet]. 2016Apr.1 [cited 2021May12];44(2):114–120. Available from: https://www.revcolanest.com.co/index.php/rca/article/view/458
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