ArticleBMJ open2019
Influential factors of postoperative pain trajectories in patients receiving intravenous patient-controlled analgesia: a single-centre cohort study in Taiwan.
Article in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed.
- Antiemetic prophylaxis with droperidol in morphine-based intravenous patient-controlled analgesia: a propensity score matched cohort study.BMC anesthesiology · 2023Article
- Cigarette smoking, opioid consumption, and pain intensity after major surgery: An observational study.Journal of the Chinese Medical Association : JCMA · 2023Observational
- Trajectory of worst pain within the first two weeks following pelvic and sacral tumor surgery and long-term outcome: a pilot observational prospective cohort study.BMC anesthesiology · 2023Observational
- Influential Factors and Personalized Prediction Model of Acute Pain Trajectories after Surgery for Renal Cell Carcinoma.Journal of personalized medicine · 2022Article
- Epidural analgesia does not impact recurrence or mortality in patients after rectal cancer resection.Scientific reports · 2021Article
- Associations of Multimodal Analgesia With Postoperative Pain Trajectories and Morphine Consumption After Hepatic Cancer Surgery.Frontiers in medicine · 2021Article
- Effect of epidural analgesia on cancer prognosis after colon cancer resection: a single-centre cohort study in Taiwan.BMJ open · 2020Article
- Patient-centered modeling of dynamic postoperative pain trajectories.Journal of the Chinese Medical Association : JCMA · 2020Article
- Reply to "Is there real association between patient-controlled analgesia and a better long-term quality of life after major surgery?"Journal of the Chinese Medical Association : JCMA · 2020Article
- Risk factors for discontinuing intravenous patient-controlled analgesia after thoracic surgery.Annals of thoracic medicineArticle
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Authors and funding
5 authors.
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Abstract
objectivesWe aimed to investigate the factors associated with variations in postoperative pain trajectories over time in patients using intravenous patient-controlled analgesia (IV-PCA) for postoperative pain.
designRetrospective cohort study.
settingA single medical centre in Taiwan.
participantsPatients receiving IV-PCA after surgery. PRIMARY AND SECONDARY OUTCOME MEASURES: Primary outcome was the postoperative pain scores.
resultsA total of 3376 patients and 20 838 pain score observations were analysed using latent curve models. Female and longer anaesthesia time increased the baseline level of pain (p=0.004 and 0.003, respectively), but abdominal surgery and body weight decreased it (both p<0.001). Regarding the trend of pain resolution, lower abdominal surgery steepened the slope (p<0.001); older age, American Society of Anesthesiologists (ASA) class ≥3 and longer anaesthesia time tended to flatten the slope (p<0.001, =0.019 and <0.001, respectively). PCA settings did not affect the variations in postoperative pain trajectories.
conclusionsPatient demographics, ASA class, anaesthesia time and surgical sites worked together to affect postoperative pain trajectories in patients receiving IV-PCA. Latent curve models provided valuable information about the dynamic and complex relationships between the pain trajectories and their influential factors.
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