Evidence map›Paper›PMID 41496772›Full record

ArticlePain research & management2025

Prevalence and Predictors of Severity of Rebound Pain After Regional Anesthesia in Patients Undergoing Orthopedic Surgery: A Cross-Sectional Study.

Negesse Zurbachew Gobezie, Melaku Zewdu Yehualaw, Temesgen Birlie Asmare, Getachew Mekete Deress, Kumlachew Geta Belete, Diriba Teshome, Basazinew Chekol Demilew, Meraf Mehari Yitbarek, Kaletsidk Dessalegn Mossie, Begizew Yimenu Mekuriaw and 1 more

Abstract read
In one paragraph

Article in Pain research & management, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Negesse Zurbachew GobezieDepartment of Anesthesia, School of Medicine, College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia, dtu.edu.et.ORCID https://orcid.org/0000-0002-8401-309X
Melaku Zewdu YehualawDepartment of Anesthesia, School of Medicine, College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia, dtu.edu.et.
Temesgen Birlie AsmareDepartment of Anesthesia, School of Medicine, College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia, dtu.edu.et.ORCID https://orcid.org/0009-0008-0462-8299
Getachew Mekete DeressDepartment of Anesthesia, School of Medicine, College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia, dtu.edu.et.ORCID https://orcid.org/0009-0006-1463-3222
Kumlachew Geta BeleteDepartment of Anesthesia, School of Medicine, College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia, dtu.edu.et.
Diriba TeshomeDepartment of Anesthesia, School of Medicine, College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia, dtu.edu.et.ORCID https://orcid.org/0000-0001-5449-5262
Basazinew Chekol DemilewDepartment of Anesthesia, School of Medicine, College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia, dtu.edu.et.ORCID https://orcid.org/0000-0002-7815-1314
Meraf Mehari YitbarekDepartment of Anesthesia, School of Medicine, College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia, dtu.edu.et.
Kaletsidk Dessalegn MossieDepartment of Anesthesia, School of Medicine, College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia, dtu.edu.et.
Begizew Yimenu MekuriawDepartment of Midwifery, College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia, dtu.edu.et.ORCID https://orcid.org/0009-0009-0400-3827
Habtie Bantider WubetDepartment of Anesthesia, School of Medicine, College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia, dtu.edu.et.ORCID https://orcid.org/0009-0007-7827-1416

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Rebound pain (RP) is an acute, burning, or dull-aching type of pain that occurs following the resolution of regional anesthesia. It is a common but understudied problem in orthopedic patients undergoing surgery under regional anesthesia. This study aimed to determine the prevalence and predictors of RP severity in patients undergoing orthopedic surgeries. Methods: A cross-sectional study was conducted involving 364 patients who underwent orthopedic surgery and received regional anesthesia. To determine factors associated with the severity of RP, bivariable and multivariable ordinal logistic regression analyses were conducted. Both crude and adjusted odds ratios with their corresponding 95% confidence interval were calculated to determine the strength of association. Result: The prevalence of RP after resolution of regional anesthesia was 70.9% (95% CI: 65.9-75.5). Among all participants, 30.2% experienced mild RP, 19.2% had moderate pain, and 21.4% reported severe RP. Age less than 60 years (AOR: 2.34, 95% CI: 1.38-3.95, and Conclusion: Our study found a high incidence of RP following the resolution of regional anesthesia in patients undergoing orthopedic surgery. To reduce its incidence and severity, it is essential to effectively manage and alleviate preoperative pain, incorporate local anesthetic adjuvants into nerve block solutions, utilize intravenous dexamethasone, and incorporate multimodal analgesia before the resolution of regional anesthesia.

Indexed as

Anesthesia, ConductionOrthopedic ProceduresPostoperative PainAdultAgedCross-Sectional StudiesFemaleHumansMaleMiddle AgedPain MeasurementPrevalenceSeverity of Illness Indexorthopedicrebound painregional anesthesiaseveritysurgery

Identifiers

PMID41496772
PMCPMC12767379

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.