Artificial Intelligence to Evaluate Postoperative Pain Based on Facial Expression

Recruiting

• Conditions: Analgesia; Facial Expression; Pain, Postoperative; Artificial Intelligence

• Registration Number: NCT05477303
• Lead Sponsor: Seoul National University Bundang Hospital

Brief Summary

Patients' subjective complaints about pain intensity are difficult to objectively evaluate, and may lead to inadequate pain management, especially in patients with communication difficulties.

Detailed Description

Analgesia nociception index (ANI 0-100) and patient-reported numeric rating scale (NRS 0-10) were trained on a convolutional neural network (CNN) model by linking the patients' facial expression with the score. By applying the predicted pain score by the AI model to evaluate pain, it is intended to measure the intensity of pain in an automatic, fast, and objective way for appropriate pain management.

Study Timeline

• Study Start: 2022-06-17
• Status Verified: 2022-07
• Study First Submitted: 2022-07-26
• Study First Submitted QC: 2022-07-26
• Last Update Submitted: 2022-07-26
• Study First Posted: 2022-07-28
• Last Update Posted: 2022-07-28
• Primary Completion: 2023-04-20
• Study Completion: 2026-05-09

Recruitment & Eligibility

• Status: RECRUITING
• Sex: All
• Target Recruitment: 120

Inclusion Criteria

• Patients aged 19-75 years who were scheduled for elective laparoscopic abdominal surgery under general anesthesia
• American Society of Anesthesiology (ASA) class I-II

Exclusion Criteria

• Patients who have difficulty in communicating and reporting pain
• Underlying diseases: liver, kidney, brain
• Patients with BMI greater than 30 and less than 18.5
• Alcohol or drug dependent patients
• Patients with severe or acute respiratory failure
• Opioid, NSAID allergy
• Patients who are scheduled to be admitted to the intensive care unit after surgery
• Patients who undergo cooperative surgery

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
analgesia nociception index	immediately preoperative, postoperative time	ANI score
numeric rating scale	immediately preoperative, postoperative time	pain score
Facial expression	immediately preoperative, postoperative time	Painful facial expression

Trial Locations

Locations (1)

Seoul National University Bundang Hospital; 🇰🇷 Seongnam-si, Gyunggi-do, Korea, Republic of