Study of a Multimodality Pain Management Protocol on Postoperative Neurosurgical Pain

Not Applicable

Completed

• Conditions: Pain; Postoperative Pain; Surgical Pain; Neurosurgical Pain
• Interventions: Other: Pain Management Bundle

• Registration Number: NCT01693588
• Lead Sponsor: University of Florida

Brief Summary

High levels of postoperative pain are associated with an increased risk of lung and heart complications, are the most common reason for delayed discharge or for unexpected hospital admission after ambulatory surgery, and are responsible for prolonged recovery after inpatient surgery. Furthermore both neuropathic pain and post surgical pain inhibit weight gain and may have an impact on the patient's nutrition post operatively. The purpose of this study is to evaluate the effectiveness of a multimodality pain management protocol on postoperative neurosurgical pain.

Detailed Description

Despite the long-standing recognition of postoperative pain as both prevalent and undertreated, 20% to 30% of all surgical patients continue to experience moderate to severe postoperative pain. High levels of postoperative pain are associated with an increased risk of pulmonary and cardiovascular complications, are the most common reason for delayed discharge or for unexpected hospital admission after ambulatory surgery, and are responsible for prolonged convalescence after inpatient surgery. Furthermore both neuropathic pain and post surgical pain inhibit weight gain and may have an impact on the patient's nutrition post operatively. Finally, high levels of postoperative pain have also been associated with an increased risk of chronic pain. Therefore, the aggressive treatment of postoperative pain may be particularly important in influencing patient outcomes, inadvertent readmissions, and propensity for developing chronic pain.

Study Timeline

• Study First Submitted: 2012-09-14
• Study First Submitted QC: 2012-09-21
• Study First Posted: 2012-09-26
• Study Start: 2012-10
• Primary Completion: 2013-08
• Study Completion: 2013-08
• Status Verified: 2014-01
• Last Update Submitted: 2014-01-13
• Last Update Posted: 2014-01-14

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 94

Inclusion Criteria

• Postoperative neurosurgical patient treated at the University of Florida
• Primary language is English

Exclusion Criteria

• Younger than 18 or older than 100 years of age
• Patients who are pregnant, wards of the state, prisoners, and patients who lack the ability to communicate their pain level

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Arm && Interventions

Group	Intervention	Description
Pain Management Bundle	Pain Management Bundle	The Pain Management Bundle will be implemented for all postoperative neurosurgical patients admitted to nursing units at the University of Florida.

Primary Outcome Measures

Name	Time	Method
Mean Score on the Visual Analogue Scale	Post Operative Day 3	The Visual Analogue Scale measures the severity of pain on a continuous scale from 0 (no pain) to 10 (worst possible pain).

Secondary Outcome Measures

Name	Time	Method
Score on the HCAHP survey.	Hospital discharge, an expected average of 5 days.	The HCAHP survey measures how often patients perceived an aspect of their care was performed, generally using a scale of always, usually, sometimes, and never.

Trial Locations

Locations (1)

University of Florida; 🇺🇸 Gainesville, Florida, United States