Postoperative Pain After Implementation of Standardized Pain Therapy Management in Orthopaedic Patients A Quality Assessment in Major Orthopaedic and Spine Surgery
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Postoperative Pain, Acute
- Sponsor
- Schulthess Klinik
- Enrollment
- 12000
- Primary Endpoint
- Increased risk for postoperative pain
- Status
- Not yet recruiting
- Last Updated
- 2 years ago
Overview
Brief Summary
The aim of this study is to examine the impact of implementing a standardized pain therapy protocol and their components on postoperative pain trajectories and postoperative outcomes such as increased opioid consumption and to compare it for different orthopaedic operations, i.e. major shoulder, hip, knee und spine surgery.
Detailed Description
A multimodal standardized pain management was implemented at the Schulthess Clinic in 2002, followed by the gradual introduction of a standardized ultrasound-guided perioperative regional anaesthesia program. Along with these measures, an improved preoperative screening process for patients at risk of increased post-operative pain has been installed and an improved individual pain assessment in the perioperative period has been introduced. This allowed for the creation of pain trajectories, which the pain team started to use to identify gaps in the management of different patient groups. An example of a trajectory group is shown in Figure 1. These pain trajectories have not yet been evaluated for the overall implementation cycle of the multimodal standardized pain management in order to further improve postoperative care especially for patients with a history of chronic pain and those prone to opioid overconsumption.We hypothesise that pain trajectories have changed significantly over the study period as standardised pain management has been implemented. We also hypothesise that patients with chronic pain and increased opioid consumption will have different pain trajectories compared to all other patients. However, we believe that the pain trajectories for different orthopaedic surgeries do not show much variation.
Investigators
Christoph Hofer
Head of Anesthesia, Professor, Principal Investigator
Schulthess Klinik
Eligibility Criteria
Inclusion Criteria
- •Patients undergoing primary hip and knee arthroplasties or revision surgery:CHOP Code: 81.51, 81.52, 81.52, 81.54
- •Patients undergoing primary shoulder or revision surgery: CHOP codes: 81.80.11, 81.80.12, 83.64.11, 81.82.35, 81.82.45, 81.82.46, 81.82.47
- •Patients undergoing major spine surgery: CHOP Code: 7A.6, 7A.7
Exclusion Criteria
- •Patients who did not sign general informed consent (for the Schulthess Clinic).
Outcomes
Primary Outcomes
Increased risk for postoperative pain
Time Frame: 2021-2024
Identification of risk factors
Perioperative pain trajectories
Time Frame: 2021-2024
Pain scores based on perioperative NRS = Numeric rating scales (0-10) prior to surgery on day of admission and during the postoperative period until discharge
Secondary Outcomes
- Total amount of opioids administered(2021-2024)
- Correlation of pain trajectories and patient reported outcome measures (e.g. postoperative nausea and vomiting)(2021-2024)