Perioperative Pain Management With Multi-discipline Team(pMDT) in Thoracic Surgery: a Multi-center，Prospective, Observational Study--------For the Baseline Investigation and Technical Preparation Stage
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 480
- 试验地点
- 1
- 主要终点
- Incidence rate of postoperative pain
研究概览
简要总结
The risk of acute and chronic pain after thoracic surgery is high. The multi-disciplinary postoperative pain management strategy is the best way to control postoperative pain in thoracic surgery. Through nearly one year of experience in implementation of the pMDT in the thoracic surgery department of Peking University People's Hospital, the investigators have summarized the experience in multidisciplinary pain management and promoted this study in multi-centers across the country, hoping that this study can improve the current situation of acute pain management in patients after thoracic surgery, and at the same time, the deficiencies of this clinical protocol can be found out and improved.
详细描述
The postoperative acute pain refers to the acute pain (usually lasting less than 7 days) that occurs immediately after surgery, and its nature is traumatic pain. It may develop into a chronic pain, such as a neuropathic pain or a mixed pain, if it is not fully controlled at the initial state. It will seriously impact the physiology and psychology of a patient. According to the study, the postoperative acute pain is one of the risks for postoperative complications, and it may result in the death of a patient. However, the alleviation of a postoperative acute pain can shorten the duration of stay in hospital, and reduce the overall cost for treatment of a patient.
The risk of acute and chronic pain after thoracic surgery is high. The multi-disciplinary postoperative pain management strategy is the best way to control postoperative pain in thoracic surgery. Through nearly one year of experience in implementation of the pMDT in the thoracic surgery department of Peking University People's Hospital, the investigators have summarized the experience in multidisciplinary pain management and promoted this study in multi-centers across the country, hoping that this study can improve the current situation of acute pain management in patients after thoracic surgery, and at the same time, the deficiencies of this clinical protocol can be found out and improved.
研究设计
- 研究类型
- Observational
- 观察模型
- Case Only
- 时间视角
- Prospective
入排标准
- 年龄范围
- 18 Years 至 75 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patients aged between 18 and 75, ASA I-II;
- •Patients undergoing thoracoscopic surgery;
- •Patients who can understand and fill in the self-evaluation;
- •Patients who signed the Informed Consent Form.
排除标准
- •Pregnant women;
- •Patients with preoperative chronic pain and long-term opioid use;
- •Patients with advanced tumors who have received preoperative chemotherapy or who are expected to receive postoperative chemotherapy.
结局指标
主要结局
Incidence rate of postoperative pain
时间窗: Up to 90 days after surgery.
The percentage of patients with NRS score greater than 3
The degree of patients' satisfaction
时间窗: 3 days after surgery.
The degree of patients' satisfaction on pain managements. Patients were asked to give a score from 0-10 (0 means dissatisfied, 10 means very satisfied).
次要结局
- Postoperative duration of stay in hospital(Up to 90 days after surgery.)
- Rehospitalization rate(Up to 90 days after surgery.)
- Postoperative complication incidence rate(Up to 90 days after surgery.)
研究者
Yi Feng, MD
Director of department of anesthesiology and pain management
Peking University People's Hospital