Adequacy and Adverse Effects of Pain Medication After Ambulatory Surgery, Observational Study
试验速览
- 阶段
- 不适用
- 状态
- 终止
- 入组人数
- 146
- 试验地点
- 1
- 主要终点
- Medication
研究概览
简要总结
In Finland, there are no guidelines concerning post-operative pain medication of ambulatory surgery patients. There is a wide variety in drug prescription and medication practices of various doctors and clinics. To treat patients' pain safely, type of surgery, unique patient needs, risks, adverse effects and patient's capacity to follow instructions should be assessed during the few hour visit at the clinic. In many clinics, pain is treated after hospital discharge with strong opioid oxycodone, but the amount and dose of prescribed oxycodone varies. In Helsinki Universitys Hospital, Peijas Hospital, investigators have over 2000 ambulatory surgery procedures annually. Investigators have strict policy in oxycodone use after patient discharge compared to some other Finnish ambulatory surgery clinics. The aim of this study is to evaluate, whether the prescribed pain medication is sufficient and whether patients' suffer from adverse effects after discharge from ambulatory surgery (letter interview). The study proceeds in three phases: 1) observation of current medication practice, 2) observation after optimization and standardization of hospitals drug prescription protocol, 3) evaluation of mobile phone app in pain medication follow up.
详细描述
After informed consent, all patients operated as ambulatory surgery patients during the study period are given a letter interview for pain, pain medication and symptom follow up. They are also given a return envelope (with paid postal fee) to return the interview.
Based on the results of the first interview phase, our pain medication practice is reconsidered by anesthetists and surgeons to create a standard operating protocol for pain medication. The standard operating protocol is informed to personnel. Then, patient interview phase is repeated for another 3 months.
Then, investigators continue with a pilot study on using a mobile phone app in evaluating patients pain, sufficient pain medication and adverse effects. All patient with informed consent, suitable mobile phone, and willing to use it for reporting pain for hospital personnel are contacted via the mobile app. Other patients operated during that study period are interviewed by either letter interview or phone interview. Investigators try to estimate whether mobile apps are suitable for pain and medication follow-up.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •All plenipotentiary patients, operated as ambulatory surgery patients in our clinic during the study period, with informed consent
排除标准
- •We do not accept patients, who are not plenipotentiary (minor, incompetent, prisoners, conscript in military service) or do not understand finnish or swedish written information
结局指标
主要结局
Medication
时间窗: up to two days after surgery
all pain medication used (reported By the patient)
Pain
时间窗: up to two days after surgery
Pain assessed By the patient By numerical rating scale 0-10
Adverse effects
时间窗: up to two days after surgery
Adverse effects of the pain medication, study questions
Sufficiency of pain medication
时间窗: up to two days after surgery
Whether the pain medication used was sufficient or not, study questions
次要结局
未报告次要终点
研究者
Noora Skants
MD/PhD, Specialist in anesthesiology and intensive care
Helsinki University Central Hospital