An Interactive Pain Application (MServ) Improves Postoperative Pain Management
Background. Most patients have moderate or severe pain after surgery. Opioids are the cornerstone of treating severe pain after surgery but cause problems when continued long after discharge. We investigated the efficacy of multifunction pain management software (MServ) in improving postoperative pa...
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| Format: | Article |
| Language: | English |
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Wiley
2021-01-01
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| Series: | Pain Research and Management |
| Online Access: | http://dx.doi.org/10.1155/2021/8898170 |
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| _version_ | 1832560154176913408 |
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| author | Richard Gordon-Williams Andreia Trigo Paul Bassett Amanda Williams Stephen Cone Martin Lees Brigitta Brandner |
| author_facet | Richard Gordon-Williams Andreia Trigo Paul Bassett Amanda Williams Stephen Cone Martin Lees Brigitta Brandner |
| author_sort | Richard Gordon-Williams |
| collection | DOAJ |
| description | Background. Most patients have moderate or severe pain after surgery. Opioids are the cornerstone of treating severe pain after surgery but cause problems when continued long after discharge. We investigated the efficacy of multifunction pain management software (MServ) in improving postoperative pain control and reducing opioid prescription at discharge. Methods. We recruited 234 patients to a prospective cohort study into sequential groups in a nonrandomised manner, one day after major thoracic or urological surgery. Group 1 received standard care (SC, n = 102), group 2 were given a multifunctional device that fed back to the nursing staff alone (DN, n = 66), and group 3 were given the same device that fed back to both the nursing staff and the acute pain team (DNPT, n = 66). Patient-reported pain scores at 24 and 48 hours and patient-reported time in severe pain, medications, and satisfaction were recorded on trial discharge. Findings. Odds of having poor pain control (>1 on 0–4 pain scale) were calculated between standard care (SC) and device groups (DN and DNPT). Patients with a device were significantly less likely to have poor pain control at 24 hours (OR 0.45, 95% CI 0.25, 0.81) and to report time in severe pain at 48 hours (OR 0.62, 95% CI 0.47–0.80). Patients with a device were three times less likely to be prescribed strong opioids on discharge (OR 0.35, 95% CI 0.13 to 0.95). Interpretation. Using an mHealth device designed for pain management, rather than standard care, reduced the incidence of poor pain control in the postoperative period and reduced opioid prescription on discharge from hospital. |
| format | Article |
| id | doaj-art-07c716023bbf46c19f0e9b71946f6914 |
| institution | Kabale University |
| issn | 1203-6765 1918-1523 |
| language | English |
| publishDate | 2021-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Pain Research and Management |
| spelling | doaj-art-07c716023bbf46c19f0e9b71946f69142025-02-03T01:28:18ZengWileyPain Research and Management1203-67651918-15232021-01-01202110.1155/2021/88981708898170An Interactive Pain Application (MServ) Improves Postoperative Pain ManagementRichard Gordon-Williams0Andreia Trigo1Paul Bassett2Amanda Williams3Stephen Cone4Martin Lees5Brigitta Brandner6University College London Hospitals NHS Foundation Trust, Department of Anaesthesia, London NW1 2BU, UKUniversity College London Hospitals NHS Foundation Trust, Department of Anaesthesia, London NW1 2BU, UKStats Consultancy Ltd., 40 Longwood Lane, Amersham, Bucks HP7 9EN, UKUniversity College London, Clinical, Educational & Health Psychology, Gower St, London WC1E 6BT, UKUniversity College London Hospitals NHS Foundation Trust, Department of Anaesthesia, London NW1 2BU, UKBarts Health NHS Trust, Department of Cardiothoracic Anaesthesia, London EC1A 7BE, UKUniversity College London Hospitals NHS Foundation Trust, Department of Anaesthesia, London NW1 2BU, UKBackground. Most patients have moderate or severe pain after surgery. Opioids are the cornerstone of treating severe pain after surgery but cause problems when continued long after discharge. We investigated the efficacy of multifunction pain management software (MServ) in improving postoperative pain control and reducing opioid prescription at discharge. Methods. We recruited 234 patients to a prospective cohort study into sequential groups in a nonrandomised manner, one day after major thoracic or urological surgery. Group 1 received standard care (SC, n = 102), group 2 were given a multifunctional device that fed back to the nursing staff alone (DN, n = 66), and group 3 were given the same device that fed back to both the nursing staff and the acute pain team (DNPT, n = 66). Patient-reported pain scores at 24 and 48 hours and patient-reported time in severe pain, medications, and satisfaction were recorded on trial discharge. Findings. Odds of having poor pain control (>1 on 0–4 pain scale) were calculated between standard care (SC) and device groups (DN and DNPT). Patients with a device were significantly less likely to have poor pain control at 24 hours (OR 0.45, 95% CI 0.25, 0.81) and to report time in severe pain at 48 hours (OR 0.62, 95% CI 0.47–0.80). Patients with a device were three times less likely to be prescribed strong opioids on discharge (OR 0.35, 95% CI 0.13 to 0.95). Interpretation. Using an mHealth device designed for pain management, rather than standard care, reduced the incidence of poor pain control in the postoperative period and reduced opioid prescription on discharge from hospital.http://dx.doi.org/10.1155/2021/8898170 |
| spellingShingle | Richard Gordon-Williams Andreia Trigo Paul Bassett Amanda Williams Stephen Cone Martin Lees Brigitta Brandner An Interactive Pain Application (MServ) Improves Postoperative Pain Management Pain Research and Management |
| title | An Interactive Pain Application (MServ) Improves Postoperative Pain Management |
| title_full | An Interactive Pain Application (MServ) Improves Postoperative Pain Management |
| title_fullStr | An Interactive Pain Application (MServ) Improves Postoperative Pain Management |
| title_full_unstemmed | An Interactive Pain Application (MServ) Improves Postoperative Pain Management |
| title_short | An Interactive Pain Application (MServ) Improves Postoperative Pain Management |
| title_sort | interactive pain application mserv improves postoperative pain management |
| url | http://dx.doi.org/10.1155/2021/8898170 |
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