A Prospective Cohort Study Evaluating the Ability of Anticipated Pain, Perceived Analgesic Needs, and Psychological Traits to Predict Pain and Analgesic Usage following Cesarean Delivery
Introduction. This study aimed to determine if preoperative psychological tests combined with simple pain prediction ratings could predict pain intensity and analgesic usage following cesarean delivery (CD). Methods. 50 healthy women undergoing scheduled CD with spinal anesthesia comprised the prosp...
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Wiley
2016-01-01
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| Series: | Anesthesiology Research and Practice |
| Online Access: | http://dx.doi.org/10.1155/2016/7948412 |
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| author | Brendan Carvalho Ming Zheng Scott Harter Pervez Sultan |
| author_facet | Brendan Carvalho Ming Zheng Scott Harter Pervez Sultan |
| author_sort | Brendan Carvalho |
| collection | DOAJ |
| description | Introduction. This study aimed to determine if preoperative psychological tests combined with simple pain prediction ratings could predict pain intensity and analgesic usage following cesarean delivery (CD). Methods. 50 healthy women undergoing scheduled CD with spinal anesthesia comprised the prospective study cohort. Preoperative predictors included 4 validated psychological questionnaires (Anxiety Sensitivity Index (ASI), Fear of Pain (FPQ), Pain Catastrophizing Scale, and Eysenck Personality Questionnaire) and 3 simple ratings: expected postoperative pain (0–10), anticipated analgesic threshold (0–10), and perceived analgesic needs (0–10). Postoperative outcome measures included post-CD pain (combined rest and movement) and opioid used for the 48-hour study period. Results. Bivariate correlations were significant with expected pain and opioid usage (r=0.349), anticipated analgesic threshold and post-CD pain (r=-0.349), and perceived analgesic needs and post-CD pain (r=0.313). Multiple linear regression analysis found that expected postoperative pain and anticipated analgesic needs contributed to post-CD pain prediction modeling (R2=0.443, p<0.0001); expected postoperative pain, ASI, and FPQ were associated with opioid usage (R2=0.421, p<0.0001). Conclusion. Preoperative psychological tests combined with simple pain prediction ratings accounted for 44% and 42% of pain and analgesic use variance, respectively. Preoperatively determined expected postoperative pain and perceived analgesic needs appear to be useful predictors for post-CD pain and analgesic requirements. |
| format | Article |
| id | doaj-art-261b43a13e2c49d0b59008683570d7a2 |
| institution | Kabale University |
| issn | 1687-6962 1687-6970 |
| language | English |
| publishDate | 2016-01-01 |
| publisher | Wiley |
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| series | Anesthesiology Research and Practice |
| spelling | doaj-art-261b43a13e2c49d0b59008683570d7a22025-02-03T06:12:56ZengWileyAnesthesiology Research and Practice1687-69621687-69702016-01-01201610.1155/2016/79484127948412A Prospective Cohort Study Evaluating the Ability of Anticipated Pain, Perceived Analgesic Needs, and Psychological Traits to Predict Pain and Analgesic Usage following Cesarean DeliveryBrendan Carvalho0Ming Zheng1Scott Harter2Pervez Sultan3Department of Anesthesia, Stanford University School of Medicine, Stanford, CA 94303, USADepartment of Anesthesia, Stanford University School of Medicine, Stanford, CA 94303, USADepartment of Obstetric Anesthesiology, Ministry Saint Michael’s Hospital, 900 Illinois Avenue, Stevens Point, WI 54481, USADepartment of Anaesthesia, University College Hospital, London NW1 2BU, UKIntroduction. This study aimed to determine if preoperative psychological tests combined with simple pain prediction ratings could predict pain intensity and analgesic usage following cesarean delivery (CD). Methods. 50 healthy women undergoing scheduled CD with spinal anesthesia comprised the prospective study cohort. Preoperative predictors included 4 validated psychological questionnaires (Anxiety Sensitivity Index (ASI), Fear of Pain (FPQ), Pain Catastrophizing Scale, and Eysenck Personality Questionnaire) and 3 simple ratings: expected postoperative pain (0–10), anticipated analgesic threshold (0–10), and perceived analgesic needs (0–10). Postoperative outcome measures included post-CD pain (combined rest and movement) and opioid used for the 48-hour study period. Results. Bivariate correlations were significant with expected pain and opioid usage (r=0.349), anticipated analgesic threshold and post-CD pain (r=-0.349), and perceived analgesic needs and post-CD pain (r=0.313). Multiple linear regression analysis found that expected postoperative pain and anticipated analgesic needs contributed to post-CD pain prediction modeling (R2=0.443, p<0.0001); expected postoperative pain, ASI, and FPQ were associated with opioid usage (R2=0.421, p<0.0001). Conclusion. Preoperative psychological tests combined with simple pain prediction ratings accounted for 44% and 42% of pain and analgesic use variance, respectively. Preoperatively determined expected postoperative pain and perceived analgesic needs appear to be useful predictors for post-CD pain and analgesic requirements.http://dx.doi.org/10.1155/2016/7948412 |
| spellingShingle | Brendan Carvalho Ming Zheng Scott Harter Pervez Sultan A Prospective Cohort Study Evaluating the Ability of Anticipated Pain, Perceived Analgesic Needs, and Psychological Traits to Predict Pain and Analgesic Usage following Cesarean Delivery Anesthesiology Research and Practice |
| title | A Prospective Cohort Study Evaluating the Ability of Anticipated Pain, Perceived Analgesic Needs, and Psychological Traits to Predict Pain and Analgesic Usage following Cesarean Delivery |
| title_full | A Prospective Cohort Study Evaluating the Ability of Anticipated Pain, Perceived Analgesic Needs, and Psychological Traits to Predict Pain and Analgesic Usage following Cesarean Delivery |
| title_fullStr | A Prospective Cohort Study Evaluating the Ability of Anticipated Pain, Perceived Analgesic Needs, and Psychological Traits to Predict Pain and Analgesic Usage following Cesarean Delivery |
| title_full_unstemmed | A Prospective Cohort Study Evaluating the Ability of Anticipated Pain, Perceived Analgesic Needs, and Psychological Traits to Predict Pain and Analgesic Usage following Cesarean Delivery |
| title_short | A Prospective Cohort Study Evaluating the Ability of Anticipated Pain, Perceived Analgesic Needs, and Psychological Traits to Predict Pain and Analgesic Usage following Cesarean Delivery |
| title_sort | prospective cohort study evaluating the ability of anticipated pain perceived analgesic needs and psychological traits to predict pain and analgesic usage following cesarean delivery |
| url | http://dx.doi.org/10.1155/2016/7948412 |
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