Influence of a New “Call-Out Algorithm” for Management of Postoperative Pain and Its Side Effects on Length of Stay in Hospital: A Two-Centre Prospective Randomized Trial
Background. We recently introduced the efficacy safety score (ESS) as a new “call-out algorithm” for management of postoperative pain and side effects. In this study, we report the influence of ESS recorded hourly during the first 8 hours after surgery on the mobility degree, postoperative nonsurgic...
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| Format: | Article |
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Wiley
2017-01-01
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| Series: | Pain Research and Management |
| Online Access: | http://dx.doi.org/10.1155/2017/9431984 |
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| author | Lisa Dybvik Erlend Skraastad Aigerim Yeltayeva Aidos Konkayev Tatiana Musaeva Igor Zabolotskikh Lars Bjertnaes Vegard Dahl Johan Raeder Vladimir Kuklin |
| author_facet | Lisa Dybvik Erlend Skraastad Aigerim Yeltayeva Aidos Konkayev Tatiana Musaeva Igor Zabolotskikh Lars Bjertnaes Vegard Dahl Johan Raeder Vladimir Kuklin |
| author_sort | Lisa Dybvik |
| collection | DOAJ |
| description | Background. We recently introduced the efficacy safety score (ESS) as a new “call-out algorithm” for management of postoperative pain and side effects. In this study, we report the influence of ESS recorded hourly during the first 8 hours after surgery on the mobility degree, postoperative nonsurgical complications, and length of hospital stay (LOS). Methods. We randomized 1152 surgical patients into three groups for postoperative observation: (1) ESS group (n=409), (2) Verbal Numeric Rate Scale (VNRS) for pain group (n=417), and (3) an ordinary qualitative observation (Control) group (n=326). An ESS > 10 or VNRS > 4 at rest or a nurse’s observation of pain or adverse reaction to analgesic treatment in the Control group served as a “call-out alarm” for an anaesthesiologist. Results. We found no significant differences in the mobility degree and number of postoperative nonsurgical complications between the groups. LOS was significantly shorter with 12.7±6.3 days (mean ± SD) in the ESS group versus 14.2±6.2 days in the Control group (P<0.001). Conclusion. Postoperative ESS recording in combination with the possibility to call upon an anaesthesiologist when exceeding the threshold score might have contributed to the reductions of LOS in this two-centre study. This trial is registered with NCT02143128. |
| format | Article |
| id | doaj-art-786e64bb3f7d40f997725111cb4391f5 |
| institution | Kabale University |
| issn | 1203-6765 1918-1523 |
| language | English |
| publishDate | 2017-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Pain Research and Management |
| spelling | doaj-art-786e64bb3f7d40f997725111cb4391f52025-02-03T01:22:29ZengWileyPain Research and Management1203-67651918-15232017-01-01201710.1155/2017/94319849431984Influence of a New “Call-Out Algorithm” for Management of Postoperative Pain and Its Side Effects on Length of Stay in Hospital: A Two-Centre Prospective Randomized TrialLisa Dybvik0Erlend Skraastad1Aigerim Yeltayeva2Aidos Konkayev3Tatiana Musaeva4Igor Zabolotskikh5Lars Bjertnaes6Vegard Dahl7Johan Raeder8Vladimir Kuklin9Department of Anaesthesia and Intensive Care, Akershus University Hospital, 1478 Lørenskog, NorwayDepartment of Anaesthesia and Intensive Care Medicine, Kongsberg Hospital, 3612 Kongsberg, NorwayDepartment of Anaesthesia and Intensive Care, Kazakh State Medical University, Astana, KazakhstanDepartment of Anaesthesia and Intensive Care, Kazakh State Medical University, Astana, KazakhstanDepartment of Anaesthesia and Intensive Care, Kuban State Medical University, Krasnodar 350063, RussiaDepartment of Anaesthesia and Intensive Care, Kuban State Medical University, Krasnodar 350063, RussiaAnaesthesia and Critical Care Research Group, Department of Clinical Medicine, Faculty of Health Sciences, The Arctic University of Norway (UiT), 9037 Tromsø, NorwayDepartment of Anaesthesia and Intensive Care, Akershus University Hospital, 1478 Lørenskog, NorwayDepartment of Anaesthesia and Intensive Care Medicine, Oslo University Hospital and Institute of Clinical Medicine, Medical Faculty, University of Oslo, 0316 Oslo, NorwayDepartment of Anaesthesia and Intensive Care, Akershus University Hospital, 1478 Lørenskog, NorwayBackground. We recently introduced the efficacy safety score (ESS) as a new “call-out algorithm” for management of postoperative pain and side effects. In this study, we report the influence of ESS recorded hourly during the first 8 hours after surgery on the mobility degree, postoperative nonsurgical complications, and length of hospital stay (LOS). Methods. We randomized 1152 surgical patients into three groups for postoperative observation: (1) ESS group (n=409), (2) Verbal Numeric Rate Scale (VNRS) for pain group (n=417), and (3) an ordinary qualitative observation (Control) group (n=326). An ESS > 10 or VNRS > 4 at rest or a nurse’s observation of pain or adverse reaction to analgesic treatment in the Control group served as a “call-out alarm” for an anaesthesiologist. Results. We found no significant differences in the mobility degree and number of postoperative nonsurgical complications between the groups. LOS was significantly shorter with 12.7±6.3 days (mean ± SD) in the ESS group versus 14.2±6.2 days in the Control group (P<0.001). Conclusion. Postoperative ESS recording in combination with the possibility to call upon an anaesthesiologist when exceeding the threshold score might have contributed to the reductions of LOS in this two-centre study. This trial is registered with NCT02143128.http://dx.doi.org/10.1155/2017/9431984 |
| spellingShingle | Lisa Dybvik Erlend Skraastad Aigerim Yeltayeva Aidos Konkayev Tatiana Musaeva Igor Zabolotskikh Lars Bjertnaes Vegard Dahl Johan Raeder Vladimir Kuklin Influence of a New “Call-Out Algorithm” for Management of Postoperative Pain and Its Side Effects on Length of Stay in Hospital: A Two-Centre Prospective Randomized Trial Pain Research and Management |
| title | Influence of a New “Call-Out Algorithm” for Management of Postoperative Pain and Its Side Effects on Length of Stay in Hospital: A Two-Centre Prospective Randomized Trial |
| title_full | Influence of a New “Call-Out Algorithm” for Management of Postoperative Pain and Its Side Effects on Length of Stay in Hospital: A Two-Centre Prospective Randomized Trial |
| title_fullStr | Influence of a New “Call-Out Algorithm” for Management of Postoperative Pain and Its Side Effects on Length of Stay in Hospital: A Two-Centre Prospective Randomized Trial |
| title_full_unstemmed | Influence of a New “Call-Out Algorithm” for Management of Postoperative Pain and Its Side Effects on Length of Stay in Hospital: A Two-Centre Prospective Randomized Trial |
| title_short | Influence of a New “Call-Out Algorithm” for Management of Postoperative Pain and Its Side Effects on Length of Stay in Hospital: A Two-Centre Prospective Randomized Trial |
| title_sort | influence of a new call out algorithm for management of postoperative pain and its side effects on length of stay in hospital a two centre prospective randomized trial |
| url | http://dx.doi.org/10.1155/2017/9431984 |
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