Improvement in Postoperative Pain Outcomes

Study Overview
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Brief Summary
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This is an observational study project aims at improving postoperative pain outcomes by evaluating the current status of postoperative pain managements in the institution. Then the investigators will compare the results by internal and external benchmarking. Then they will suggest recommendations to improve the current situation of postoperative pain management.

Detailed Description
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At least half of the patients suffer from moderate to severe post-operative pain. The price of poorly managed pain is high: pain impedes recovery, causes suffering and prolongs the hospital stay. PAIN OUT provides tools for measurement, feedback and benchmarking of pain treatment quality in order to improve patient care. A research project that aims at improving postoperative pain treatment outcomes by evaluating the current status of postoperative pain managements in our institution. Then the investigators compare the results by internal and external benchmarking. Then suggest recommendations to improve the current situation of postoperative pain management. parameters include Patient's data Pain assessments by using the visual analogue score of 11 point (from 0 no pain - 10 worst pain) will be evaluated as the following: Worst pain since surgery, Least pain since surgery, Pain score at rest. Pain score during movements in bed, Pain score during deep breathing and coughing, How often the severe pain since surgery (%), Does the pain interfere with sleeping pattern, and the side effects.

Official Title
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Mprovement in Postoperative Pain Outcome: Pain Registry

Conditions
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Acute Post Operative Pain

Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Postoperative patients during the first 24 hours of surgery (day 1) Male and Females Adults Exclusion Criteria: Patient refusal Drug abusers and addicts Major significant systemic diseases Language barriers

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 65 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| postoperative pain scores | using visual analogue scale (VAS) for pain assessment of 11 points (from 0 no pain to 10 worst pain | first 3 days postoperative | 
| time in severe pain | duration of time spent in severe pain after surgery | during the first 24 hours | 
| dynamic and static pain | Pain scores or rest and during movements | during the first 24 hours | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| worst and least pain | The highest and lowest pain scores during the first 24 hours | during the first 24 hours | 
| time to first request of analgesia | the time from the recovery to the first request of postoperative analgesia | during the first 24 hours | 
| total analgesic consumption | total consumption of opioids / non-opioids during the first 24 hours | during the first 24 hours | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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acute postoperative pain, orthopedic surgery, general surgery, obs/gyn surgery, Neurosurgery, Bariatric surgery, Thoracic surgery, opioids, NSAIDs, Regional analgesia