Dataset Information

Incidence, predictors, and impact of acute post-operative pain after cranial neurosurgery: A prospective cohort study.

ABSTRACT:

Objectives

Pain is common after craniotomy. Its incidence and predictors in developing nations are not adequately studied. We aimed to assess the incidence, predictors, and impact of acute post-operative pain after intracranial neurosurgeries.

Materials and methods

This prospective observational study was conducted in adult patients undergoing intracranial neurosurgeries. After patient consent, ethics committee approval, and study registration, we assessed the incidence of post-operative pain using numerical rating scale (NRS) score. Predictors and impact of pain on patient outcomes were also evaluated.

Results

A total of 497 patients were recruited during 10-month study period. Significant (4-10 NRS score) post-operative pain at any time-point during the first 3 days after intracranial neurosurgery was reported by 65.5% (307/469) of patients. Incidence of significant pain during the 1^st post-operative h, on the 1^st, 2^nd, and 3^rd post-operative days was 20% (78/391), 50% (209/418), 38% (152/401), and 24% (86/360), respectively. Higher pre-operative NRS score and pain during the 1^st h post-operatively, predicted the occurrence of pain during the first 3 days after surgery, P = 0.003 and P < 0.001, respectively. Pain was significantly associated with poor sleep quality on the first 2 post-operative nights (P < 0.001). Patient satisfaction score was higher in patients with post-operative pain, P = 0.002.

Conclusion

Every two in three patients undergoing elective intracranial neurosurgery report significant pain at some point during the first 3 postoperative days. Pre-operative pain and pain during 1^st post-operative h predict the occurrence of significant post-operative pain.

SUBMITTER: Sriganesh K

PROVIDER: S-EPMC10696338 | biostudies-literature | 2023 Oct-Dec

REPOSITORIES: biostudies-literature

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Publications

Incidence, predictors, and impact of acute post-operative pain after cranial neurosurgery: A prospective cohort study.

Sriganesh Kamath K Kramer Boris W BW Wadhwa Archisha A Akash V S VS Bharadwaj Suparna S Rao G S Umamaheswara GSU Steinbusch Harry W M HWM Konar Subhas K SK Gopalakrishna Kadarapura Nanjundaiah KN Sathyaprabha T N TN

Journal of neurosciences in rural practice 20230714 4

<h4>Objectives</h4>Pain is common after craniotomy. Its incidence and predictors in developing nations are not adequately studied. We aimed to assess the incidence, predictors, and impact of acute post-operative pain after intracranial neurosurgeries.<h4>Materials and methods</h4>This prospective observational study was conducted in adult patients undergoing intracranial neurosurgeries. After patient consent, ethics committee approval, and study registration, we assessed the incidence of post-op ...[more]

PMID: 38059224

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Dataset Information

Incidence, predictors, and impact of acute post-operative pain after cranial neurosurgery: A prospective cohort study.

Objectives

Materials and methods

Results

Conclusion

Publications

Incidence, predictors, and impact of acute post-operative pain after cranial neurosurgery: A prospective cohort study.

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