Acute pain
Conditions
Interventions
Intervention group:Cluster pain management measures were formed according to the recommendations of clinical practice guidelines for postoperative pain management in adults.
Control group:Pain management strategies before implementing guideline recommendations.
Sponsors
Zhengzhou Central Hospital
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: 1.Hospitals are qualified to implement the recommendations of the guidelines; 2.Patients undergoing elective surgery requiring postoperative analgesia; 3.Age>=18 years old; 4.ASA grade 1-4; 5.Patients agreed to participate in the investigation and evaluation of postoperative pain related results.
Exclusion criteria
Exclusion criteria: 1.The hospitalization time of patients was less than 48 hours, and the follow-up could not be completed; 2.The patient could not be followed up because of impaired consciousness and cognitive status. 3.Patients who needed to be transferred to ICU for postoperative analgesia management; 4.Patients undergoing obstetric surgery.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Incidence of moderate to severe postoperative pain in surgical patients before and after the implementation of the guideline; | — |
Secondary
| Measure | Time frame |
|---|---|
| Utilization rate of recommendations for the 17 clinical questions of the guideline by health care providers;NRS scores at rest at 6 h, 12 h, 24 h and 48 h after surgery ;NRS scores at movement at 6 h, 12 h, 24 h and 48 h after surgery ;The cumulative opioid consumption of patients within 48 hours after surgery;The Brief pain assessment (BPI) score at 24 h and 48 h after operation;The QoR-15 scale before operation and 24 h and 48 h after operation;Resting-sedation scale (RASS) at 6 h and 12 h after operation;Patient satisfaction with analgesia;Incidence of nausea and vomiting;Incidence of Respiratory Depression;Incidence of pruritus;Incidence of urinary retention;Incidence of Delirium;The incidence of complications of analgesic procedures (nerve block or intraspinal analgesia);LOS(length of stay);Total cost of hospitalization; | — |
Countries
China
Contacts
Public ContactYan Wang
Zhengzhou Central Hospital
Outcome results
None listed