Chronic Postoperative Pain
Conditions
Brief summary
Perioperative pain is one of the most significant complaints and problems for patients undergoing major open surgery. Pain after surgery carry an abundance of consequences such as reduced mobilization, reduced nutrition intake, reduced pulmonary capacity and increased risk of complications and length of hospitalization. The literature does not supply much information on short- or longer-term outcomes of pain treatment for emergency surgery. The investigators know that for planned surgery in general around 10-50 percentage suffer from persistent postoperative pain. It is therefore important to follow-up on the longer-term outcomes after the standardized analgesic pain treatment. Based on a predefined patient group called OMEGA (Optimizing Major EMergency Abdominal surgery) the investigators hypothesize that OMEGA patients will present a significant incidence rate of patients with persistent postoperative pain and/or continued opioid/non-opioid usage. Therefore this study is to investigate the incidence of prolonged postoperative pain and opioid/non-opioid consumption in OMEGA patients at 3 month after major emergency abdominal surgery.
Interventions
None listed
Sponsors
Zealand University Hospital
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* OMEGA patients (patients who have undergone major emergency abdominal surgery including the stomach, small or large bowel, or rectum for conditions such as perforation, ischemia, abdominal abscess, bleeding or obstruction) * Age 18 or more * Surgery performed within 72 hours of an acute admission or as an acute re-operation
Exclusion criteria
* Elective laparoscopy * Diagnostic laparotomy/laparoscopy where no subsequent procedure is performed * Non-elective hernia repair without bowel resection * Admission or transfer to an intensive care unit
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Pain Mobilization | Data is collected 3 months postoperative | Pain during mobilization last week based on a self-made questionary |
| Opioids | Data is collected 3 months postoperative | Daily opioid usage last week based on a self-made questionary |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Barthel-20 Index | Data is collected 3 months postoperative | Simple function measurement based on daily living Simple function measurement |
| Pain Rest | Data is collected 3 months postoperative | Pain in rest last week based on a self-made questionary |
| Montreal Cognitive Assessment test (Mini-MoCA) | Data is collected 3 months postoperative | Cognitive function |
| EuroQol-5 | Data is collected 3 months postoperative | Health related quality of life |
| Non-opiod Analgesic | Data is collected 3 months postoperative | Non-opioid analgesic usage based on a self-made questionary |
Countries
Denmark
Outcome results
None listed