Cesarean Section Complications, Chronic Pain, Chronic Post Surgical Pain
Conditions
Brief summary
Chronic post-surgical pain is a problem that has historically been underestimated. Over the last few years there has been a search for strategies to both predict and prevent its occurrence in patients undergoing surgery. The Gendolcat index is the only predictive model that uses only objective pre-surgical variables to assess the risk of suffering chronic post-surgical pain. However, it is only validated for the following surgeries: thoracotomy, hysterectomy and open inguinal hernia. Our aim is to test whether the Gendolcat model is also valid for cesarean section.
Interventions
OTHERQuestionnaire
All patients should complete the following questionnaires: On the day of surgery: * Patient registration. * Complete medical history. * Gendolcat scale (including the Spanish version of the SF-12 scale). * Spanish version of the catastrophizing scale.
OTHERQuestionnaire via telephone call
At 3 months, patients will be called and a structured questionnaire will be completed to assess the presence of chronic postoperative pain.
OTHERPhysical examination
Those women who, after the telephone call, are considered to have chronic post-surgical pain will undergo a physical examination to confirm it. The type of pain and its intensity will also be evaluated. The impact on their daily physical activity and quality of life will be evaluated by means of a questionnaire.
Sponsors
Consorci Sanitari de Terrassa
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
FEMALE
Age
18 Years to No maximum
Inclusion criteria
* Patients who underwent elective caesarean section. * Patients who have previously signed the informed consent form.
Exclusion criteria
* Urgent cesarean section. * Patients with severe psychiatric pathology. * Patients who require a different surgical approach than usual. * Patients who refuse to take part in the study and/or to sign the informed consent form. informed consent. \- Patients with a high language barrier.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Gendolcat score | The Gendolcat score will be assessed on the day patients are included in the study | The Gendolcat score assesses the likelihood of suffering chronic post-surgical pain |
| Categoric Pain Scale | Done during physical examination will be performed 3 months after cesarean section. | These pain scales give people a simple way to rate their pain intensity using a verbal or visual descriptor of their pain. |
| Numeric Pain Scale | Done during physical examination will be performed 3 months after cesarean section. | Patients are asked to circle the number between 0 and 10, 0 and 20 or 0 and 100 that fits best to their pain intensity |
| Short Edition of the Brief Pain Inventory | Done during physical examination will be performed 3 months after cesarean section. | Rapidly assesses the severity of pain and its impact on functioning |
| DN4 Questionnaire | Done during physical examination will be performed 3 months after cesarean section. | To estimate the probability of neuropathic pain |
Countries
Spain
Outcome results
None listed