Acute Pain, Chronic Postsurgical Pain, Emergency Surgery, Opioid, Postoperative Pain, Risk Factors
Conditions
Keywords
risk factors, Chronic Postsurgical Pain, Acute Pain, emergency surgery, opioid, Postoperative Pain
Brief summary
Studies evaluating postoperative pain as a risk factor for CPSP are almost exclusively carried out in the context of scheduled surgery. As a result, the preoperative pain studied as a risk factor for chronicity is essentially a state of pain that has persisted for several weeks or even several months. In emergency surgeries, patients are subject to acute preoperative pain of varying intensity and the duration of which may vary by a few days. A few studies have highlighted the intensity of acute preoperative pain as a factor favouring moderate to severe postoperative pain. At this point, no study has addressed the long-term consequences of this intense preoperative pain the emergency context. An evaluation in the field of emergency surgery, where the preoperative pain is often intense and limited in time, would enable us to identify more precisely the impact of acute pain on the incidence of CPSP. The investigators are hypothesising that the occurrence of CPSP at 3 months in patients undergoing emergency orthopaedic or abdominal surgery is associated with acute preoperative pain.
Interventions
OTHERquestionnaire
Patients included in the study will be asked to complete a questionnaire 48 to 72 hours after surgery to assess their perception of pain and preoperative anxiety
OTHERphone call
Patients will then be interviewed by phone 3 months after their emergency surgery. During the interview, they will be questioned via a standardised questionnaire on the existence of CPSP
Sponsors
Centre Hospitalier Universitaire, Amiens
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
OTHER
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Age ≥18 years old. * Emergency orthopaedic and/or abdominal surgery. * Informed consent. * Affiliation to a social security scheme
Exclusion criteria
* Intraoperative complications that are life-threatening or require the surgical procedure to be discontinued. * Post-operative intensive care unit admission. * Ambulatory surgery. * Endoscopic surgery. * Repeat surgery at the same site in less that 3months. * Pregnant or breast-feeding patients. * Patients under guardianship or deprived of liberty. * Patients suffering from psychiatric pathologies. * Patients suffering from neurodegenerative pathologies. * Patients for whom self-assessment of pain using a numerical scale (0-10) cannot be carried out (non-communicative patients, non-French-speaking patients, and so on).
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Frequency of CPSP | at 3 months |
Countries
France
Contacts
CONTACTPaul TARPIN, Dr
Outcome results
None listed