(chronic) post-operative pain
Conditions
Interventions
Applying a system in which patients undergoing surgery can report pain scores and other pain-related outcomes with their own smartphone, both during hospitalization and for three months after discharg
Sponsors
University Medical Center Groningen, dept of Anaesthesiology
Eligibility
Inclusion criteria
Inclusion criteria: - Participants have to be 18 years or older - Participants need to undergo a clinical surgical procedure for one of the three medical specialties mentioned above. - Participants must be admitted to one of the participating surgical wards directly following discharge from the post anesthetic care unit after surgery. - Participants have to stay admitted to the wards at least till the next day after surgery. - Participants have to be in the possession of a smartphone that is able to receive a SMS text message and can sent data to a web based server. - Participants must master the Dutch language and provide their written informed consent on forehand.
Exclusion criteria
Exclusion criteria: -Patients who do not wish to participate. -Patients that for physical or cognitive impairments are unable to participate. -Patients who do not possess a smartphone. -Patients who are transferred to another ward during hospital admission e.g. the intensive care unit the first night after surgery.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Primary outcome during clinical hospital admission is the patient reported time in severe pain per separate clinical admission day. The duration of severe pain is determined as a percentage of time over 24 hours from 8 a.m. till 8 a.m. the following day. | — |
Secondary
| Measure | Time frame |
|---|---|
| During clinical admission measured as reported by APS-POQ-R. -Patient reported least pain and worst pain level over past 24 hours. -Number of patient self-reported pain scores per 24 hours. -Patient reported impact of pain on activity and sleep. -Patient reported wish for more treatment. -Patient reported abilities to participate in pain treatment decisions. -Patient reported adverse effects (nausea, tiredness, dizziness, itching). -Patient reported anxiety and helplessness. -Patient reported satisfaction on pain treatment result. -Numbers and dose of analgesics administered over a period of 24 hours, starting after discharge from post anesthetic care unit (PACU). -Median patient reported least and worst pain score in the intervention and control group for each separate hospital admission day, this will be determined for day time (08 a.m.-10 p.m.) and night time (10 p.m. - 8 a.m.) separately. -All nurse documented pain-scores in the electronic health record. After hospital discharge measured as reported by BPI-sf. -Median patient reported pain score over the past 24 hours (NRS 0-10) prior to the moment of measurement. -Patient reported least pain, worst pain and current pain (NRS 0-10) -Any pain treatment (including pharmacological) received and percentage of pain relief. -Functional impact of pain (NRS 0-10), social impact of pain (NRS 0-10) and emotional impact of pain (NRS 0-10). | — |
Contacts
Public ContactT.F. Buisman
Universitair Medisch Centrum Groningen
Outcome results
None listed