Postoperative Pain and Opioid Use After Thyroid and Parathyroid Surgeryd-A Pilot, Prospective SMS-Based Survey
Postoperative Pain and Opioid Use After Thyroid and Parathyroid Surgeryd-A Pilot, Prospective SMS-Based Survey
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DOI：
10.1016/j.jss.2019.03.016
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发表时间：
2019-08-01
影响因子：
2.2
通讯作者：
Suh, Insoo
中科院分区：
文献类型：
--
作者：
Chen, Yufei;Nwaogu, Iheoma;Suh, Insoo
背景：在小手术后发现了新的阿片类药物持续使用，可能导致全国阿片类药物流行。处方模式各不相同，我们对门诊患者疼痛经历的数据有限。我们设计了一种新的短信服务调查记录疼痛评分和阿片类药物的使用门诊甲状腺或甲状旁腺surgery.Materials and Methods：自动短信服务每天发送开始的晚上，直到术后第10天（POD）。疼痛进行了评估0-10数字疼痛评分量表和阿片类药物的使用在过去的24 hwerenched.Results：共发送了1264调查问题的总体响应率为84.3%。58例患者中有53例的缓解率>50%，并被纳入最终分析。POD 1的平均疼痛评分最高，为3.2。总体而言，42.5%的患者在POD 0使用阿片类药物，55.6%在POD 1使用阿片类药物，并在POD 10稳定下降至7%。总体而言，34%的患者术后未使用任何阿片类药物。甲状腺手术患者的总疼痛评分较高（23.5比12.1，P = 0.02），饮酒患者的总疼痛评分较低（14.9比31.6，P < 0.02）。年龄>60岁的患者的总阿片类药物日数较低（1.5比3.6，P < 0.01），而活跃吸烟的患者较高（4.5比2.3，P = 0.04）。疼痛评分与阿片类药物总天数弱相关（r = 0.32）。结论：我们展示了一种新的方法，获得患者报告的每日前瞻性疼痛评分。这可能有助于我们了解患者疼痛和阿片类药物的使用在术后急性期，特别是在门诊手术后。(C)2019爱思唯尔公司All rights reserved.
Background: New persistent opioid use has been identified following minor surgical procedures and may contribute to the national opioid epidemic. Prescription patterns vary and we have limited data on patient pain experiences in the outpatient setting. We devised a novel short messaging service survey to record pain scores and opioid use following outpatient thyroid or parathyroid surgery.Materials and methods: Automated short messaging service was sent daily starting the evening of the operation until postoperative day (POD) 10. Pain was assessed on a 0-10 numeric pain rating scale and opioid use over the prior 24 h was queried.Results: A total of 1264 survey questions were sent with overall response rate of 84.3%. Fifty-three of 58 patients had a response rate >50% and were included in the final analysis. Average pain score was highest on POD1 at 3.2. Overall, 42.5% of patients utilized opioids on POD0, 55.6% on POD1, and steadily decreased to 7% by POD10. Overall, 34% of patients did not utilize any opioids postoperatively. Scaled total pain scores were higher in patients with thyroid surgery (23.5 versus 12.1, P = 0.02) and lower in those who reported alcohol use (14.9 versus 31.6, P < 0.02). Scaled total opioid days were lower in those aged >60 (1.5 versus 3.6, P < 0.01) and higher in those with active tobacco use (4.5 versus 2.3, P = 0.04). Pain scores correlated weakly with total opioid days (r = 0.32).Conclusions: We demonstrate a novel approach of obtaining patient reported daily, prospective pain scores. This may help us understand patient pain and opioid use in the acute postoperative period especially following outpatient surgery. (C) 2019 Elsevier Inc. All rights reserved.