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Influence of a New 'Call-Out Algorithm' for Management of Postoperative Pain and Its Side Effects on Length of Stay in Hospital: A Two-Centre Prospective Randomized Trial

التفاصيل البيبلوغرافية
العنوان: Influence of a New 'Call-Out Algorithm' for Management of Postoperative Pain and Its Side Effects on Length of Stay in Hospital: A Two-Centre Prospective Randomized Trial
المؤلفون: Lisa Dybvik, Erlend Skraastad, Aigerim Yeltayeva, Aidos Konkayev, Tatiana Musaeva, Igor Zabolotskikh, Lars Bjertnaes, Vegard Dahl, Johan Raeder, Vladimir Kuklin
المصدر: Pain Research and Management, Vol 2017 (2017)
بيانات النشر: Wiley, 2017.
سنة النشر: 2017
المجموعة: LCC:Medicine (General)
مصطلحات موضوعية: Medicine (General), R5-920
الوصف: Background. We recently introduced the efficacy safety score (ESS) as a new “call-out algorithm” for management of postoperative pain and side effects. In this study, we report the influence of ESS recorded hourly during the first 8 hours after surgery on the mobility degree, postoperative nonsurgical complications, and length of hospital stay (LOS). Methods. We randomized 1152 surgical patients into three groups for postoperative observation: (1) ESS group (n=409), (2) Verbal Numeric Rate Scale (VNRS) for pain group (n=417), and (3) an ordinary qualitative observation (Control) group (n=326). An ESS > 10 or VNRS > 4 at rest or a nurse’s observation of pain or adverse reaction to analgesic treatment in the Control group served as a “call-out alarm” for an anaesthesiologist. Results. We found no significant differences in the mobility degree and number of postoperative nonsurgical complications between the groups. LOS was significantly shorter with 12.7±6.3 days (mean ± SD) in the ESS group versus 14.2±6.2 days in the Control group (P
نوع الوثيقة: article
وصف الملف: electronic resource
اللغة: English
تدمد: 1203-6765
1918-1523
Relation: https://doaj.org/toc/1203-6765; https://doaj.org/toc/1918-1523
DOI: 10.1155/2017/9431984
URL الوصول: https://doaj.org/article/786e64bb3f7d40f997725111cb4391f5
رقم الأكسشن: edsdoj.786e64bb3f7d40f997725111cb4391f5
قاعدة البيانات: Directory of Open Access Journals
الوصف
تدمد:12036765
19181523
DOI:10.1155/2017/9431984