• J Pain · Aug 2017

    Predictors of Acute Post-Surgical Pain Following Inguinal Hernioplasty.

    • Patrícia R Pinto, Artur Vieira, Diamantino Pereira, and Armando Almeida.
    • Life and Health Sciences Research Institute (ICVS), School of Medicine, University of Minho, Braga, Portugal; Life and Health Sciences Research Institute (ICVS)/3B's-PT Government Associate Laboratory, Braga/Guimarães, Portugal. Electronic address: patipinto@med.uminho.pt.
    • J Pain. 2017 Aug 1; 18 (8): 947-955.

    AbstractAcute postsurgical pain (APSP) is a common and anticipated problem after surgery with detrimental consequences if not appropriately managed. This study examined the independent and joint contribution of presurgical demographic, clinical, and psychological variables as predictors of APSP intensity, evaluated using an 11-point numeric rating scale, after inguinal hernioplasty, one of the most performed surgeries worldwide. In a prospective observational cohort study, a consecutive sample of 135 men undergoing hernioplasty was assessed before and 48 hours after surgery. When adjusted for depression, helplessness, and magnification scores, a multiple hierarchical regression analysis revealed that younger age (β = -.247, P < .005), previous chronic pain (β = .175, P < .05), presurgical anxiety (β = .235, P < .05), and the rumination component of pain catastrophizing (β = .222, P < .05) were significant predictors of APSP intensity. The integrative predictive model found in this study revealed the simultaneous influence that demographic, clinical, and psychological factors have on APSP after inguinal hernioplasty. Therefore, these results improve knowledge on APSP predictors after inguinal hernioplasty and highlight potential modifiable intervention targets, such as anxiety and pain catastrophizing (rumination), for the design of interventions focused on APSP prevention and management. Hence, taken together, these findings lend support for the inclusion of presurgical screening and psychological interventions among surgical patients at risk for higher APSP intensity.Copyright © 2017 American Pain Society. Published by Elsevier Inc. All rights reserved.

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