Journal of Anaesthesiology Clinical Pharmacology

ORIGINAL ARTICLE
Year
: 2020  |  Volume : 36  |  Issue : 2  |  Page : 187--194

Does an acute pain service improve the perception of postoperative pain management in patients undergoing lower limb surgery? A prospective controlled non-randomized study


Sukanya Mitra1, Kompal Jain1, Jasveer Singh1, Swati Jindal1, Puja Saxena1, Manpreet Singh1, Richa Saroa1, Vanita Ahuja1, Jannat Kang1, Sudhir Garg2 
1 Department of Anaesthesia and Intensive Care, Government Medical College and Hospital, Chandigarh, India
2 Department of Orthopaedics, Government Medical College and Hospital, Chandigarh, India

Correspondence Address:
Dr. Sukanya Mitra
Department of Anaesthesia and Intensive Care, Government Medical College and Hospital, Chandigarh - 160 030
India

Background and Aim: An acute pain service (APS) has been running in our institute since April 2013 and is managed by the Department of Anesthesia and Intensive Care. However, it is not clear to what extent the patients feel benefited from the APS. The aim of the study was to compare the perception of postoperative pain management in patients receiving care under APS with those receiving routine postoperative pain relief following lower limb surgery. Material and Methods: This was a prospective, hospital-based, controlled non-randomized study. American Society of Anesthesiologists (ASA) grades I–III patients with age 18–75 years undergoing lower limb orthopedic surgery were prospectively recruited into APS (index group) or routine postoperative care (control group) (n = 55 each). Postoperatively, American Pain Society Patient Outcome Questionnaire-Revised (APS-POQ-R) and Short Form (SF-12) were used to evaluate the outcome of postoperative pain management at 24 h and health-related quality of life after 4 weeks respectively. Results: Both groups were comparable in terms of demographic data. Patients in the index group had statistically significant better perception of care than the control group. Index group scored significantly higher than control group on median patient satisfaction score (9; interquartile range [IQR] [7–10] vs. 5 [3–6]; P < 0.001). In index group, there was significant reduction of worst pain in first 24 h along with decreased frequency of severe pain. Conclusion: Implementation of acute pain service plays an important role in improving the quality of postoperative pain relief, perception of care, and patient satisfaction.


How to cite this article:
Mitra S, Jain K, Singh J, Jindal S, Saxena P, Singh M, Saroa R, Ahuja V, Kang J, Garg S. Does an acute pain service improve the perception of postoperative pain management in patients undergoing lower limb surgery? A prospective controlled non-randomized study.J Anaesthesiol Clin Pharmacol 2020;36:187-194


How to cite this URL:
Mitra S, Jain K, Singh J, Jindal S, Saxena P, Singh M, Saroa R, Ahuja V, Kang J, Garg S. Does an acute pain service improve the perception of postoperative pain management in patients undergoing lower limb surgery? A prospective controlled non-randomized study. J Anaesthesiol Clin Pharmacol [serial online] 2020 [cited 2020 Aug 8 ];36:187-194
Available from: http://www.joacp.org/article.asp?issn=0970-9185;year=2020;volume=36;issue=2;spage=187;epage=194;aulast=Mitra;type=0