Faculty Collaboration Database

Quality of postoperative pain management after midfacial fracture repair--an outcome-oriented study. Clin Oral Investig 2015 Apr;19(3):619-25

Date

07/25/2014

Pubmed ID

25055745

DOI

10.1007/s00784-014-1283-5

Scopus ID

2-s2.0-84939886513 (requires institutional sign-in at Scopus site)   5 Citations

Abstract

OBJECTIVES: There is a lack of literature regarding the procedure-specific quality of acute postoperative pain management after midfacial fracture repair. The purpose of the presented prospective clinical study was to evaluate postoperative pain management after surgical repair of midfacial fractures.

MATERIALS AND METHODS: Eighty-five adults were evaluated on the first postoperative day following midfacial repair using the questionnaire of the Quality Improvement in Postoperative Pain Management (QUIPS) project. The main outcome measures were patients' characteristics and clinical- and patient-reported outcome parameters.

RESULTS: Overall, pain on the first postoperative day was moderate. A significant correlation between process and outcome parameters could be shown. Duration of surgery above the calculated median was significantly associated with higher maximum pain intensity (p = 0.017). Patients requiring opioids in the recovery room presented significantly higher pain on activity (p = 0.029) and maximum pain (p = 0.035). Sleeping impairment (p = 0.001) and mood disturbance (p = 0.008) were significantly more prevalent in patients undergoing repair of a centrolateral midfacial fracture.

CONCLUSIONS: QUIPS is a simple and qualified tool to evaluate the procedure specific quality of acute postoperative pain management. Pain on the first postoperative day following midfacial fracture repair seems overall to be moderate. Nearly a third of the patients showed inadequate postoperative pain management. To prevent inadequate postoperative pain management, it is necessary to establish a continued procedure-specific outcome measurement.

Author List

Raschke GF, Peisker A, Rieger U, Djedovic G, Guentsch A, Schaefer O, Venth E, Dammeier MG, Meissner W

Author

Arndt Geuntsch in the CTSI department at Medical College of Wisconsin - CTSI

MESH terms used to index this publication - Major topics in bold

Female
Humans
Male
Middle Aged
Pain Management
Pain Measurement
Pain, Postoperative
Patient Satisfaction
Prospective Studies
Quality Assurance, Health Care
Skull Fractures
Surveys and Questionnaires