RISK PREDICTORS FOR THE DEVELOPMENT OF ACUTE POSTOPERATIVE PAIN IN PATIENTS WITH ORTHOPEDIC TRAUMA

Abstract

Aim: To identify the incidence os acute postoperative pain and predictors for its development. Methods: Prospective, observacional and longitudinal was conducted in a orthopedic trauma center that is a regional reference, with patients thas had any orthopedic injury and needed surgery. For statistical analysis, patients were divided in four groups (without pain, mild pain, moderate pain and severe pain), acording to analogue visual escale after 24 hours of surgery. Results: 82 pacients were included. 26 (31,7%) showed moderate to severe pain afer 24 hours postoperative. Three risk fator were associated with pain intensity after 24 hours of surgery: age, pre operative anxiety and pain. Preoperative pain had significantly association. Conclusion: Patients with preoperative pain had a greater risk of development of acute postoperative pain. Pain intensity is directly related in pre and postoperative periods. Identify these risk factors can guide the pain team in their decisions. In this context, the anesthesiologist has an elementar role on the prevention and control of acute postoperative pain.