Acute Postoperative Pain in Trauma Patients - The Fifth Vital Sign

Nikolina FarÄiÄ‡; Ivana BaraÄ‡; Stana PaÄariÄ‡; Ivana LovriÄ‡; Vesna Ilakovac

doi:10.3889/oamjms.2017.067

Authors

Nikolina FarÄiÄ‡ University Hospital Centre Osijek; Faculty of Medicine, Josip Juraj Strossmayer University of Osijek, Osijek
Ivana BaraÄ‡ Faculty of Medicine, Josip Juraj Strossmayer University of Osijek, Osijek
Stana PaÄariÄ‡ University Hospital Centre Osijek; Faculty of Medicine, Josip Juraj Strossmayer University of Osijek, Osijek
Ivana LovriÄ‡ Faculty of Medicine, Josip Juraj Strossmayer University of Osijek, Osijek
Vesna Ilakovac Faculty of Medicine, Josip Juraj Strossmayer University of Osijek, Osijek

DOI:

https://doi.org/10.3889/oamjms.2017.067

Keywords:

Acute pain, NRS, trauma, pain assessment, satisfaction of patients.

Abstract

AIM: To determine average pain intensity perceived by trauma patients at hospital admission, lowest and highest pain intensity during their hospitalisation and their satisfaction with provided pain treatment.

PATIENTS AND METHODS: The research included 114 operated patients at the Clinical Department of Trauma Surgery. We used the standard Numerical Rating Scale (NRS) for a clinical measure of pain.

RESULTS: The average pain intensity at hospital admission was NRS median 7 (range 4â€“10), the severest perceived rate of pain during hospitalisation was NRS median 5 (range 4â€“7). Ninety-four percent of our respondents were satisfied with provided pain treatment. Thirty-two percent of patients were not asked to assess their pain during their hospitalisation, and 40.4% of patients assessed their pain occasionally.

CONCLUSION: Female patients, as well as patients admitted to the emergency department, reported higher NRS scores. Those respondents who perceived severe pain answered more often that medical staff didnâ€™t ask them to assess their pain on any occasion. Good communication between medical staff and patients, together with adequate assessment and evaluation of acute pain are of great importance in its treatment.

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