Are there reliable predictors of postoperative pain

摘要: Background:  The purpose of this study was to identify the preoperative determinants severe postoperative pain. Methods:  Potential predictors were assessed using a questionnaire submitted on day before surgery. Pain at rest, and pain during coughing/mobilization, measured visual analog scales surgery following 2 days. type management not standardized prescribed by anesthesiologist in charge. Multivariate logistic regression models explaining developed Group I, comprising 304 consecutive patients undergoing orthopedic or intraperitoneal surgery, validated II, 145 independent patients. Results:  Of 62 variables examined univariate analysis, only five found increase risk I rest six factors cough/mobilization. In multivariate model for general anesthesia, expectation pain, chronic sleeping difficulties increased pain. remained (OR: 3.97, 95% Cl: 1.69–9.29). cough/mobilization, fear having relative with history I. Intraperitoneal OR 2.45 (95% Cl = 1.01–4.50) 2.06 Cl = 1.005–4.50) II. Conclusion:  many that may influence emerge population as strongest determinant rest. are These findings make physiological sense deserve more attention anesthesiologists.