Assessment of surgical anesthesia and postoperative analgesia using a pain
visual analog scale

dc.contributor.author	Υφαντόπουλος, Γιάννης Ν.	el
dc.contributor.author	Αθανασιάδης, Η.	el
dc.contributor.author	Καρόκης, Α.	el
dc.contributor.author	Τσεκούρας, Β.	el
dc.contributor.author	Πιερράκος, Γεώργιος	el
dc.date.accessioned	2015-04-20T06:15:51Z
dc.date.available	2015-04-20T06:15:51Z
dc.date.issued	2015-04-20
dc.identifier.uri	http://hdl.handle.net/11400/8588
dc.rights	Αναφορά Δημιουργού-Μη Εμπορική Χρήση-Όχι Παράγωγα Έργα 3.0 Ηνωμένες Πολιτείες	*
dc.rights.uri	http://creativecommons.org/licenses/by-nc-nd/3.0/us/	*
dc.source	http://www.valueinhealthjournal.com/article/S1098-3015(11)71028-2/pdf	el
dc.subject	Surgical anesthesia
dc.subject	Χειρουργική αναισθησία
dc.subject	Postoperative analgesia
dc.subject	Μετεγχειρητική αναλγησία
dc.subject	Οπτική αναλογική κλίμακα
dc.subject	Visual analog scale
dc.subject	Pain
dc.subject	Πόνος
dc.title	Assessment of surgical anesthesia and postoperative analgesia using a pain visual analog scale	en
heal.type	journalArticle
heal.generalDescription	Διαθέσιμη μόνο η περίληψη	el
heal.classification	Medicine
heal.classification	Anesthesiology
heal.classification	Ιατρική
heal.classification	Αναισθησιολογία
heal.classificationURI	http://id.loc.gov/authorities/subjects/sh00006614
heal.classificationURI	http://id.loc.gov/authorities/subjects/sh85004972
heal.classificationURI	N/A-Ιατρική
heal.classificationURI	N/A-Αναισθησιολογία
heal.contributorName	Παγούνη, Η.	el
heal.contributorName	Χατζηανδρέου, Ε.	el
heal.language	en
heal.access	campus
heal.recordProvider	Τεχνολογικό Εκπαιδευτικό Ίδρυμα Αθήνας. Σχολή Διοίκησης και Οικονομίας. Τμήμα Διοίκησης Μονάδων Υγείας και Πρόνοιας.	el
heal.publicationDate	1999-05
heal.bibliographicCitation	Yfantopoulos,Y., Athanasiadis, H., Karokis, A., Tsekouras, V., Pierrakos G., et.al. (1999). Assessment of surgical anesthesia and postoperative analgesia using a pain visual analog scale. Value in Health 2(3). pag. 163. May 1999. Available from: http://www.valueinhealthjournal.com/article/S1098-3015(11)71028-2/pdf	en
heal.abstract	OBJECTIVE: To compare the effectiveness of general (GA) versus epidural (EA) versus spinal (SA) versus a combination (GEA) anesthetic technique in terms of pain relief for patients undergoing hip arthroplasty. METHOD: In a prospective cohort open label multicenter study in three major general hospitals in Athens, Greece, all 210 patients undergoing hip arthroplasty during a period of one calendar year ending December 25, 1998 underwent face-to-face interviews after surgery and for 4 consecutive postoperative days. A Visual Analogue Scale (VAS) was used to measure intensity of pain on a continuous scale with the ends marked as “no pain” (0mm) and “worst pain ever” (100mm) twice daily. After controlling for demographics and ASA status, the study arms were compared on the basis of physician-suggested clinically meaningful pain intervals of: 0–30VAS (excellent analgesia), 31–50VAS (good analgesia), 51–70VAS (bad analgesia) and 71–100VAS (insufficient analgesia). Ordinary least square regressions were run with pain intensity as dependent variable and clinical, organizational, physician and patient characteristics as independent ones. RESULTS: Immediately after surgery, EA and GEA present statistically significant higher numbers of patients in the 0–30VAS interval than the rest two anesthesia techniques (p 0.005). EA and GEA also show lower numbers of patients at the “bad” and “insufficient” analgesia intervals at a statistically significant level during the study period, except for the third postoperative day. In regression analysis, locus of postoperative pain management responsibility, analgesia technique, and hospital practice variations significantly accounted for clinically meaningful differences in postoperative pain levels. CONCLUSIONS: Epidural and general/epidural anesthetic techniques result in more patients with excellent analgesia immediately after hip arthroplasty. The use of continuous postoperative epidural analgesia (CEPA) technique together with assigning anesthesiologists responsibility for post operative pain management result in better pain relief during a period of 4 postoperative days.	en
heal.journalName	Value in Health	en
heal.journalType	peer-reviewed
heal.fullTextAvailability	true