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Updated: May 19, 2026

An Experimental Paradigm for the Prediction of Post-Operative Pain (PPOP)
Published on: January 27, 2010
Using mode and maximum values from the Numeric Rating Scale when evaluating postoperative pain management and
Kerstin Eriksson1, Lotta Wikström, Marianne Lindblad-Fridh
1Pain Clinic, Ryhov County Hospital, Jönköping, Sweden. kerstin.eriksson@lj.se
Mode and maximum pain values from patient records correlate with patient-reported pain, aiding postoperative recovery assessment. Documented pain impacts recovery, necessitating improved pain management strategies.
Area of Science:
- Pain Management
- Clinical Nursing
- Patient Outcomes
Background:
- Accurate pain documentation is crucial for quality improvement in healthcare.
- Limited research exists on the impact of pain on postoperative recovery.
- Assessing the correlation between patient-reported pain and documented pain is vital.
Purpose of the Study:
- To evaluate the clinical utility of mode and maximum pain values from the Numeric Rating Scale (NRS) using monitoring records.
- To compare patient perceptions of pain with documented pain values.
- To investigate the relationship between pain values and early postoperative recovery.
Main Methods:
- A quantitative, cross-sectional study involving 157 postoperative patients.
- Patients completed questionnaires on pain intensity and recovery.
- Pain data from monitoring records were analyzed in parallel with patient responses.
Main Results:
- Mode values (0-3) were recorded for 57% on day 1 and 69% on day 2.
- Maximum values (4-10) were recorded for 73% on day 1 and 67% on day 2.
- High correspondence was found between recorded mode/maximum values and patient perceptions (88%-92%).
- Maximum values showed a stronger correlation (r=0.53) with patient-reported pain than mode values (r=0.37).
Conclusions:
- Mode and maximum pain values are viable outcome measures for postoperative pain evaluation.
- Postoperative pain negatively influences recovery, though further research is needed.
- Simplified pain assessment methods can enhance postoperative pain treatment and patient recovery.
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