Characterization of self-anticipated pain score prior to elective surgery - a prospective observational study.

Area of Science:

• Anesthesiology
• Pain Management
• Surgical Outcomes

Background:

• Current postoperative pain management relies on surgical type and extent.
• This study investigated the correlation between pre-operative pain anticipation and post-operative outcomes.

Purpose of the Study:

• To compare patients' self-anticipated pain scores before surgery with their actual post-operative pain levels.
• To assess the relationship between anticipated pain and analgesic requirements.

Main Methods:

• A prospective observational study of 996 elective surgery patients in Taiwan.
• Patients rated anticipated pain (NRS 0-10) pre-operatively.
• Actual pain intensity and opioid consumption were recorded post-operatively.

Main Results:

• Females, patients using benzodiazepines, and those undergoing invasive surgery anticipated higher pain.
• Higher anticipated pain scores correlated with increased actual post-operative pain (NRS ≥4).
• Anticipated pain significantly predicted higher opioid requirements during the perioperative period.

Conclusions:

• Preoperative pain anticipation is a significant predictor of postoperative pain and analgesic needs.
• Identifying patients with high pain expectations (females, benzodiazepine users, invasive surgery candidates) is vital.
• Targeted preoperative counseling and pain management strategies can enhance patient satisfaction and outcomes.