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An Interactive Pain Application (MServ) Improves Postoperative Pain Management.
Richard Gordon-Williams1, Andreia Trigo1, Paul Bassett2
1University College London Hospitals NHS Foundation Trust, Department of Anaesthesia, London NW1 2BU, UK.
Pain Research & Management
|April 19, 2021
Summary
A new multifunctional pain management software (MServ) significantly improved postoperative pain control and reduced opioid prescriptions at discharge. This mHealth device offers a better alternative to standard care for managing surgical pain.
Area of Science:
- Pain Management
- Digital Health
- Postoperative Care
Background:
- Postoperative pain is common, often requiring opioids.
- Prolonged opioid use after discharge poses risks.
- Effective pain management strategies are crucial.
Purpose of the Study:
- To evaluate the efficacy of multifunction pain management software (MServ) in improving postoperative pain control.
- To assess the impact of MServ on reducing opioid prescriptions at hospital discharge.
Main Methods:
- A prospective cohort study involving 234 patients undergoing major thoracic or urological surgery.
- Three groups: standard care (SC), device feedback to nursing (DN), and device feedback to nursing and acute pain team (DNPT).
- Patient-reported pain scores, time in severe pain, medications, and satisfaction were recorded.
Main Results:
- Patients using the device showed significantly reduced odds of poor pain control at 24 hours (OR 0.45) and less time in severe pain at 48 hours (OR 0.62).
- Device users were three times less likely to be prescribed strong opioids upon discharge (OR 0.35).
Conclusions:
- Multifunctional pain management software (MServ) effectively improves postoperative pain control.
- This mHealth solution reduces the incidence of poor pain control and decreases opioid prescribing post-discharge.
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