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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
PubMed
Summary
This summary is machine-generated.

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.

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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.