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Pain After Outpatient Surgical Procedures.

Philipp Baumbach1, Johannes Dreiling, Christin Arnold

  • 1Jena University Hospital, Department of Anesthesiology and Intensive Care Medicine, Friedrich Schiller University Jena, Jena, Germany; Medicaltex GmbH, Munich, Germany; German Federal Association of Outpatient Surgery (BAO), Berlin, Germany; Professional Association of German Anesthesiologists, Division for Outpatient Anesthesia and Anesthesia by SHI-Accredited Physicians, Berlin, Germany.

Deutsches Arzteblatt International
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Summary
This summary is machine-generated.

Postoperative pain affects 22.5% of patients after outpatient surgery, varying by procedure type. Inadequate pain management and wound infections are key factors, impacting patient satisfaction and recovery.

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Area of Science:

  • Surgical Quality Improvement
  • Pain Management Research
  • Ambulatory Surgery Outcomes

Background:

  • Over 8.1 million outpatient surgical procedures occurred in Germany in 2021.
  • Limited data exists on postoperative pain management quality in ambulatory settings.

Purpose of the Study:

  • To determine the prevalence of significant incisional pain up to postoperative day 3.
  • To identify prognostic variables for pain and associated outcomes in outpatient surgery.

Main Methods:

  • Analysis of data from 330,008 patients (July 2001-December 2021) via the AQS1 project.
  • Primary endpoint: prevalence of relevant incisional pain (≥ 4/10 NRS) by postoperative day 3.
  • Secondary endpoints: prognostic factors and pain associations using patient questionnaires and mixed regression models.

Main Results:

  • Overall prevalence of relevant incisional pain was 22.5%, ranging from 3.2% to 51.2% across procedure types.
  • Highest pain prevalence observed after hemorrhoid surgery (51.2%) and laparoscopic lysis of adhesions (45.4%).
  • Key pain predictors included younger age, early postoperative pain, insufficient analgesics, and surgical wound infections. Pain correlated with lower satisfaction and prolonged inability to work.

Conclusions:

  • Data suggest significant variability in postoperative pain after ambulatory surgery.
  • Findings provide a basis for optimizing pain therapy and designing future studies, though data representativeness requires further testing.