Publications by authors named "Amanda C Sremac"
Background: Pharmacological avoidance guidelines for preventing delirium have been suggested; however, there are limited pragmatic studies of these strategies. Early (<24 h) delirium can be observed in the postoperative care unit and is associated with an increased risk of subsequent delirium. We examined the effectiveness of an avoid delirium protocol (ADP) in older (>65 years) patients undergoing elective surgeries.
View Article and Find Full Text PDFIntroduction: Descriptions of opioid use trajectories and their association with postsurgical pain and opioid consumption are limited. We hypothesized that trajectories of opioid consumption in the first 28 days following surgery would be associated with unique patterns of pain and duration of opioid use.
Methods: A prospective longitudinal cohort of patients undergoing elective inpatient abdominal, joint, or spine surgery between June 2016 and June 2019 was studied.
Article Synopsis
- A study investigated the effectiveness of cognitive-behavioral therapy (CBT) in reducing pain catastrophizing before total knee surgery and its impact on postoperative pain outcomes.
- The first phase found that 4-week telehealth CBT significantly reduced pain catastrophizing scores compared to no CBT, with an 85% completion rate among participants.
- In the second phase, while CBT showed some reduction in pain catastrophizing, it did not lead to significantly better pain outcomes three months after surgery compared to those who did not receive CBT.