Risk Factors for Acute Postsurgical Pain: A Narrative Review.

J Pain Res

Department of Anesthesiology, Pain and Perioperative Medicine, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, 450000, People's Republic of China.

Published: May 2024

AI Article Synopsis

  • Acute postsurgical pain (APSP) is important to monitor post-surgery as it can affect both immediate and long-term recovery outcomes.
  • Despite increased awareness and strategies for pain management, many patients still experience moderate-to-severe APSP due to varying individual factors like gender, age, and psychological state.
  • Understanding the risk factors for APSP allows healthcare providers to customize pain management plans, potentially preventing the development of chronic pain and reducing long-term physical and psychological impacts.

Article Abstract

Acute postsurgical pain (APSP) has received growing attention as a surgical outcome. When poorly controlled, APSP can affect short- and long-term outcomes in patients. Despite the steady increase in awareness about postoperative pain and standardization of pain prevention and treatment strategies, moderate-to-severe APSP is frequently reported in clinical practice. This is possibly because pain varies widely among individuals and is influenced by distinct factors, such as demographic, perioperative, psychological, and genetic factors. This review investigates the risk factors for APSP, including gender, age, obesity, smoking history, preoperative pain history, pain sensitivity, preoperative anxiety, depression, pain catastrophizing, expected postoperative pain, surgical fear, and genetic polymorphisms. By identifying patients having an increased risk of moderate-to-severe APSP at an early stage, clinicians can more effectively manage individualized analgesic treatment protocols with a combination of pharmacological and non-pharmacological interventions. This would alleviate the transition from APSP to chronic pain and reduce the severity of APSP-induced chronic physical disability and social psychological distress.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11122256PMC
http://dx.doi.org/10.2147/JPR.S462112DOI Listing

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