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Factors Associated with Increased Experience of Postoperative Pain after Laparoscopic Gastric Bypass Surgery
Department of Anaesthesiology, Faculty of Medicine and Health, Örebro University, Örebro, Sweden.
Örebro University, School of Medical Sciences. Department of Anaesthesiology and Intensive care, Örebro University Hospital, Örebro, Sweden.
Department of Anaesthesiology and Intensive care, Örebro University Hospital, Örebro, Sweden.
Örebro University, School of Medical Sciences. Örebro University Hospital. Department of Surgery.ORCID iD: 0000-0001-9189-0093
2017 (English)In: Obesity Surgery, ISSN 0960-8923, E-ISSN 1708-0428, Vol. 27, no 7, 1854-1858 p.Article in journal (Refereed) Published
Abstract [en]

Introduction: Patients with high body mass index (BMI), pre-existing pain and young age and women seem to experience more postoperative pain. Few studies have, however, addressed these risk factors amongst obese patients undergoing bariatric surgery. The aim of the present study was to evaluate risk factors for postoperative pain following laparoscopic gastric bypass surgery.

Methods: In this cohort study, we used data from the PAIN OUT register for postoperative pain during the first 24 h after surgery. Primary outcome measure was severity of pain after surgery. Multivariate analyses were conducted to evaluate BMI, young age, gender and pre-existing pain as independent risk factors for postoperative pain.

Results: We included 192 patients in this study. Younger age (B -0.08, 95%CI -0.11 to -0.05/year; p < 0.001), female gender (B 0.92, 95%CI 0.10-1.75; p = 0.029) and pre-existing pain (B 1.06, 95%CI 0.03-2.09; p = 0.044) were all associated with an increased risk for postoperative pain. In the multivariate analyses, only young age ((adjusted OR 0.95, 95%CI 0.92-0.97/year; p < 0.001) and pre-existing pain (adjusted OR 2.56, 95%CI 1.09-6.00; p = 0.031) remained as independent risk factors for severe postoperative pain.

Conclusion: Younger age and pre-existing pain are associated with severe postoperative pain during the first 24 h after laparoscopic gastric bypass surgery, whereas female gender and high BMI are not.

Place, publisher, year, edition, pages
New York, USA: Springer, 2017. Vol. 27, no 7, 1854-1858 p.
Keyword [en]
Gastric bypass, Laparoscopy, Postoperative pain, Risk factor, Obesity, Sex, Pre-existing pain, Age
National Category
Surgery
Research subject
Surgery
Identifiers
URN: urn:nbn:se:oru:diva-55411DOI: 10.1007/s11695-017-2570-4ISI: 000404529600033PubMedID: 28144798Scopus ID: 2-s2.0-85011263982OAI: oai:DiVA.org:oru-55411DiVA: diva2:1080604
Note

Funding Agencies:

Örebro County Council  

European Commission  

Available from: 2017-03-10 Created: 2017-03-10 Last updated: 2017-10-18Bibliographically approved

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Allvin, Renée

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