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ID: 540 (Conflict of Interest: K)

Aspekte der Schmerztherapie auf einer chirurgischen Allgemeinstation in einem tertiären Zentrum

M.Brinkers, M.Istel, G.Pfau, F.Meyer
Universitätsklinikum Magdeburg, Magdeburg

Einleitung

To achieve best medical care by pain therapy has been seriously pursued in Germany for the last several years.

However, publications of the last decade may indicate that this challenging aim has not been achieved yet.

 

Material und Methoden

At a normal surgical ward of a university hospital (tertiary center), all consecutive patients were asked to fill out a standardised pain questionnaire at the admission to the hospital over a time period of 6 months. In addition, indication for surgical intervention, medication, pain score (according to VAS scale) and length of hospital stay were recorded. This systematic clinical prospective observational study (design) to reflect daily clinical practice and as contribution to quality assurance (and research on clinical care) was permitted by the institutional ethic committee

Ergebnisse

The most present pain score of the 269 patients enrolled in the study at admission was zero. The vast majority of subjects, in particular, 193 patients underwent surgical intervention. Their pain score could be significantly reduced from 1.9 at admission down to 1.2 at discharge ((mean each; p=0.004). Interestingly, 71 patients showed a pain score of > 4 at admission. During their hospital stay, the pain score could be significantly lowered from 6.3 in average to 1.8 (p<0.001).

Schlussfolgerung

At the investigated surgical ward, pain score after surgery could be effectively reduced, which contributed substantially to a higher level of surgical care in daily practice.

Conclusions:

Registering pain as a routine procedure and subsequent or derived initiation of pain therapy on an adequate level are crucial in the majority of cases as part of daily clinical practice.