Table of Contents Author Guidelines Submit a Manuscript
Pain Research and Management
Volume 2016, Article ID 6104383, 8 pages
http://dx.doi.org/10.1155/2016/6104383
Research Article

Postoperative Pain, an Unmet Problem in Day or Overnight Italian Surgery Patients: A Prospective Study

1School of Nursing, Department of Clinical and Biological Science, University of Torino, Via San Giacomo 2, Beinasco, 10092 Torino, Italy
2General Surgery, Hospital Evangelico Valdese, Via Pellico 19, 10135 Torino, Italy
3General Surgery, Hospital Ospedale Umberto I, Via Magellano N.1, 10128 Torino, Italy
4Department of Clinical and Biological Science, University of Torino, Via Santena 5bis, 10126 Torino, Italy
5Department of Public Health and Paediatrics, University of Torino, Via Santena 5bis, 10126 Turin, Italy

Received 23 March 2016; Revised 18 October 2016; Accepted 5 December 2016

Academic Editor: Till Sprenger

Copyright © 2016 Sara Campagna et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Background. Because of economic reasons, day surgery rates have steadily increased in many countries and the trend is to perform around 70% of all surgical procedures as day surgery. Literature shows that postoperative pain treatment remains unfulfilled in several fields such as orthopedic and general surgery patients. In Italy, the day surgery program is not yet under governmental authority and is managed regionally by local practices. Aim. To investigate the trends in pain intensity and its relation to type of surgeries and pain therapy protocols, in postoperative patients, discharged from three different Ambulatory Surgeries located in North West Italy (Piedmont region). Method. The present study enrolled 276 patients who undergone different surgical procedures in ambulatory regimen. Patients recorded postoperative pain score twice a day, compliance with prescribed drugs, and pain related reasons for contacting the hospital. Monitoring lasted for 7 days. Results. At discharge, 72% of patients were under weak opioids, 12% interrupted the treatment due to side effects, 17% of patients required extra drugs, and 15% contacted the hospital reporting pain problems. About 50% of patients experienced moderate pain during the first day after surgery. Results from our study show that most of the patients experienced avoidable pain after discharge.