Patterns, incidence and predictive factors for pain after interventional radiology.

2.50
Hdl Handle:
http://hdl.handle.net/10541/74856
Title:
Patterns, incidence and predictive factors for pain after interventional radiology.
Authors:
England, A; Tam, C L; Thacker, D E; Walker, Anne; Parkinson, A S; Demello, W; Bradley, A J; Tuck, J S; Laasch, Hans-Ulrich; Butterfield, J S; Ashleigh, R J; England, R E; Martin, D F
Abstract:
AIM: To evaluate prospectively the pattern, severity and predictive factors of pain after interventional radiological procedures. MATERIALS AND METHODS: All patients undergoing non-arterial radiological interventional procedures were assessed using a visual-analogue scale (VAS) for pain before and at regular intervals for 24 h after their procedure. RESULTS: One hundred and fifty patients (87 men, mean age 62 years, range 18-92 years) were entered into the study. Significant increases in VAS score occurred 8 h after percutaneous biliary procedures (+47.7 mm, SD 14.9 mm; p=0.001), 6 h after central venous access and gastrostomy insertion (+23.7 mm, SD 19.5 mm; p=0.001 and +28.4 mm, SD 9.7 mm; p=0.007, respectively) and 4h after oesophageal stenting (+27.8 mm, SD 20.2 mm, p=0.001). Non-significant increases in VAS pain score were observed after duodenal and colonic stenting (duodenal: +5.13 mm, SD 7.47 mm; p=0.055, colonic: +23.3 mm, SD 13.10 mm, p=0.250) at a mean of 5h (range 4-6h). Patients reported a significant reduction in pain score for nephrostomy insertion (-28.4mm, SD 7.11 mm, p=0.001). Post-procedural analgesia was required in 99 patients (69.2%), 40 (28.0%) requiring opiates. Maximum post-procedural VAS pain score was significantly higher in patients who had no pre-procedural analgesia (p=0.003). CONCLUSION: Post-procedural pain is common and the pattern and severity of pain between procedures is variable. Pain control after interventional procedures is often inadequate, and improvements in pain management are required.
Affiliation:
Department of Radiology, South Manchester University Hospitals NHS Trust, Southmoor Road, Manchester, UK. andrew.england@smtr.nhs.uk
Citation:
Patterns, incidence and predictive factors for pain after interventional radiology. 2005, 60 (11):1188-94 Clin Radiol
Journal:
Clinical Radiology
Issue Date:
Nov-2005
URI:
http://hdl.handle.net/10541/74856
DOI:
10.1016/j.crad.2005.05.012
PubMed ID:
16223615
Type:
Article
Language:
en
ISSN:
0009-9260
Appears in Collections:
All Christie Publications

Full metadata record

DC FieldValue Language
dc.contributor.authorEngland, A-
dc.contributor.authorTam, C L-
dc.contributor.authorThacker, D E-
dc.contributor.authorWalker, Anne-
dc.contributor.authorParkinson, A S-
dc.contributor.authorDemello, W-
dc.contributor.authorBradley, A J-
dc.contributor.authorTuck, J S-
dc.contributor.authorLaasch, Hans-Ulrich-
dc.contributor.authorButterfield, J S-
dc.contributor.authorAshleigh, R J-
dc.contributor.authorEngland, R E-
dc.contributor.authorMartin, D F-
dc.date.accessioned2009-07-22T08:53:18Z-
dc.date.available2009-07-22T08:53:18Z-
dc.date.issued2005-11-
dc.identifier.citationPatterns, incidence and predictive factors for pain after interventional radiology. 2005, 60 (11):1188-94 Clin Radiolen
dc.identifier.issn0009-9260-
dc.identifier.pmid16223615-
dc.identifier.doi10.1016/j.crad.2005.05.012-
dc.identifier.urihttp://hdl.handle.net/10541/74856-
dc.description.abstractAIM: To evaluate prospectively the pattern, severity and predictive factors of pain after interventional radiological procedures. MATERIALS AND METHODS: All patients undergoing non-arterial radiological interventional procedures were assessed using a visual-analogue scale (VAS) for pain before and at regular intervals for 24 h after their procedure. RESULTS: One hundred and fifty patients (87 men, mean age 62 years, range 18-92 years) were entered into the study. Significant increases in VAS score occurred 8 h after percutaneous biliary procedures (+47.7 mm, SD 14.9 mm; p=0.001), 6 h after central venous access and gastrostomy insertion (+23.7 mm, SD 19.5 mm; p=0.001 and +28.4 mm, SD 9.7 mm; p=0.007, respectively) and 4h after oesophageal stenting (+27.8 mm, SD 20.2 mm, p=0.001). Non-significant increases in VAS pain score were observed after duodenal and colonic stenting (duodenal: +5.13 mm, SD 7.47 mm; p=0.055, colonic: +23.3 mm, SD 13.10 mm, p=0.250) at a mean of 5h (range 4-6h). Patients reported a significant reduction in pain score for nephrostomy insertion (-28.4mm, SD 7.11 mm, p=0.001). Post-procedural analgesia was required in 99 patients (69.2%), 40 (28.0%) requiring opiates. Maximum post-procedural VAS pain score was significantly higher in patients who had no pre-procedural analgesia (p=0.003). CONCLUSION: Post-procedural pain is common and the pattern and severity of pain between procedures is variable. Pain control after interventional procedures is often inadequate, and improvements in pain management are required.en
dc.language.isoenen
dc.subject.meshAdolescent-
dc.subject.meshAdult-
dc.subject.meshAged-
dc.subject.meshAged, 80 and over-
dc.subject.meshAnalgesia-
dc.subject.meshFemale-
dc.subject.meshHumans-
dc.subject.meshMale-
dc.subject.meshMiddle Aged-
dc.subject.meshNephrostomy, Percutaneous-
dc.subject.meshPain-
dc.subject.meshPain Measurement-
dc.subject.meshProspective Studies-
dc.subject.meshRadiology, Interventional-
dc.subject.meshRisk Factors-
dc.subject.meshSeverity of Illness Index-
dc.subject.meshStents-
dc.titlePatterns, incidence and predictive factors for pain after interventional radiology.en
dc.typeArticleen
dc.contributor.departmentDepartment of Radiology, South Manchester University Hospitals NHS Trust, Southmoor Road, Manchester, UK. andrew.england@smtr.nhs.uken
dc.identifier.journalClinical Radiologyen
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