Smertestillende medicinforbrug og medicinregistrering blandt ortopaedkirurgiske smertepatienter
- hvor god er overensstemmelsen?
Sammanfattning
Insufficient postoperative pain treatment is a well-documented problem, especially for
patients with chronic pain. At Silkeborg Regional Hospital, patients with chronic pain, undergoing
orthopedic surgery, is referred to a specialized pain team, who collects individual, presurgical
reports of analgesic consumption by phone.
We compared the clinic registration of analgesics with the patient reported analgesic consumption
and found a divergence in 23 of 43 patients (40%). This divergence was specified as
three types; divergence in dose (26%), drug divergence (43%) and both dose - and drug divergence
(30%). The proportion of patients referred to the pain team because of opioid consumption
> 80 mg/day, was significantly higher in the group with divergence compared to the
remaining patients referred to the pain team (p < 0.05).
Based on the identified medicine divergence, this study suggests that a preoperative pain
team intervention may prevent post-operative insufficient pain management in patients with
chronic pain.