The influence of preoperative anxiety on postoperative pain in patients undergoing cardiac surgery
Abstract Patients undergoing cardiac surgery represent a challenge in terms of pain management due to multiple factors relating to the patients and to the procedure itself. Our aim was to identify the influence of levels of preoperative anxiety on postoperative pain in patients undergoing cardiac su...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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Nature Portfolio
2022-10-01
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| Series: | Scientific Reports |
| Online Access: | https://doi.org/10.1038/s41598-022-20870-9 |
| _version_ | 1828169063885438976 |
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| author | Mercedes Fernández-Castro José-María Jiménez Belén Martín-Gil María-Fe Muñoz-Moreno Ana-Belén Martín-Santos Isaías del Río-García Natán Redondo-Pérez María López |
| author_facet | Mercedes Fernández-Castro José-María Jiménez Belén Martín-Gil María-Fe Muñoz-Moreno Ana-Belén Martín-Santos Isaías del Río-García Natán Redondo-Pérez María López |
| author_sort | Mercedes Fernández-Castro |
| collection | DOAJ |
| description | Abstract Patients undergoing cardiac surgery represent a challenge in terms of pain management due to multiple factors relating to the patients and to the procedure itself. Our aim was to identify the influence of levels of preoperative anxiety on postoperative pain in patients undergoing cardiac surgery and explore associations between preoperative anxiety, postoperative pain, analgesic requirements, and sex. We present a prospective cohort study of 116 patients undergoing cardiac surgery between January and April 2020. Preoperative anxiety was evaluated using the State-Trait Anxiety Inventory and the amount of morphine needed to keep pain intensity below 4 on the verbal numerical rating scale was recorded for 48 h post-surgery. Given the extracorporeal circulation time, type of surgery and body surface, it was observed that every percentile increase in preoperative state anxiety led to an extra 0.068 mg of morphine being administered. For each extra year of age, the amount of morphine needed decreased by 0.26 mg, no difference was observed between men and women in terms of preoperative anxiety or postoperative analgesics requirements. It may be concluded that in cardiac surgery, postoperative analgesic requirements increased with higher levels of preoperative state anxiety and decreased for every extra year of age. |
| first_indexed | 2024-04-12T02:45:05Z |
| format | Article |
| id | doaj.art-2c1f5fd1ec6c4f6a9aec57274fee4247 |
| institution | Directory Open Access Journal |
| issn | 2045-2322 |
| language | English |
| last_indexed | 2024-04-12T02:45:05Z |
| publishDate | 2022-10-01 |
| publisher | Nature Portfolio |
| record_format | Article |
| series | Scientific Reports |
| spelling | doaj.art-2c1f5fd1ec6c4f6a9aec57274fee42472022-12-22T03:51:11ZengNature PortfolioScientific Reports2045-23222022-10-011211810.1038/s41598-022-20870-9The influence of preoperative anxiety on postoperative pain in patients undergoing cardiac surgeryMercedes Fernández-Castro0José-María Jiménez1Belén Martín-Gil2María-Fe Muñoz-Moreno3Ana-Belén Martín-Santos4Isaías del Río-García5Natán Redondo-Pérez6María López7Hospital Clínico Universitario de ValladolidUniversity of ValladolidHospital Clínico Universitario de ValladolidHospital Clínico Universitario de ValladolidHospital Clínico Universitario de ValladolidHospital Clínico Universitario de ValladolidHospital Clínico Universitario de ValladolidUniversity of ValladolidAbstract Patients undergoing cardiac surgery represent a challenge in terms of pain management due to multiple factors relating to the patients and to the procedure itself. Our aim was to identify the influence of levels of preoperative anxiety on postoperative pain in patients undergoing cardiac surgery and explore associations between preoperative anxiety, postoperative pain, analgesic requirements, and sex. We present a prospective cohort study of 116 patients undergoing cardiac surgery between January and April 2020. Preoperative anxiety was evaluated using the State-Trait Anxiety Inventory and the amount of morphine needed to keep pain intensity below 4 on the verbal numerical rating scale was recorded for 48 h post-surgery. Given the extracorporeal circulation time, type of surgery and body surface, it was observed that every percentile increase in preoperative state anxiety led to an extra 0.068 mg of morphine being administered. For each extra year of age, the amount of morphine needed decreased by 0.26 mg, no difference was observed between men and women in terms of preoperative anxiety or postoperative analgesics requirements. It may be concluded that in cardiac surgery, postoperative analgesic requirements increased with higher levels of preoperative state anxiety and decreased for every extra year of age.https://doi.org/10.1038/s41598-022-20870-9 |
| spellingShingle | Mercedes Fernández-Castro José-María Jiménez Belén Martín-Gil María-Fe Muñoz-Moreno Ana-Belén Martín-Santos Isaías del Río-García Natán Redondo-Pérez María López The influence of preoperative anxiety on postoperative pain in patients undergoing cardiac surgery Scientific Reports |
| title | The influence of preoperative anxiety on postoperative pain in patients undergoing cardiac surgery |
| title_full | The influence of preoperative anxiety on postoperative pain in patients undergoing cardiac surgery |
| title_fullStr | The influence of preoperative anxiety on postoperative pain in patients undergoing cardiac surgery |
| title_full_unstemmed | The influence of preoperative anxiety on postoperative pain in patients undergoing cardiac surgery |
| title_short | The influence of preoperative anxiety on postoperative pain in patients undergoing cardiac surgery |
| title_sort | influence of preoperative anxiety on postoperative pain in patients undergoing cardiac surgery |
| url | https://doi.org/10.1038/s41598-022-20870-9 |
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