Pain and Satisfaction Levels upon Removal of External Fixator at an Outpatient Facility
Abstract Objective To quantify the levels of satisfaction and pain of patients submitted to external fixation removal without anesthesia at an outpatient facility. Methods The present was a prospective study involving 28 patients using external fixators who answered 3 questionnaires associated wit...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Thieme Revinter Publicações Ltda.
|
| Series: | Revista Brasileira de Ortopedia |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162020000200147&lng=en&tlng=en |
| _version_ | 1797225773778599936 |
|---|---|
| author | Vitor Luis Pereira Flavio Kazuo Minami Geraldo Kalif Lima Vitor Spalatti Hilário Boatto Jose Lucarelli |
| author_facet | Vitor Luis Pereira Flavio Kazuo Minami Geraldo Kalif Lima Vitor Spalatti Hilário Boatto Jose Lucarelli |
| author_sort | Vitor Luis Pereira |
| collection | DOAJ |
| description | Abstract Objective To quantify the levels of satisfaction and pain of patients submitted to external fixation removal without anesthesia at an outpatient facility. Methods The present was a prospective study involving 28 patients using external fixators who answered 3 questionnaires associated with the Visual Analogue and Numerical Pain Scale during different moments of the removal. Results The average pain prior to fixator removal was of 3.61. Shortly after the procedure, the patients reported that, on average, the most intense pain scored 6.68, and the least intense pain, 2.25 points. The average pain variation was of 4.43 points, and pain after 1 week scored, on average, 2.03 points. The recollection of the pain after fixator removal scored lower than the pain reported immediately after the procedure (mean value: 5.29). Most patients were middle-aged men, and 89.3% used circular external fixators. The main limb segment involved was the leg, and most patients (71.4%) had never used an external fixator before; they preferred the removal at an outpatient facility because it was faster (75%), and to avoid hospitalization (25%). The most intense pain was felt during the removal of Schanz pins (60.7%), being worse in the extremities of the limbs for 75% of the patients. An absolute majority of 85.7% was satisfied with the removal, and 82.1% stated that they would undergo the procedure again. Conclusion External fixator removal at an outpatient facility without anesthesia is a well-tolerated option for patients, with good levels of approval and satisfaction. |
| first_indexed | 2024-03-08T08:03:59Z |
| format | Article |
| id | doaj.art-d30897944b014c1d86ee5027c982ab6a |
| institution | Directory Open Access Journal |
| issn | 0102-3616 1982-4378 |
| language | English |
| last_indexed | 2024-04-24T14:14:21Z |
| publisher | Thieme Revinter Publicações Ltda. |
| record_format | Article |
| series | Revista Brasileira de Ortopedia |
| spelling | doaj.art-d30897944b014c1d86ee5027c982ab6a2024-04-03T08:57:05ZengThieme Revinter Publicações Ltda.Revista Brasileira de Ortopedia0102-36161982-437855214715510.1055/s-0039-3400738S0102-36162020000200147Pain and Satisfaction Levels upon Removal of External Fixator at an Outpatient FacilityVitor Luis PereiraFlavio Kazuo MinamiGeraldo Kalif LimaVitor SpalattiHilário BoattoJose LucarelliAbstract Objective To quantify the levels of satisfaction and pain of patients submitted to external fixation removal without anesthesia at an outpatient facility. Methods The present was a prospective study involving 28 patients using external fixators who answered 3 questionnaires associated with the Visual Analogue and Numerical Pain Scale during different moments of the removal. Results The average pain prior to fixator removal was of 3.61. Shortly after the procedure, the patients reported that, on average, the most intense pain scored 6.68, and the least intense pain, 2.25 points. The average pain variation was of 4.43 points, and pain after 1 week scored, on average, 2.03 points. The recollection of the pain after fixator removal scored lower than the pain reported immediately after the procedure (mean value: 5.29). Most patients were middle-aged men, and 89.3% used circular external fixators. The main limb segment involved was the leg, and most patients (71.4%) had never used an external fixator before; they preferred the removal at an outpatient facility because it was faster (75%), and to avoid hospitalization (25%). The most intense pain was felt during the removal of Schanz pins (60.7%), being worse in the extremities of the limbs for 75% of the patients. An absolute majority of 85.7% was satisfied with the removal, and 82.1% stated that they would undergo the procedure again. Conclusion External fixator removal at an outpatient facility without anesthesia is a well-tolerated option for patients, with good levels of approval and satisfaction.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162020000200147&lng=en&tlng=enexternal fixatorsilizarov techniquepainoutpatient clinics, hospitalpatient satisfaction |
| spellingShingle | Vitor Luis Pereira Flavio Kazuo Minami Geraldo Kalif Lima Vitor Spalatti Hilário Boatto Jose Lucarelli Pain and Satisfaction Levels upon Removal of External Fixator at an Outpatient Facility Revista Brasileira de Ortopedia external fixators ilizarov technique pain outpatient clinics, hospital patient satisfaction |
| title | Pain and Satisfaction Levels upon Removal of External Fixator at an Outpatient Facility |
| title_full | Pain and Satisfaction Levels upon Removal of External Fixator at an Outpatient Facility |
| title_fullStr | Pain and Satisfaction Levels upon Removal of External Fixator at an Outpatient Facility |
| title_full_unstemmed | Pain and Satisfaction Levels upon Removal of External Fixator at an Outpatient Facility |
| title_short | Pain and Satisfaction Levels upon Removal of External Fixator at an Outpatient Facility |
| title_sort | pain and satisfaction levels upon removal of external fixator at an outpatient facility |
| topic | external fixators ilizarov technique pain outpatient clinics, hospital patient satisfaction |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162020000200147&lng=en&tlng=en |
| work_keys_str_mv | AT vitorluispereira painandsatisfactionlevelsuponremovalofexternalfixatoratanoutpatientfacility AT flaviokazuominami painandsatisfactionlevelsuponremovalofexternalfixatoratanoutpatientfacility AT geraldokaliflima painandsatisfactionlevelsuponremovalofexternalfixatoratanoutpatientfacility AT vitorspalatti painandsatisfactionlevelsuponremovalofexternalfixatoratanoutpatientfacility AT hilarioboatto painandsatisfactionlevelsuponremovalofexternalfixatoratanoutpatientfacility AT joselucarelli painandsatisfactionlevelsuponremovalofexternalfixatoratanoutpatientfacility |