ASSIST - Patient satisfaction survey in postoperative pain management from Indian subcontinent

To compare pain scores at rest and ambulation and to assess patient satisfaction between the different modalities of pain management at different time points after surgery. The ASSIST (Patient Satisfaction Survey: Pain Management) was an investigator-initiated, prospective, multicenter survey conduc...

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Bibliographic Details
Published in:	Journal of anaesthesiology, clinical pharmacology Vol. 33; no. 1; pp. 40 - 47
Main Authors:	Subramanian, Balavenkata, Shastri, Naman, Aziz, Lutful, Gopinath, Ramachandran, Karlekar, Anil, Mehta, Yatin, Sharma, Anand, Bapat, Jitendra Suhas, Jain, Pradeep, Jayant, Aveek, Samra, Tanvir, Perera, Ajantha, Agarwal, Anil, Shetty, Vijay, Bhatnagar, Sushma, Pandya, Sunil T, Jain, Paramanand
Format:	Journal Article
Language:	English
Published:	India Medknow Publications and Media Pvt. Ltd 01-01-2017 Medknow Publications & Media Pvt Ltd Wolters Kluwer Medknow Publications
Subjects:	Acute pain services epidural intravenous Original Pain management pain scores Patient satisfaction patient-controlled analgesia Postoperative pain Surveys India patient satisfaction intravenous epidural pain scores patient-controlled analgesia Acute pain services
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Summary:	To compare pain scores at rest and ambulation and to assess patient satisfaction between the different modalities of pain management at different time points after surgery. The ASSIST (Patient Satisfaction Survey: Pain Management) was an investigator-initiated, prospective, multicenter survey conducted among 1046 postoperative patients from India. Pain scores, patient's and caregiver's satisfaction toward postoperative pain treatment, and overall pain management at the hospital were captured at three different time points through a specially designed questionnaire. The survey assessed if the presence of acute pain services (APSs) leads to better pain scores and patient satisfaction scores. One-way ANOVA was used to evaluate the statistical significance between different modalities of pain management, and paired -test was used to compare pain and patient satisfaction scores between the APS and non-APS groups. The results indicated that about 88.4% of patients reported postoperative pain during the first 24 h after surgery. The mean pain score at rest on a scale of 1-10 was 2.3 ± 1.8 during the first 24 h after surgery and 1.1 ± 1.5 at 72 h; the patient satisfaction was 7.9/10. Significant pain relief from all pain treatment was reported by patients in the non-APS group (81.6%) compared with those in the APS (77.8%) group ( < 0.0016). This investigator-initiated survey from the Indian subcontinent demonstrates that current standards of care in postoperative pain management remain suboptimal and that APS service, wherever it exists, is yet to reach its full potential.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	0970-9185 2231-2730
DOI:	10.4103/joacp.JOACP_245_16