Acute Preoperative Pain and Chronic Post-surgical Pain in Emergency Surgery
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: questionnaire, phone call.
- Who it may be relevant to
- Registry conditions: Chronic Postsurgical Pain, Acute Pain, Emergency Surgery, Opioid. Basic parameters: from 18 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- France
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Overview
Studies evaluating postoperative pain as a risk factor for CPSP are almost exclusively carried out in the context of scheduled surgery. As a result, the preoperative pain studied as a risk factor for chronicity is essentially a state of pain that has persisted for several weeks or even several months. In emergency surgeries, patients are subject to acute preoperative pain of varying intensity and the duration of which may vary by a few days. A few studies have highlighted the intensity of acute preoperative pain as a factor favouring moderate to severe postoperative pain. At this point, no study has addressed the long-term consequences of this intense preoperative pain the emergency context. An evaluation in the field of emergency surgery, where the preoperative pain is often intense and limited in time, would enable us to identify more precisely the impact of acute pain on the incidence of CPSP. The investigators are hypothesising that the occurrence of CPSP at 3 months in patients undergoing emergency orthopaedic or abdominal surgery is associated with acute preoperative pain.
Interventions
- Other questionnaire
Patients included in the study will be asked to complete a questionnaire 48 to 72 hours after surgery to assess their perception of pain and preoperative anxiety - Other phone call
Patients will then be interviewed by phone 3 months after their emergency surgery. During the interview, they will be questioned via a standardised questionnaire on the existence of CPSP
Primary outcome measures
- Frequency of CPSP [Time frame: at 3 months]
Eligibility criteria
Inclusion criteria
- Age ≥18 years old.
- Emergency orthopaedic and/or abdominal surgery.
- Informed consent.
- Affiliation to a social security scheme
Exclusion criteria
- Intraoperative complications that are life-threatening or require the surgical procedure to be discontinued.
- Post-operative intensive care unit admission.
- Ambulatory surgery.
- Endoscopic surgery.
- Repeat surgery at the same site in less that 3months.
- Pregnant or breast-feeding patients.
- Patients under guardianship or deprived of liberty.
- Patients suffering from psychiatric pathologies.
- Patients suffering from neurodegenerative pathologies.
- Patients for whom self-assessment of pain using a numerical scale (0-10) cannot be carried out (non-communicative patients, non-French-speaking patients, and so on).
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Allocation
- N/A
- Model
- Single group
- Masking
- Open label
- Primary purpose
- Other
Study locations
France · 1 center
- CHU Amiens-Picardie — Amiens
Identifiers
NCT: NCT06555107 · PI2024_843_0038