TY  - JOUR
AU  - Compère, Vincent
AU  - Mauger, Alban
AU  - Allard, Etienne
AU  - Clavier, Thomas
AU  - Selim, Jean
AU  - Besnier, Emmanuel
PY  - 2022
DA  - 2022/10/25
TI  - Incidence of Postoperative Pain at 7 Days After Day Surgery Reported Using a Text Messaging Platform: Retrospective Observational Study
JO  - JMIR Perioper Med
SP  - e33276
VL  - 5
IS  - 1
KW  - day surgery
KW  - postoperative pain
KW  - emergency consultation
KW  - rehospitalization
KW  - ambulatory management
KW  - pain management
KW  - postsurgery
KW  - postoperative
KW  - ambulatory surgery
KW  - hospitalization
KW  - health care
KW  - mobile health
KW  - mobile platform
AB  - Background: The most frequent complication observed after ambulatory surgery is acute postoperative pain. Objective: The purpose of this study was to evaluate the late incidence of postoperative pain at 7 days after day surgery. Methods: We retrospectively included patients who underwent day surgery under general or regional anesthesia and those who underwent local anesthesia in Rouen University Hospital from January 2018 to February 2020. Data collected were moderate-to-severe pain reports defined as numeric rating scale (NRS)>3/10 at 1 day (secondary end point) and 7 days (primary end point) after surgery. These data were collected using a semi-intelligent SMS text messaging platform to follow up with the patient at home after ambulatory surgery. Univariate and multivariate analyses were performed to analyze the risk factors for pain. Results: We analyzed 6099 patients. On the day after the surgery, 5.2% (318/6099) of the patients presented with moderate-to-severe pain: 5.9% (248/4187) in the general or regional anesthesia group and 3.7% (70/1912) in the local anesthesia group. At 7 days after the surgery, 18.6% (1135/6099) of the patients presented with moderate-to-severe pain, including 21.3% (892/4187) of the patients in the general or regional anesthesia group and 12.7% (243/1912) of the patients in the local anesthesia group. General surgery (odds ratio [OR] 1.54, 95% CI 1.23-1.92; P<.01) and orthopedic surgery (OR 1.66, 95% CI 1.42-1.94; P<.01) were associated with more late postoperative pain risk. Male gender (OR 0.66, 95% CI 0.57-0.76; P<.01), ophthalmology surgery (OR 0.51, 95% CI 0.42-0.62; P<.01), and gynecologic surgery (OR 0.67, 95% CI 0.50-0.88; P=.01) were associated with less late postoperative pain risk. The rate of emergency consultation or rehospitalization at 7 days after the surgery was 11.1% (679/6099). Late postoperative pain (OR 2.54, 95% CI 1.98-3.32; P<.001), general surgery (OR 2.15, 95% CI 1.65-2.81; P<.001), and urology surgery (OR 1.62, 95% CI 1.06-2.43; P=.02) increased the risk of emergency consultation or rehospitalization. Orthopedic surgery (OR 0.79, 95% CI 0.63-0.99; P=.04) and electroconvulsive therapy (OR 0.43, 95% CI 0.27-0.65; P<.001) were associated with less rates of emergency consultation or rehospitalization. Conclusions: Our study shows that postoperative pain at 7 days after ambulatory surgery was reported in more than 18% of the cases, which was also associated with an increase in the emergency consultation or rehospitalization rates. 
SN  - 2561-9128
UR  - https://periop.jmir.org/2022/1/e33276
UR  - https://doi.org/10.2196/33276
UR  - http://www.ncbi.nlm.nih.gov/pubmed/36282551
DO  - 10.2196/33276
ID  - info:doi/10.2196/33276
ER  -