UCL Discovery
UCL home » Library Services » Electronic resources » UCL Discovery

An Interactive Pain Application (MServ) Improves Postoperative Pain Management

Gordon-Williams, R; Trigo, A; Bassett, P; Williams, A; Cone, S; Lees, M; Brandner, B; (2021) An Interactive Pain Application (MServ) Improves Postoperative Pain Management. Pain Research and Management , 2021 , Article 8898170. 10.1155/2021/8898170. Green open access

[thumbnail of interactive pain device improves postoperative pain Gordon-Williams et al 2021.pdf] Text
interactive pain device improves postoperative pain Gordon-Williams et al 2021.pdf - Accepted version

Download (1MB)

Abstract

BACKGROUND: Most patients have moderate or severe pain after surgery. Opioids are the cornerstone of treating severe pain after surgery but cause problems when continued long after discharge. We investigated the efficacy of multifunction pain management software (MServ) in improving postoperative pain control and reducing opioid prescription at discharge. METHODS: We recruited 234 patients to a prospective cohort study into sequential groups in a nonrandomised manner, one day after major thoracic or urological surgery. Group 1 received standard care (SC, n = 102), group 2 were given a multifunctional device that fed back to the nursing staff alone (DN, n = 66), and group 3 were given the same device that fed back to both the nursing staff and the acute pain team (DNPT, n = 66). Patient-reported pain scores at 24 and 48 hours and patient-reported time in severe pain, medications, and satisfaction were recorded on trial discharge. FINDINGS: Odds of having poor pain control (>1 on 0–4 pain scale) were calculated between standard care (SC) and device groups (DN and DNPT). Patients with a device were significantly less likely to have poor pain control at 24 hours (OR 0.45, 95% CI 0.25, 0.81) and to report time in severe pain at 48 hours (OR 0.62, 95% CI 0.47–0.80). Patients with a device were three times less likely to be prescribed strong opioids on discharge (OR 0.35, 95% CI 0.13 to 0.95). INTERPRETATION: Using an mHealth device designed for pain management, rather than standard care, reduced the incidence of poor pain control in the postoperative period and reduced opioid prescription on discharge from hospital.

Type: Article
Title: An Interactive Pain Application (MServ) Improves Postoperative Pain Management
Open access status: An open access version is available from UCL Discovery
DOI: 10.1155/2021/8898170
Publisher version: https://doi.org/10.1155/2021/8898170
Language: English
Additional information: © 2021 Richard Gordon-Williams et al. This is an open access article distributed under the Creative Commons Attribution Licene (http://creativecommons.org/licenses/by/4.0/).
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences > Clinical, Edu and Hlth Psychology
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences > Div of Surgery and Interventional Sci
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences > Div of Surgery and Interventional Sci > Department of Targeted Intervention
URI: https://discovery.ucl.ac.uk/id/eprint/10125557
Downloads since deposit
14Downloads
Download activity - last month
Download activity - last 12 months
Downloads by country - last 12 months

Archive Staff Only

View Item View Item