Quality of Postoperative Pain Management After Midfacial Fracture Repair: An Outcome-Oriented Study

Authors

Gregor F. Raschke, Friedrich Schiller University of JenaFollow
Andre Peisker, Friedrich Schiller University of JenaFollow
Ulrich M. Rieger, Goethe University
Gabriel Djedovic, Goethe University
Arndt Guentsch, Marquette UniversityFollow
Oliver Schaefer, Friedrich Schiller UniversityFollow
Eric Venth, Friedrich Schiller University of Jena
Marta Gomez-Dammeier, Friedrich Schiller University of Jena
Winfried Meissner, Friedrich Schiller University of Jena

Document Type

Article

Language

eng

Publication Date

4-2015

Publisher

Springer

Source Publication

Clinical Oral Investigations

Source ISSN

1432-6981

Abstract

Objectives

There is a lack of literature regarding the procedure-specific quality of acute postoperative pain management after midfacial fracture repair. The purpose of the presented prospective clinical study was to evaluate postoperative pain management after surgical repair of midfacial fractures.

Materials and methods

Eighty-five adults were evaluated on the first postoperative day following midfacial repair using the questionnaire of the Quality Improvement in Postoperative Pain Management (QUIPS) project. The main outcome measures were patients’ characteristics and clinical- and patient-reported outcome parameters.

Results

Overall, pain on the first postoperative day was moderate. A significant correlation between process and outcome parameters could be shown. Duration of surgery above the calculated median was significantly associated with higher maximum pain intensity (p = 0.017). Patients requiring opioids in the recovery room presented significantly higher pain on activity (p = 0.029) and maximum pain (p = 0.035). Sleeping impairment (p = 0.001) and mood disturbance (p = 0.008) were significantly more prevalent in patients undergoing repair of a centrolateral midfacial fracture.

Conclusions

QUIPS is a simple and qualified tool to evaluate the procedure specific quality of acute postoperative pain management. Pain on the first postoperative day following midfacial fracture repair seems overall to be moderate. Nearly a third of the patients showed inadequate postoperative pain management. To prevent inadequate postoperative pain management, it is necessary to establish a continued procedure-specific outcome measurement.

Comments

Accepted version. Clinical Oral Investigations, Vol. 19, No. 3 (April 2015): 619-625. DOI. © 2019 Springer Nature Switzerland AG. Used with permission.

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Recommended Citation

Raschke, Gregor F.; Peisker, Andre; Rieger, Ulrich M.; Djedovic, Gabriel; Guentsch, Arndt; Schaefer, Oliver; Venth, Eric; Gomez-Dammeier, Marta; and Meissner, Winfried, "Quality of Postoperative Pain Management After Midfacial Fracture Repair: An Outcome-Oriented Study" (2015). School of Dentistry Faculty Research and Publications. 274.
https://epublications.marquette.edu/dentistry_fac/274