Identifying of post-operative pain level and associated factors following orthopaedic surgery at AaBET Trauma Centre in St. Paul’s Hospital Millennium Medical College, Ethiopia from OCT,2023 – MAR, 2024

Abstract

ABSTRACT Postoperative management is complex and both patients and healthcare provider are not satisfied with postoperative pain. different protocol is evolving tackle this problem. in our set up there is limited guideline for management of postoperative pain especially following orthopaedic surgery. OBJECTIVE: to identify postoperative pain level and associated factors following orthopaedic surgery Methods: A prospective observational study was conducted to identify postoperative pain level and associated factors following orthopaedic surgeries from March,2023 to June,2023.using patients record and numeric rating scale form review was carried out between March 2023 and June 2023.data was collected using questionnaires and patients logbooks .data was analyzed using statistical package for social science version 26.to identify the association between outcome variables and independent variables , descriptive statistics , cross tabulations and binary logistic regression were used. Categorical data were analyzed using chi square test. adjusted odd ratios were computed with 95% confidence interval and a p -value <.005 was used to determine the significance of the study. Results: in this study a total of 63 patients were involved and among those 55 (87.3%) were male and 8 (12.7%) were female. most patients (73%) were having moderate pain 24 hour following orthopaedic surgery and at 48 hours postoperative most patients were having mild pain (85.7%). 13(20.6%) and 54(85.7%) of patients were having no pain to mild pain at 24 hour and 48 hours respectively following orthopaedic surgery.50(79.4%) and 9(14.3%) of patients were having moderate to severe pain at 24 and 48 hours respectively following orthopaedic surgery. On bi-variate logistic regression analysis; being female patients (AOR:6.32,95%CI,4.57,11.66), general anaesthesia (AOR:2.23 ,95%CI,0.89,3.42) , history of smoking (AOR:1.23,95%CI,0.89,3.42) and patient who underwent ORIF surgery (AOR:3.09,95%CI,2.87,13.46) were among factors associated with moderate to severe postoperative pain at 24 hour . no factors were associated with moderate to severe postoperative pain at 48 hours. ii Conclusion: postoperative pain management should be given high emphasis following orthopaedic surgery. Appropriate pain management has to be implemented to decrease the suffer of patients due to postoperative pain, factors that are associated with postoperative pain has to be appropriately addressed. Key Words: NRS, patients, pain levee, pain, postoperative pain, associated factors, orthopaedic surgery and AaBET Hospital