{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T22:27:35Z","timestamp":1791239255513,"version":"4.1.0"},"reference-count":21,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2024,3,10]],"date-time":"2024-03-10T00:00:00Z","timestamp":1710028800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Anaesthesiol Scand"],"published-print":{"date-parts":[[2024,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Moderate or severe postoperative pain is common despite advances in surgical technique and perioperative analgesia. This study aimed to assess the prevalence and severity of postoperative pain following procedures requiring anaesthesia and identify factors associated with increased risk of postoperative pain.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Surgical patients \u226518\u2009years of age were prospectively questioned on level of current pain on a numerical rating scale (NRS) from 0 to 10 in the post\u2010anaesthesia care unit (PACU) and on resting, active and worst pain experienced in the first 24\u2009h postoperatively. Clinical data was obtained from medical records. Descriptive statistics were applied, and predictors of worst pain assessed as moderate\/severe (NRS  5) on postoperative day one were assessed using multivariable logistic regression.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of 438 included participants, moderate\/severe pain occurred in 29% on the day of surgery and 70% described their worst pain as moderate\/severe on postoperative day one. Procedures with the highest incidence of moderate\/severe pain on the day of surgery were gynaecology\u2010, plastic\u2010, abdominal\u2010, breast\u2010, and orthopaedic procedures. On postoperative day one, patients undergoing vascular\u2010, orthopaedic\u2010, and abdominal operations most commonly rated their worst pain as moderate\/severe. Female sex (OR\u2009=\u20092.15, 95% Cl 1.21\u20133.88, <jats:italic>p<\/jats:italic>\u2009=\u2009.010), chronic preoperative pain (OR\u2009=\u20094.20, 95% Cl 2.41\u20137.51, <jats:italic>p<\/jats:italic>\u2009&lt;\u2009.001), undergoing a major procedure (OR\u2009=\u20092.07, 95% Cl 1.15\u20133.80, <jats:italic>p<\/jats:italic>\u2009=\u2009.017), and any intraoperative remifentanil administration (OR\u2009=\u20092.16, 95% Cl 1.20\u20133.94, <jats:italic>p<\/jats:italic>\u2009=\u2009.01) had increased odds of rating the worst pain as moderate\/severe. Increased age (OR\u2009=\u20090.66 per 10\u2009years (95% Cl 0.55\u20130.78, <jats:italic>p<\/jats:italic>\u2009&lt;\u2009.001)) and undergoing breast\u2010, gynaecology\u2010, otolaryngology\u2010, and neurosurgery (OR\u2009=\u20090.15\u20130.34, <jats:italic>p<\/jats:italic>\u2009&lt;\u2009.038) was associated with lower odds of moderate\/severe pain on postoperative day one.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>In our cohort, patients rated their current pain in the PACU similarly to other studies. However, the ratio of patients rating the worst pain experienced as moderate\/severe on postoperative day one was relatively high. The identified patient\u2010 and procedural\u2010related factors associated with higher odds of postoperative pain highlight a subgroup of patients who may benefit from enhanced perioperative monitoring and pain management strategies.<\/jats:p><\/jats:sec>","DOI":"10.1111\/aas.14408","type":"journal-article","created":{"date-parts":[[2024,3,11]],"date-time":"2024-03-11T03:19:53Z","timestamp":1710127193000},"page":"830-838","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Postoperative pain at Landspitali: A prospective study"],"prefix":"10.1111","volume":"68","author":[{"given":"Andri M.","family":"Tomasson","sequence":"first","affiliation":[{"name":"Faculty of Medicine University of Iceland  Reykjavik Iceland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hilma","family":"Jakobsd\u00f3ttir","sequence":"additional","affiliation":[{"name":"Faculty of Medicine University of Iceland  Reykjavik Iceland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Haraldur M.","family":"Gudnason","sequence":"additional","affiliation":[{"name":"Faculty of Medicine University of Iceland  Reykjavik Iceland"},{"name":"Department of Anaesthesiology and Critical Care Landspitali University Hospital  Reykjavik Iceland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0726-4378","authenticated-orcid":false,"given":"Sigurbergur","family":"Karason","sequence":"additional","affiliation":[{"name":"Faculty of Medicine University of Iceland  Reykjavik Iceland"},{"name":"Department of Anaesthesiology and Critical Care Landspitali University Hospital  Reykjavik Iceland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7054-0844","authenticated-orcid":false,"given":"Martin I.","family":"Sigurdsson","sequence":"additional","affiliation":[{"name":"Faculty of Medicine University of Iceland  Reykjavik Iceland"},{"name":"Department of Anaesthesiology and Critical Care Landspitali University Hospital  Reykjavik Iceland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,3,10]]},"reference":[{"key":"e_1_2_10_2_1","volume-title":"The National Academies Collection: Reports funded by National Institutes of Health. Relieving Pain in America: A Blueprint for Transforming Prevention, Care, Education, and Research","author":"Institute of Medicine Committee on Advancing Pain Research CaE","year":"2011"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1185\/03007995.2013.860019"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/ALN.0b013e31828866b3"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.11477"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2018-025091"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/ALN.0b013e3181aae87a"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1590\/s1679-45082017gs3902"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1177\/2010105817738794"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2044.2007.05221.x"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/j.pain.0000000000003119"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2019.0168"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1097\/AJP.0000000000000876"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-021-01597-5"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amsu.2022.104087"},{"key":"e_1_2_10_16_1","first-page":"1268","article-title":"Pain management in hospitals: patients' satisfaction and related barriers","volume":"16","author":"Tawil S","year":"2018","journal-title":"Pharm Pract"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-019-05050-7"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.2147\/JPR.S144066"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpain.2016.11.004"},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.1586\/ern.09.20"},{"key":"e_1_2_10_21_1","doi-asserted-by":"publisher","DOI":"10.1097\/MJT.0000000000000019"},{"key":"e_1_2_10_22_1","doi-asserted-by":"publisher","DOI":"10.1111\/anae.12148"}],"container-title":["Acta Anaesthesiologica Scandinavica"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/aas.14408","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,6,19]],"date-time":"2024-06-19T11:27:02Z","timestamp":1718796422000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/aas.14408"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,3,10]]},"references-count":21,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2024,7]]}},"alternative-id":["10.1111\/aas.14408"],"URL":"https:\/\/doi.org\/10.1111\/aas.14408","archive":["Portico"],"relation":{},"ISSN":["0001-5172","1399-6576"],"issn-type":[{"value":"0001-5172","type":"print"},{"value":"1399-6576","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,3,10]]},"assertion":[{"value":"2023-10-08","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-02-24","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-03-10","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}