{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,30]],"date-time":"2026-08-30T21:54:34Z","timestamp":1788126874716,"version":"build-2803163510"},"reference-count":22,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2021,10,26]],"date-time":"2021-10-26T00:00:00Z","timestamp":1635206400000},"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":["Pain Practice"],"published-print":{"date-parts":[[2022,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>We aim to explore the capacity of perioperative pupillary variables to predict acute pain in the post\u2010anesthesia care unit (PACU).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Patients scheduled to undergo thoracic or abdominal surgery under general anesthesia between April 2021 and June 2021 were enrolled. We measured the pupil diameter, pupillary light reflex (PLR), and pupillary reflex dilatation 5\u00a0min before anesthesia induction (T1), 5\u00a0min after intubation (T2), at the end of anesthesia (T3), immediately before extubation (T4), and 5\u00a0min after extubation (T5). We assessed the early postoperative pain intensity in the PACU using Numeric Rating Scales (NRS) at recovery, 5\u00a0min after recovery, and 10\u00a0min after recovery. Logistic regression models were used to evaluate the association between perioperative pupillary variables and postoperative pain intensity.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Fifty\u2010one patients were enrolled, 50 of whom were included in the final analysis. A total of 13 patients (26%) needed remedial analgesia in the PACU. Pupil parameters at T1, T2, T3, and T5 were not associated with NRS in the PACU. Multiple logistic regression models and receiver operating characteristic (ROC) curves indicated that only latency of PLR at T4 can predict postoperative acute pain. The ROC analysis showed that the cutoff value for latency of PLR at T4 was 0.29\u00a0s to discriminate between no pain and pain, and the area under the curve was 0.778 (95% CI 0.634\u20130.922, <jats:italic>p<\/jats:italic>\u00a0=\u00a00.002) with sensitivity 50.0% and specificity 91.7%.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The latency of PLR immediately before extubation may be a useful predictor for postoperative acute pain in the PACU.<\/jats:p><\/jats:sec>","DOI":"10.1111\/papr.13084","type":"journal-article","created":{"date-parts":[[2021,10,20]],"date-time":"2021-10-20T19:48:37Z","timestamp":1634759317000},"page":"322-328","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["The association between perioperative pupillary parameters and postoperative acute pain: A pilot cross\u2010sectional study"],"prefix":"10.1111","volume":"22","author":[{"given":"Pan\u2010pan","family":"Fang","sequence":"first","affiliation":[{"name":"Department of Anesthesiology The First Affiliated Hospital of Anhui Medical University Hefei China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jun\u2010qi","family":"Wu","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology The First Affiliated Hospital of Anhui Medical University Hefei China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Li\u2010li","family":"Tang","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology The First Affiliated Hospital of Anhui Medical University Hefei China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shan","family":"Gao","sequence":"additional","affiliation":[{"name":"Department of Pharmacology Basic Medical College Anhui Medical University Hefei China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3779-2964","authenticated-orcid":false,"given":"Xue\u2010Sheng","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology The First Affiliated Hospital of Anhui Medical University Hefei 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pain threshold index for prediction of postoperative pain in patients undergoing laparoscopic urological surgery: a comparison with surgical pleth index","volume":"35","author":"Wang R","year":"2020","journal-title":"J Clin Monit Comput"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.EJA.0000434966.96165.c9"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinane.2014.09.006"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10877-016-9839-3"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000542-200312000-00008"},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10877-020-00570-3"},{"key":"e_1_2_10_21_1","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/aeu473"},{"key":"e_1_2_10_22_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF00913471"},{"key":"e_1_2_10_23_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13063-019-3892-4"}],"container-title":["Pain 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