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To adequately assess postoperative pain in the coronary artery bypass surgical population a multicentered retrospective chart review was carried out; the study utilized a nonexperimental comparative descriptive study design. The retrospective review was conducted over a six-month time frame, consisting of June 2017 through November 2017, at two hospitals within the same organization. The data collection process began in late December of 2017 and January of 2018. The assessment of postop pain was performed by using a standard 11-point numeric pain rating scale on post extubation day one and the day of discharge.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Minimally Invasive Cardiac Bypass patients |
| ||
| Traditional Sternotomy Cardiac Bypass patients |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Coronary bypass surgery | Procedure | Reviewed postoperative coronary bypass patients and compared postoperative pain levels |
|
| Measure | Description | Time Frame |
|---|---|---|
| Highest reported pain level, on the standard 0-10 pain scale, post extubation day one | The highest recorded pain level, taken by the nursing staff, on the day following. extubation. Utilized day post due to the washout/possible confounding variable of sedation administration within 24hrs. | The first 24 hours post extubation |
| Highest reported pain level, on the standard 0-10 pain scale, on the day of discharge. | The highest reported pain, measured by the nursing staff on within 24hrs from discharge. | Within 24 hours from discharge |
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Inclusion Criteria:
Exclusion Criteria:
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The retrospective review was conducted over a six-month time frame, consisting of June 2017 through November 2017, at two hospitals within the same organization. One of the hospitals was a level one trauma center in the center of a major southeastern metropolitan area, and the second was a community hospital within the suburbs of the same city's geographic limits. All included patients fit the above inclusion and exclusion criteria per the aforementioned time frame and involved healthcare centers.
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| Name | Affiliation | Role |
|---|---|---|
| Jeko Madjarov, MD | Wake Forest University Health Sciences | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Atrium Health | Charlotte | North Carolina | 28210 | United States |
If requested we would not mind providing guidance on postoperative pain assessments/likert scales.
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| ID | Term |
|---|---|
| D010149 | Pain, Postoperative |
| ID | Term |
|---|---|
| D011183 | Postoperative Complications |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D010146 | Pain |
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| ID | Term |
|---|---|
| D001026 | Coronary Artery Bypass |
| ID | Term |
|---|---|
| D009204 | Myocardial Revascularization |
| D006348 | Cardiac Surgical Procedures |
| D013504 | Cardiovascular Surgical Procedures |
| D013514 | Surgical Procedures, Operative |
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| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D058017 | Vascular Grafting |
| D014656 | Vascular Surgical Procedures |
| D019616 | Thoracic Surgical Procedures |