@article{article_192489, title={THE FACTORS ASSOCIATED WITH SEVERE POSTOPERATIVE PAIN IN PATIENTS WITH TOTAL HIP ARTHROPLASTY}, journal={Acta Orthopaedica et Traumatologica Turcica}, year={2016}, author={Petrovic, Nadezda and Milovanovic, Dragan and Ignjatovic Ristic, Dragana and Riznic, Nikola and Ristic, Branko and Stepanovic, Zeljko}, keywords={Orthopedics;pain, postoperative;Risk Factors;type D personality;anxiety;depression;female.}, abstract={<p>Objectives. Determine the risk factors for the development of postoperative pain, particularly those connected with psychological distress and a personality trait. <br /> Patients and Methods. Observational clinical study had case-control design within a cohort of 90 orthopedic patients with a cemented total hip replacement having postoperative pain. Depending on the intensity of postoperative pain based on numerical rating scale (NRS) threshold the patients were divided in experimental (n=44, NRS≥5) and control groups (n=46) (NRS<5). The examinees were post-operatively tested using Hamilton’s scales for anxiety and depression symptoms as well as DS-14 test for the identification of D-type personality. <br /> Results. In experimental group there were greater frequencies of female patients (29 vs. 13), and those with anxiety (13 vs. 3) and depression symptoms (11 vs. 2) as well as D-type personality (18 vs. 9) and they had grater intensity of preoperative pain (the mean NRS±standard deviation, 7.2±1.7 vs. 6.0±1.2, p<0.001). The factors associated with development of strong postoperative pain was female gender (Odds Ratio-OR=4.91, 95% confidence intervals-CI 2.01-12.01, p<0.001), type-D personality (2.81, 1.17-7.318, p=0.030), severe anxiety (6.01, 1.58-22.90, p=0.009) and depressive symptoms (7.33, 1.52-35.34, p=0.013) and (2.64, 1.17-5.44, p<0.001). <br /> Conclusion. Introvert patients, with high score of negative affect and social inhibition are at risk of developing severe postoperative pain. Together with this, anxiety and depression are important risk factors. </p> <p>  </p> <p>DOI: 10.3944/AOTT.2015.14.0177 <br />This abstract belongs to the un-edited version of the article and is only for informative purposes. Published version may differ from the current version. </p>}, publisher={Turkish Association of Orthopaedics and Traumatology}