Abstract:
Abstract
Introduction: Emergency orthopedic surgeries are performed on a daily and night basis across
the world and, different levels of postoperative pain commonly reported early and late in the
postoperative period. Despite the availability of evidence-based international reports, still it is
not stated in Ethiopia.
Objective: To determine the incidence and associated factors of postoperative pain after
Emergency Orthopedics Surgery at two Comprehensive Specialized Teaching Hospitals, in
Amhara regional state, North-west Ethiopia, 2020.
Methods: A prospective follow up study was conducted to determine the incidence and
associated factors of postoperative pain after emergency orthopedics surgeries from March 1 to
May 30, in 2020. Data analyzed using Statistical Package for Social Sciences, version 20. To
identify the association between outcome variable and independent variable, descriptive
statistics, cross tabulation and binary logistic regression were used. Categorical data was
performed by chi-square test. Adjusted odd ratios were computed with 95% confidence interval
and p-value < 0.05 was used to determine the significance of the study.
Result: The overall incidence of moderate to severe postoperative pain within the first 24 hours
after emergency orthopedics surgery was 70.5 % (95 % CI: 64, 77). On multivariable logistic
regression analysis; history of having preoperative pain (AOR: 7.92, 95 % CI: 3.04, 20.63),
history of preoperative anxiety (AOR: 6.42, 95 % CI: 2.59, 15.90), preoperative patient
expectation about postoperative pain (AOR: 6.89, 95 % CI: 2.66, 17.78) and being general
anesthesia (AOR: 4.08, 95% CI: 1.30, 12.77) were significantly associated with moderate to
severe postoperative pain after emergency orthopedics surgery.
Conclusion: From the findings of this study it can be concluded that most emergency
orthopedic surgical patients were feeling moderate to severe pain in their post-operative period at
University of Gondar and Tibebe Gihon Comprehensive Specialized Hospital. The incidence of
moderate to severe post-operative pain was found to be 70.5 %. The finding of this study
suggests that postoperative pain was not effectively managed
