A Thesis report submitted to the Department of Anesthesia, college of Medicine and Health science, University of Gondar for partial fulfillment of a Master’s of Science Degree in Advanced Clinical Anesthesia

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