Acute Postoperative Pain in Orthopaedic Trauma and Non‐Trauma Patients: An Analysis of the China Acute Postoperative Pain Study ( CAPOPS )

作者：Lei Li, Shiyi Han, Feng Zhao, Huikai Yang, Xuecai Lv, Jing Wu, Aisheng Hou, Li Fan, Duo Hou, Changsheng Zhang, Hao Li, Min Li, Jingfeng Li, Zongwang Zhang, Changming Wang, Weidong Mi, Yanhong Liu · 发表于：European Journal of Pain · 年份：2025 · DOI：10.1002/ejp.70147 · 被引用次数：1 · 研究领域：Anesthesia and Pain Management、Pediatric Pain Management Techniques、Pain Management and Opioid Use

BACKGROUND: The rising volume of orthopaedic surgeries highlights the importance of optimal postoperative pain management, especially for trauma patients who frequently suffer inadequate analgesia and delayed recovery. This multicenter study aims to evaluate the prevalence of acute postoperative pain and identify contributing factors in traumatic and non-traumatic orthopaedic patients. METHODS: This multicenter study analysed adult orthopaedic surgery patients from the China Acute Postoperative Pain Study between September 2019 and August 2023. Patients with preoperative acute physical injuries requiring surgical intervention were defined as trauma patients. Using multivariate regression, we compared pain outcomes between trauma/non-trauma groups and identified risk factors for moderate-to-severe postoperative pain. RESULTS: Among 10,892 orthopaedic patients (2833 trauma, 8059 non-trauma), trauma patients showed higher rates of moderate-to-severe pain (57.3% vs. 50.1%), experienced more anxiety and helplessness, and had a greater desire for additional pain management than non-trauma patients. Trauma was associated with the development of moderate-to-severe postoperative pain in both uni- and multivariate analyses (p < 0.001). Risk factors for postoperative pain differed: age over 65 years and preoperative chronic pain were significant in non-trauma patients, whereas intraoperative non-opioid analgesics and local anaesthetic infiltration were associated with a decreased incide...