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Impact of Clinical Pharmacist Consultations on Postoperative Pain in Ambulatory Surgery

Author

Listed:
  • Eric Barat

    (Department of Pharmacy, CHU Rouen, CEDEX, 76031 Rouen, France
    Department of Pharmacy, Normandie University, UNICAEN, Inserm U1086, 14000 Caen, France)

  • Catherine Chenailler

    (Department of Pharmacy, CHU Rouen, CEDEX, 76031 Rouen, France)

  • André Gillibert

    (Department of Biostatistics, CHU Rouen, CEDEX, 76031 Rouen, France)

  • Sophie Pouplin

    (Department of Rheumatology, CHU Rouen, CEDEX, 76031 Rouen, France)

  • Remi Varin

    (Department of Pharmacy, UNIROUEN, Inserm U1234, CHU Rouen, Normandie University, Rouen, CEDEX, 76031 Rouen, France)

  • Vincent Compere

    (Department of Anesthesiology and Critical Care, CHU Rouen, CEDEX, 76031 Rouen, France)

Abstract

Post-operative pain is a common symptom of ambulatory surgery. The objective of this study was to evaluate a pain management protocol integrating a pharmacist consultation. We conducted a quasi-experimental, single center, before-after study. The control group was recruited between 1 March and 31 May 2018 and the intervention group between 1 March and 31 May 2019. Outpatients in the intervention group received a pharmacist consultation, in addition to the usual anesthesiologist and nurse consultations. Pharmacist consultations were conducted in two steps: the first step consisted of general open-ended questions and the second step of a specific and individualized pharmaceutical interview. A total of 125 outpatients were included in each group. There were 17% (95% CI 5 to 27%, p = 0.022) fewer patients with moderate to severe pain in the pharmaceutical intervention group compared with the control group, which corresponded to a decrease in the mean pain level of 0.9/10 (95% CI −1.5/10; −0.3/10; p = 0.002). The multivariate analysis did not reveal any confounding factors, showing that only the pharmaceutical intervention could explain this result. This study demonstrates a positive impact of pharmacist consultations on postoperative pain in ambulatory surgery.

Suggested Citation

  • Eric Barat & Catherine Chenailler & André Gillibert & Sophie Pouplin & Remi Varin & Vincent Compere, 2023. "Impact of Clinical Pharmacist Consultations on Postoperative Pain in Ambulatory Surgery," IJERPH, MDPI, vol. 20(5), pages 1-21, February.
    • Handle: RePEc:gam:jijerp:v:20:y:2023:i:5:p:3967-:d:1077764
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