Intervention (n=34) | Control (n=34) | P value | |
Patient characteristics | |||
Age, mean (SD) | 32.3 (5.7) | 31.5 (4.9) | n.s. |
Weight (kg), median (range) | 84.5 (57–119) | 84.5 (63–106) | n.s. |
BMI, kg/m2 (SD) | 31.2 (5.5) | 30.2 (3.4) | n.s. |
Primary outcome | |||
Oral morphine equivalents 0–24, mean (SD) | 65.3 (47.9) | 94.3 (60.0) | 0.03 |
Secondary outcomes | |||
Oral morphine equivalents 0–6 hours, mean (SD) | 15.3 (17.3) | 34.7 (31.2) | <0.003* |
Oral morphine equivalents 6–12 hours, mean (SD) | 24.9 (19.7) | 27.7 (28.6) | n.s. |
Oral morphine equivalents 12–18 hours, mean (SD) | 13.5 (12.5) | 19.9 (15.3) | n.s. |
Oral morphine equivalents 18–24 hours, mean (SD) | 11.7 (13.7) | 12.1 (13.2) | n.s. |
NRS score at rest 0–6 hours, median (IQR) | 0.8 (0.3–2.0) | 2.1 (0.8–2.9) | <0.01* |
NRS score at rest 6–12 hours, median (IQR) | 2.8 (1.0–4.0) | 2.8 (1.5–5.0) | n.s. |
NRS score at rest 12–24 hours, median (IQR) | 2.0 (1.0–4.0) | 2.3 (1.5–4.5) | n.s. |
NRS score at activity 0–6 hours, median (IQR) | 1.3 (0.8–2.0) | 2.5 (1.3–3.6) | <0.003* |
NRS score at activity 6–12 hours, median (IQR) | 3.3 (2.0–5.0) | 4.0 (2.5–5.5) | n.s. |
NRS score at activity 12–24 hours, median (IQR) | 3.25 (2.0–5.0) | 4.0 (3.0–5.5) | n.s. |
NRS score max at PCA pump 0–6 hours, median (IQR) | 3.5 (0.0–4.0) | 5.0 (4.0–6.0) | <0.002* |
NRS score max at PCA pump 6–12 hours, median (IQR) | 4.5 (0.0–6.0) | 5.0 (3.0–6.0) | n.s. |
NRS score max at PCA pump 12–18 hours, median (IQR) | 4.0 (0.0–5.0) | 4.0 (0.0–5.0) | n.s. |
NRS score max at PCA pump 18–24 hours, median (IQR) | 3.0 (0.0–4.0) | 3.0 (0.0–4.0) | n.s. |
Time to first opioid in hours, mean (SD) | 4.0 (2.5) | 5.6 (3.3) | <0.03 |
Nausea/vomiting, n | 3/0 | 9/0 | n.s. |
Time to ambulation in hours, mean (SD) | 4.7 (3.1) | 4.6 (1.8) | n.s. |
Time to sitting up in bed in hours, mean (SD) | 4.2 (3.0) | 4.3 (1.9) | n.s. |
The highest recorded NRS value in each 6-hour period was registered.
*When adjusting the p value with a factor 4 due to repeated measures (Bonferroni correction) in the six hourly intervals, differences between groups in regard to NRS pain scores in the first 6 hours continue to be statistically significant.
BMI, body mass index; NRS, numerical rating scale; PCA, patient-controlled analgesia; n.s., not significant.