Perioperative Care and Operating Room Management最新文献

{"title":"Improving surgical efficiency: Insights from turnover time analysis in a tertiary care center in Puerto Rico","authors":"Abner Limardo-Irizarry ,&nbsp;Adariana Feliciano-Quiñones ,&nbsp;Javier Torres ,&nbsp;Fabian Ramírez","doi":"10.1016/j.pcorm.2025.100499","DOIUrl":"10.1016/j.pcorm.2025.100499","url":null,"abstract":"<div><h3>Introduction</h3><div>Operating room (OR) turnover time (TOT) significantly impacts hospital efficiency, patient care, and revenue. Delays in TOT are associated with increased operational costs, patient waiting times, and staff burden. While much of the existing literature focuses on high-resource settings, there is limited research on OR efficiency in low-resource environments. This study aims to evaluate OR turnover times in a tertiary care hospital in Puerto Rico, examining the causes of delays and their impact on departmental efficiency across various operating rooms.</div></div><div><h3>Results</h3><div>A total of 1036 elective surgeries were reviewed across four surgical departments. Mean turnover time (TOT) varied significantly by department, with the cardiac catheterization OR having the lowest mean TOT of 26 min, and the ObGyn OR having the highest at 56 min. The rate of delays also varied, with the general OR having the highest percentage of delayed cases at 17.7 %, and the catheterization lab the lowest at 6.6 %. Overall, delayed cases had a significantly longer TOT (mean 1 h 11 min) compared to non-delayed cases (mean 31 min, <em>p</em> &lt; 0.001). The causes of delays varied by department and included surgeon unavailability, inadequate staffing, cleanup inefficiencies, among others.</div></div><div><h3>Discussion</h3><div>Our findings highlight key factors contributing to TOT delays, which vary across different surgical departments. Strategies such as implementing dedicated turnover teams, optimizing surgeon scheduling, and improving communication with task-specific checklists could reduce delays and improve OR efficiency. While the study's scope is limited to a single institution in Puerto Rico, it provides insights for improving OR efficiency in similar low-resource settings.</div></div>","PeriodicalId":53468,"journal":{"name":"Perioperative Care and Operating Room Management","volume":"40 ","pages":"Article 100499"},"PeriodicalIF":0.0,"publicationDate":"2025-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144134565","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Correlation between clinical competence and clinical education environment among perioperative nursing students: A cross-sectional survey","authors":"Ebrahim Nasiri-Formi ,&nbsp;Maliheh Ranjbar_moghaddam ,&nbsp;Amirali Alizadeh","doi":"10.1016/j.pcorm.2025.100498","DOIUrl":"10.1016/j.pcorm.2025.100498","url":null,"abstract":"<div><h3>Background</h3><div>The clinical competence of perioperative nursing students is a crucial concern in both the healthcare system and universities, as it directly affects the quality of care services delivered to patients. The clinical educational environment for perioperative nursing students differs from that of other hospital departments and may impact their clinical competence. This study aimed to determine the correlation between clinical competence and the clinical educational environment in students studying perioperative nursing.</div></div><div><h3>Methods</h3><div>This cross-sectional study was conducted on 250 perioperative nursing room students in Iran. The data collection instruments utilized in this study consisted of a demographic information questionnaire, the Perceived Perioperative Competence Scale-Revised (PPCS-R), and the Iranian Measure of Operating Theatre Educational Climate (IMOTEC). The data that were collected were analyzed using both descriptive and analytical tests, with SPSS V.20.</div></div><div><h3>Results</h3><div>The mean score for clinical competence was 119.26 ± 15.77, while the mean score for the clinical educational environment was 100.82 ± 14.79. A significant association was seen between all aspects of clinical competence and all aspects of the clinical educational environment. The clinical educational environment setting accounts for 13% of the variation in clinical competence among perioperative nursing students.</div></div><div><h3>Conclusion</h3><div>Given the significant correlation that has been discovered and the significance of the clinical competence of perioperative nursing students, it is imperative for the relevant authorities to prioritize enhancing the conditions of the clinical educational environment and resolving any associated issues.</div></div>","PeriodicalId":53468,"journal":{"name":"Perioperative Care and Operating Room Management","volume":"40 ","pages":"Article 100498"},"PeriodicalIF":0.0,"publicationDate":"2025-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144070416","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"PID air pressure controller in a positive pressure screening cabinet (PPS-Cabinet) for healthcare operator screening of SARS-CoV-2 infection","authors":"Sommas Kaewluan ,&nbsp;Nathawat Unsomsri ,&nbsp;Songkran Wiriyasart","doi":"10.1016/j.pcorm.2025.100497","DOIUrl":"10.1016/j.pcorm.2025.100497","url":null,"abstract":"<div><div>This paper presents the implementation of a PID pressure controller for a Positive Pressure Screening Cabinet (PPS Cabinet), designed to reduce the risk of COVID-19 transmission to healthcare personnel. The PPS Cabinet was designed, constructed, and tested to optimize internal pressure by adjusting the proportional (K_p), integral (K_i), and derivative (K_d) gains of the PID controller. In the experimental setup, the cabinet has a total volume of 2.88 m³. A PID controller integrated with a Programmable Logic Controller (PLC) receives a 0–10 V analog signal from a pressure transducer and is programmed using a standard PID algorithm. The K_p, K_i, and K_d values were determined using the Ziegler-Nichols tuning method. Testing scenarios included opening and closing the cabinet door, both with and without an airlock chamber. Results indicate that the PID controller effectively regulates cabinet pressure, with optimal tuning values identified as K_p = 0.6, K_i = 0.4, and K_d = 0.4. While the PPS Cabinet without an airlock is deemed suitable for practical use, door opening causes a pressure drop below 0 Pa, posing a significant risk to healthcare workers. However, incorporating an airlock chamber maintains pressure above 0 Pa, thereby enhancing safety and reducing the likelihood of COVID-19 transmission to operators.</div></div>","PeriodicalId":53468,"journal":{"name":"Perioperative Care and Operating Room Management","volume":"40 ","pages":"Article 100497"},"PeriodicalIF":0.0,"publicationDate":"2025-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144068331","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Enhancing ethics in the operating rooms: Presentation of a comprehensive model","authors":"Saeid Amini Rarani","doi":"10.1016/j.pcorm.2025.100496","DOIUrl":"10.1016/j.pcorm.2025.100496","url":null,"abstract":"<div><div>Ethical considerations in the operating room (OR) are of utmost importance, as decisions made in this high-pressure environment directly impact patient outcomes. Despite the acknowledged importance of ethics in surgical practice, a comprehensive framework addressing the complex dilemmas in the OR remains underdeveloped. This article presents a narrative review and introduces a robust, multi-dimensional model to enhance ethical practice in the OR by emphasizing patient engagement, technology integration, policy development, education, and fostering an ethical culture among surgical teams. The proposed model aligns with core ethical principles beneficence, autonomy, justice, and non-maleficence and provides practical pathways for their implementation. Through this model, healthcare institutions can systematically promote ethical decision-making, improve patient care, and support professional integrity within the surgical environment.</div></div>","PeriodicalId":53468,"journal":{"name":"Perioperative Care and Operating Room Management","volume":"39 ","pages":"Article 100496"},"PeriodicalIF":0.0,"publicationDate":"2025-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143937153","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Efficacy of perioperative inhalational oxytocin on postoperative pain in lower limb fracture surgeries","authors":"Mohamed A. Salama,&nbsp;Ahmed A. Shaaban,&nbsp;KA Awad","doi":"10.1016/j.pcorm.2025.100493","DOIUrl":"10.1016/j.pcorm.2025.100493","url":null,"abstract":"<div><h3>Background</h3><div>Postoperative pain management in orthopedic surgeries, particularly after lower limb fractures, remains a challenge. Systemic opioids are commonly used but pose risks of addiction and adverse effects. This study investigates the potential of inhalational oxytocin as an adjunct for pain control.</div></div><div><h3>Objective</h3><div>To evaluate the effectiveness of twice-daily inhalational oxytocin administered three days before and two days after surgery in reducing postoperative opioid consumption.</div></div><div><h3>Methods</h3><div>A prospective randomized controlled trial was conducted with 36 patients undergoing lower limb fracture surgery. Participants were randomly assigned to two groups:</div><div><strong>• Group I (control):</strong> Received an inhalational placebo.</div><div><strong>• Group II (oxytocin):</strong> Received inhalational oxytocin.</div><div>Pain scores were assessed using the Visual Analog Scale (VAS), total postoperative morphine consumption, and the time to first analgesic request. Hemodynamic parameters and adverse events were also recorded.</div></div><div><h3>Results</h3><div>Patients in the oxytocin group demonstrated a delayed first analgesic request (12.89 hours vs. 8.05 hours in the control group, <em>p</em> = 0.001) and significantly lower total morphine consumption (3.22 mg vs. 7.39 mg, <em>p</em> = 0.001). VAS scores were significantly lower at 2, 4, and 6 hours postoperatively in the oxytocin group (<em>p</em> = 0.015, 0.006, 0.001, respectively). No significant differences were observed in mean arterial pressure, heart rate, intraoperative fluid requirements, or adverse events between groups.</div></div><div><h3>Conclusion</h3><div>Inhalational oxytocin effectively reduced postoperative pain and opioid requirements without affecting hemodynamic stability or causing adverse events. These findings suggest its potential as a safe adjunct in postoperative pain management.</div></div>","PeriodicalId":53468,"journal":{"name":"Perioperative Care and Operating Room Management","volume":"39 ","pages":"Article 100493"},"PeriodicalIF":0.0,"publicationDate":"2025-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143923467","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessment of nurses' knowledge and practice in skin traction care for orthopedic trauma patients with fractures and associated factors in a developing country","authors":"Mina Soleimani ,&nbsp;Mohammad Hossein Hakimi","doi":"10.1016/j.pcorm.2025.100494","DOIUrl":"10.1016/j.pcorm.2025.100494","url":null,"abstract":"<div><h3>Objective</h3><div>Nurses play a crucial role in maintaining and improving patient health. Their knowledge and practice in managing complex interventions such as skin traction, especially in trauma and elderly patients, are essential to prevent complications and accelerate patient recovery. This study aimed to determine the knowledge and practice of nurses in skin traction care for orthopedic trauma patients with fractures and associated factors.</div></div><div><h3>Methods</h3><div>This descriptive-correlational study was conducted using a convenience sampling method among 220 nurses working in the emergency and surgical departments of hospitals affiliated with XX University of Medical Sciences in 2023. A three-part valid and reliable tool was used to collect data on demographic characteristics, knowledge, and practice of nurses in caring for patients with skin traction. The collected data were analyzed using SPSS version 23 and descriptive and inferential statistical tests.</div></div><div><h3>Results</h3><div>Data analysis showed that most of the participating nurses were female, married, and held a bachelor's degree. Most nurses (65.5 %) had a moderate or higher level of knowledge about skin traction care. Regarding nurses' practice in skin traction care, the results showed that the majority of nurses (86.4 %) had a satisfactory practice level. There was a significant correlation between nurses' knowledge and practice in skin traction care (<em>r</em> = 0.244, <em>p</em> = .011). Moreover, nurses' knowledge was significantly correlated with their educational level (<em>P</em> = .014), and nurses' practice in skin traction care were significantly correlated with their work experience (<em>P</em> = .017) and gender (<em>P</em> = .040).</div></div><div><h3>Conclusion</h3><div>The results of the study showed that although the level of knowledge and practice of most nurses in caring for patients with skin traction was moderate or above, there is a need to strengthen specialized training in some dimensions of knowledge and practice, especially regarding awareness of the complications of using skin traction.</div></div>","PeriodicalId":53468,"journal":{"name":"Perioperative Care and Operating Room Management","volume":"39 ","pages":"Article 100494"},"PeriodicalIF":0.0,"publicationDate":"2025-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143886576","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Covering sterile instrument tables to prevent airborne bacterial contamination and surgical wound infections: A narrative review of operating room nursing practices","authors":"Mohammadreza Zarei ,&nbsp;Nahid Norouzi ,&nbsp;Esmaeil Teymoori ,&nbsp;Rezvan Ghafarzadegan","doi":"10.1016/j.pcorm.2025.100495","DOIUrl":"10.1016/j.pcorm.2025.100495","url":null,"abstract":"<div><div>Surgical wound infections (SWIs) present a major challenge in postoperative care. Covering prepared sterile instrument tables (PSITs) during both idle (inactive) and active surgical phases can significantly reduce contamination by airborne bacteria-carrying particles (ABCPs) that may reach surgical wounds. This narrative review aimed to investigate four key objectives: (1) exploring the role of ABCPs in contaminating PSITs and contributing to SWIs; (2) evaluating the effectiveness of table coverage by operating room nurses (ORNs) in mitigating ABCP during both idle and active surgical periods; (3) assessing the duration of sterility maintained by covered tables and the efficacy of different covering techniques; and (4) recommending optimal covering methods while emphasizing the critical role of ORNs in standardizing and implementing these practices to enhance infection prevention protocols.</div><div>A comprehensive search was conducted in MEDLINE, CINAHL, Cochrane, Embase, PubMed, Scopus, Web of Science, and Google Scholar, with a focus on articles examining the role of ORNs in covering sterile instrument tables, preventing airborne contamination, and reducing the incidence of SWIs. Grey literature from the Association of perioperative Registered Nurses (AORN) and the Association of Surgical Technologists (AST) was also reviewed. The literature consistently shows that ORNs play a key role in reducing airborne contamination by covering PSITs during both idle and active phases. The single-drape cover method was effective for up to 60 min, while the double-layer covering provided longer protection, particularly useful during patient transfers in the operating room (OR). Covered PSITs demonstrated minimal contamination even after 24 h in controlled environments, supporting evidence that PSIT covering effectively reduces ABCP contamination and maintains sterility for up to 60 min. This is especially important in complex surgeries, where sterility is crucial for patient safety. Moreover, covering PSITs during both idle and active periods significantly lowers contamination levels compared to uncovered PSITs.</div></div>","PeriodicalId":53468,"journal":{"name":"Perioperative Care and Operating Room Management","volume":"39 ","pages":"Article 100495"},"PeriodicalIF":0.0,"publicationDate":"2025-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143874542","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The effect of specialization on morbidity in lower third molar extraction","authors":"Bahadır Sancar ,&nbsp;Ferhat Musulluoğlu ,&nbsp;Yunus Çetiner","doi":"10.1016/j.pcorm.2025.100492","DOIUrl":"10.1016/j.pcorm.2025.100492","url":null,"abstract":"<div><h3>Objectives</h3><div>Extracting impacted third molar teeth is one of the most common procedures in maxillofacial surgery. After these operations, symptoms such as trismus, pain, and swelling are seen, negatively affecting patient comfort and defined as postoperative morbidities. The surgeon's experience is one of the considerable factors affecting postoperative morbidity.</div></div><div><h3>Methods</h3><div>With our research, we extracted the mandibular impacted molar teeth of 100 patients by oral, teeth, and maxillofacial surgeons and oral and maxillofacial surgery assistants(research assistant). We recorded all patients' pain, swelling, and maximum incisal opening measurements three times: preoperative, postoperative second day, and seventh postoperative day. We determined the operation times by recording the time between the first incision and the last suture.</div></div><div><h3>Results</h3><div>When we compared oral and maxillofacial surgeons and oral and maxillofacial surgery assistants(research assistant), the operating time of the surgeon was shorter (<em>p</em> &lt; 0.001). When we evaluated the facial swelling on the postoperative second and seventh days, we found that the patients operated on by the surgeon had less swelling (<em>p</em> &lt; 0.001, p:0.005). In our postoperative second-day measurement, the oral openness of the patients operated by the surgeon was greater (p:0.035).</div></div><div><h3>Conclusion</h3><div>Performing the impacted third molar operations by an oral and maxillofacial surgeon reduces postoperative morbidity.</div></div>","PeriodicalId":53468,"journal":{"name":"Perioperative Care and Operating Room Management","volume":"39 ","pages":"Article 100492"},"PeriodicalIF":0.0,"publicationDate":"2025-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143892130","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Shivering after spinal anesthesia and associated factors in mothers undergoing cesarean delivery at a referral hospital in northcentral Ethiopia: In resource-limited settings","authors":"Simegnew Kibret,&nbsp;Efrem Fenta,&nbsp;Metages Hinie,&nbsp;Diriba Teshome","doi":"10.1016/j.pcorm.2025.100491","DOIUrl":"10.1016/j.pcorm.2025.100491","url":null,"abstract":"<div><h3>Background</h3><div>Post-spinal anesthesia shivering is one of the potential complications of anesthesia which may increase patient morbidity. Little is known about the incidence and associated factors of post-spinal shivering in our country. This study aims to assess the magnitude of post-spinal anesthesia shivering and its associated factors among mothers who underwent cesarean section at Debre Tabor Comprehensive Specialized Hospital, Ethiopia.</div></div><div><h3>Methods</h3><div>A Hospital-based cross-sectional study was conducted on a total of 113 patients who underwent cesarean section under spinal anesthesia. A systematic random sampling method was employed to select 113 study subjects. A structured questionnaire was used to collect data. Bivariable and multivariable logistic regression were used to show an association between independent variables and the dependent variable (post-spinal anesthesia shivering). Variables with a p-value of less than 0.2 were transformed into multivariate analysis. The odds ratios with 95 % CI and p-values of less than 0.05 were used to show the strength of association and level of significance.</div></div><div><h3>Results</h3><div>The overall incidence of post-spinal shivering was 39 (34.5 %) and variables such as not administering intrathecal pethidine 3.01 (AOR=3.01; 95 % CI: 1.08,8.40), blood loss 500–1000 ml (AOR=4.02;95 % CI: 1.46,11.07), co-loading with less 500 ml (AOR=4.97;95 % CI: 1.48,16.72), intraoperative maternal hypothermia(AOR=4.17;95 % CI: 1.44,12.10) were significantly associated with post-spinal anesthesia shivering.</div></div><div><h3>Conclusions</h3><div>The overall incidence of post-spinal anesthesia shivering in the study area was 39 (34.5 %). We suggest the introduction of the post-spinal anesthesia shivering management protocol.</div></div>","PeriodicalId":53468,"journal":{"name":"Perioperative Care and Operating Room Management","volume":"39 ","pages":"Article 100491"},"PeriodicalIF":0.0,"publicationDate":"2025-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143895604","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Postoperative pain control in patients in the post-anesthesia care unit: a prospective observational study","authors":"Carlos Alberto Henao Periañez ,&nbsp;Marcio Alexander Castillo-Díaz ,&nbsp;Monica Andrea Morales García","doi":"10.1016/j.pcorm.2025.100490","DOIUrl":"10.1016/j.pcorm.2025.100490","url":null,"abstract":"<div><h3>Purpose</h3><div>To analyze postoperative pain control in patients in the post-anesthesia care unit.</div></div><div><h3>Method</h3><div>This prospective observational study was conducted at a University Hospital in Minas Gerais, Brazil. Preoperative, intraoperative, and anesthesia recovery health information were considered for their association with postoperative pain control. Pain levels were measured using the verbal numeric scale (VNS, 0–10 points) from admission to discharge from the post-anesthesia care unit. The Pain Management Index (PMI, -3 to 3 points) assessed pain management adequacy. Descriptive statistics and an ordinal regression model identified associated factors, with a p-value &lt; 0.05 considered significant.</div></div><div><h3>Findings</h3><div>The sample consisted of 226 patients. Upon admission to the post-anesthesia care unit, 5.8 % of patients reported moderate to severe pain (VNS ≥ 4). According to PMI, Pain was adequately treated in 85.4 % of patients (PMI ≥ 0). However, at the time of discharge, 22.1 % of patients reported moderate to severe pain (VNS ≥ 4). Regression analysis showed that inadequate pain management (OR = 9.97, <em>p</em> &lt; 0.01) and the presence of anxiety or depression (OR = 3.89, <em>p</em> &lt; 0.01) significantly increased the odds of experiencing higher levels of pain. The coexistence of anxiety and depression was associated with a greater risk of high levels of pain (OR = 9.29, <em>p</em> &lt; 0.01). On the other hand, age (being older) was a protective factor (OR = 0.97, <em>p</em> = 0.046).</div></div><div><h3>Conclusion</h3><div>Our study found that a significant proportion of patients suffer moderate to severe postoperative pain. The results of this study may contribute to more effective postoperative care for patients with the risk factors identified in this research.</div></div>","PeriodicalId":53468,"journal":{"name":"Perioperative Care and Operating Room Management","volume":"39 ","pages":"Article 100490"},"PeriodicalIF":0.0,"publicationDate":"2025-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143830122","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}