Pain evaluation in outpatients undergoing diagnostic anesthesia-free hysteroscopy in a teaching hospital: A cohort study

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dc.contributor.authorCarvalho Schettini, Juliana A. de
dc.contributor.authorRamos de Amorim, Melania Maria
dc.contributor.authorRibeiro Costa, Aurelio Antonio
dc.contributor.authorAlbuquerque Neto, Luiz Cavalcante
dc.contributor.institutionInst Materno Infantil Pernambuco
dc.contributor.institutionUniversidade Federal de São Paulo (UNIFESP)
dc.date.accessioned2016-01-24T13:49:11Z
dc.date.available2016-01-24T13:49:11Z
dc.date.issued2007-11-01
dc.description.abstractSTUDY OBJECTIVE: To evaluate and determine the main causes for pain occurrence and intensity in outpatients undergoing anesthesia-free hysteroscopy in a medical school hospital.DESIGN: Cohort study (Canadian Task Force classification II-2).SETTING: Diagnosis Center of the Instituto Materno-Infantil de Pernambuco.PATIENTS: One hundred seventy-one outpatients undergoing anesthesia-free diagnostic hysteroscopy.INTERVENTION: To assess pain occurrence, intensity, and associated factors reported by patients undergoing anesthesia-free diagnostic hysteroscopy.MEASUREMENTS and MAIN RESULTS: Pain frequency and intensity were determined by visual analog scale (VAS) at the end of the procedure and at 15-, 30-, and 60-minute intervals. Data analysis of clinical, obstetric, and gynecologic history and its association with pain was performed. Association through X-2 test (Pearson), risk ratio with 95% Cl, and multiple logistic regression were used for statistical analysis. Pain score was higher immediately after the procedure with a median of 6, decreasing to 3, 1, and 0 at 15-, 30-, and 60-minute intervals, respectively. Multiple logistic regression was performed, and the only parameters remaining that were significantly associated with pain were menopause, speculum placement, and the absence of previous vaginal delivery.CONCLUSION: Anesthesia-free diagnostic hysteroscopy is often associated with pain, and it has been determined that menopause, speculum placement, and absence of previous vaginal delivery are factors associated with pain occurrence and intensity. (C) 2007 AAGL. All rights reserved.en
dc.description.affiliationInst Materno Infantil Pernambuco, Recife, PE, Brazil
dc.description.affiliationUniversidade Federal de São Paulo, São Paulo, Brazil
dc.description.affiliationUnifespUniversidade Federal de São Paulo, São Paulo, Brazil
dc.description.sourceWeb of Science
dc.format.extent729-735
dc.identifierhttp://dx.doi.org/10.1016/j.jmig.2007.05.009
dc.identifier.citationJournal of Minimally Invasive Gynecology. New York: Elsevier B.V., v. 14, n. 6, p. 729-735, 2007.
dc.identifier.doi10.1016/j.jmig.2007.05.009
dc.identifier.issn1553-4650
dc.identifier.urihttp://repositorio.unifesp.br/handle/11600/30128
dc.identifier.wosWOS:000250986900012
dc.language.isoeng
dc.publisherElsevier B.V.
dc.relation.ispartofJournal of Minimally Invasive Gynecology
dc.rightsinfo:eu-repo/semantics/restrictedAccess
dc.rights.licensehttp://www.elsevier.com/about/open-access/open-access-policies/article-posting-policy
dc.subjecthysteroscopyen
dc.subjectpainen
dc.subjectvisual analog scaleen
dc.subjectcomplicationsen
dc.titlePain evaluation in outpatients undergoing diagnostic anesthesia-free hysteroscopy in a teaching hospital: A cohort studyen
dc.typeinfo:eu-repo/semantics/article
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