Background: Pain is an inevitable occurrence
following surgery and its control is an important component of post-operative care.
Many patients still suffer from poor post-operative pain control which is associated
with a lot of secondary undesirable consequences.
Methods: We conducted a prospective
observational study on 120 patients undergoing abdominal surgery over a 3-year period
in a teaching hospital to determine adequacy and pattern of analgesic prescriptions.
The patients’ case notes were retrieved from the record unit of the hospital following
discharge and relevant data extracted.
Results: The mean age of the patients
was 47.36 (±8.933). Twenty-four (20%) were older than 65 years. The most common
abdominal surgical procedure performed was appendectomy. Non-steroidal anti-inflammatory
drugs only, opiod only, opiod-NSAID combination and NSAID-NSAID combinations were
prescribed for 42.5% ,30.83%, 14.16%) and 7.85% of cases respectively and no prescription
in 3.3% of cases. Pentazocine was the most commonly prescribed opiod. Females tend
to have more opiod prescriptions than males (OR= 3.4, p=0.0052). Other factors that
favoured opiod prescription include; age <65 years (OR=4.8571, p= .0019), patient
in high social class (OR= 3.6364, p=0.4182), and Yoruba ethnicity (OR=3.2406, p=
0.0149). Non-steroidal analgesics were the most commonly prescribed analgesic to
patients that underwent major abdominal surgeries.
Conclusion: We thus recommend use of
analgesic combinations and dose adjustment based on patients’ severity of pain in
post-operative abdominal pain control.
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