Preprint Article Version 1 This version is not peer-reviewed

Enhancing Pain Management and Psychological Recovery in Earthquake Victims: The Impact of Catheterization Assessed by QoR-15

Ergun Mendes
* ,
Ozal Adiyeke
ORCID logo ,
Onur Sarban
ORCID logo ,
Melih Civan
ORCID logo ,
Okyar Altas
ORCID logo ,
Alperen Korucu
ORCID logo ,
Funda Gumus Ozcan
,
Gozen Oksuz
ORCID logo
Version 1 : Received: 18 October 2024 / Approved: 24 October 2024 / Online: 24 October 2024 (15:57:08 CEST)

How to cite: Mendes, E.; Adiyeke, O.; Sarban, O.; Civan, M.; Altas, O.; Korucu, A.; Ozcan, F. G.; Oksuz, G. Enhancing Pain Management and Psychological Recovery in Earthquake Victims: The Impact of Catheterization Assessed by QoR-15. Preprints 2024, 2024101969. https://doi.org/10.20944/preprints202410.1969.v1 Mendes, E.; Adiyeke, O.; Sarban, O.; Civan, M.; Altas, O.; Korucu, A.; Ozcan, F. G.; Oksuz, G. Enhancing Pain Management and Psychological Recovery in Earthquake Victims: The Impact of Catheterization Assessed by QoR-15. Preprints 2024, 2024101969. https://doi.org/10.20944/preprints202410.1969.v1

Abstract

Background/Objectives: After the earthquakes in Turkey, many citizens were injured, and a long process requiring physiological and psychological treatments started in the ongoing process. The aim of this study was to observe the pain and psychological changes in earthquake victims in light of the QoR-15 score. Methods: After approval by the local ethics committee (Decision No. 2023-194), earthquake victims with catheters in trauma and reconstructive surgery were retrospectively evaluated. Demographic and catheterization data were collected. Baseline, 24-hour, and 72-hour QoR-15 (Quality of Recovery-15) and VAS (Visual Analog Scala) scores were compared for changes over time. Results: A total of 40 catheters were placed in 29 patients (after the exclusion of children, 36 catheters were evaluated in 26 (15 w/11 m) patients). The mean age of the patients was 35.57 ± 13.69 years, and the duration of catheterization was 8 (4.25–12.75) days. Infusion of 0.1% bupivacaine 0.5–1 mg/kg/24 h was started routinely. The QoR-15 scores of the patients at baseline, 24-hour, and 72-hour were 80.45 ± 17.76, 95.27 ± 15.16, and 101.06 ± 15.52, respectively (p<0.001). The VAS scores of the patients at baseline, 24-hour, and 72-hour were 4.61 ± 1.41, 1.79 ± 1.36, and 0.76 ± 0.86, respectively (p<0.001). Conclusions: In this study, a significant improvement in QoR-15 and VAS scores was achieved as a result of catheter insertion in earthquake victims. Considering that post-traumatic injuries require repeated surgeries and that pain aggravates the existing psychological state, it can be said that catheterization is beneficial.

Keywords

earthquake; compartment syndrome; peripheral nerve catheterization; QoR-15; crush syndrome

Subject

Medicine and Pharmacology, Anesthesiology and Pain Medicine

Copyright: This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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