Haddis, Lidya (2015) Prevalence and Associated Factors of Acute Back Pain Following Spinal Anesthesia in Addis Ababa Hospitals, Addis Ababa, Ethiopia, 2015. Masters thesis, Addis Ababa University.
![[img]](http://thesisbank.jhia.ac.ke/style/images/fileicons/application_pdf.png) |
PDF (Prevalence and Associated Factors of Acute Back Pain Following Spinal Anesthesia in Addis Ababa Hospitals, Addis Ababa, Ethiopia, 2015)
Lidyas' re.pdf - Accepted Version Restricted to Repository staff only Download (661kB) | Request a copy |
Abstract
Background Spinal anesthesia is one of the routinely done anesthetic procedures in practice. However, complications occur during or after anesthesia. Mostly underrated, post spinal back pain is one of the complications causing dissatisfaction in patients and leading to refusal of the procedure for future surgeries. The purpose of this study is to determine the factors having a role in the occurrence of acute back pain following spinal anesthesia. Even if the problem was indicated in many literatures, it never been studied in our country and information concerning factors that affect their occurrence are limited. Objective The objective of this research is to assess the prevalence and associated risk factors for acute back pain after spinal anesthesia at Addis Ababa Hospitals. Methods An institutional based cross sectional study was conducted on all eligible patients included in the study, who came for operation under spinal anesthesia at selected Addis Ababa Hospitals from March 16 to June 16, 2015. Patient interview and chart review were employed for data collection at 24 hr postoperatively and at 4th week. Bivariate and multivariate logistic regressions were used to determine the association. The degree of association between independent and dependent variables was assessed using odds ratio & 95% confidence interval. Those variables with p-value < 0.05 were considered as statistically significant. Result A total of 317 patients were included in this study. Assessment of the data from the postoperative 1st day and 4th week showed 39.4% and 12.5% of the patients suffered back pain respectively. Factors which had association with post spinal back pain from the multivariate logistic regression at postoperative first day were history of back pain (AOR = 8.297, 95% CI: 3.73, 18.424), duration of surgery (AOR = 3.053, 95% CI: 1.523, 6.118), repeated lumbar puncture (AOR = 5.14, 95% CI: 2.239, 11.794), 18G and 22G needle sizes (AOR = 43.024, 95% CI: 3.723, 97.167 and AOR = 3.955, 95% CI: 1.372, 11.403), infiltration of the injection site with local anesthesia (AOR = 0.261, 95% CI: 0.138, 0.492) respectively. Multivariate analysis of the risk factors at the postoperative 4th week revealed that only history of back pain showed statistically significant relevance with back pain (AOR = 4.044, 95% CI: 1.875, 8.720). Conclussion and recommendation In this study it is demonestrated that the prevalence of post spinal back pain at post-operative 1st day data showed 39.4% and at post-operative 4th week data showed 12.5% of the patients respectively. We suggest he use of smaller and less traumatic spinal needles, infiltration of theinjection site with local anesthetic prior to the intervention with spinal anesthesia and strict postoperative pain management regimes.
| Item Type: | Thesis (Masters) |
|---|---|
| Uncontrolled Keywords: | Post spinal back pain, spinal anaesthesia, back pain, Risk factors |
| Subjects: | Q Science > QR Microbiology R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine |
| Divisions: | Africana |
| Depositing User: | Emmanuel Ndorimana |
| Date Deposited: | 17 Oct 2018 14:24 |
| Last Modified: | 17 Oct 2018 14:24 |
| URI: | http://thesisbank.jhia.ac.ke/id/eprint/6890 |
Actions (login required)
 |
View Item |