Postoperative Analgesic Intake Needs (PAIN) Score of Johnson et al Following Spinal Surgery

Description

Johnson et al reported the Postoperative Analgesic Intake Needs (PAIN) Score. This can help to identify a patient with high analgesic requirements prior to surgery. The authors are from the University of Texas Southwestern Medical Center and Northwestern University.

Patient selection: prior to spinal surgery

Outcome: need for > 100 MME per day status post surgery

Parameters:

(1) age in years

(2) race

(3) history of depression and/or anxiety

(4) active preoperative benzodiazepine use

(5) active preoperative opioid use

(6) smoking history

(7) surgical category

Parameter	Finding	Points
age in years	<= 44 years	8
	45 to 64 yeara	3
	>= 65 years	0
race	white/Caucasian	2
	other	0
depression or anxiety	no	0
	yes	1
benzodiazepine use	no	0
	yes	1
opioid use	no	0
	schedule II narcotic	4
	schedule III or IV narcotic	2
smoking history	current	3
	never or former	0
surgical category	lumbar, long segment	3
	lumber, short segment	1
	posterior cervical or thoracic	1
	anterior cervical	0

total score =

= SUM(points for all of the parameters)

Interpretation:

• minimum score: 0

• maximum score: 22

Total Score	Risk of High Opioid Consumption After Surgery	Percent High Opioid Requirements
<= 5	low	51%
6 to 10	moderate	28%
>= 11	high	6%

To read more or access our algorithms and calculators, please log in or register.

Postoperative Analgesic Intake Needs (PAIN) Score of Johnson et al Following Spinal Surgery

Description

Specialty