전국 의료기관의 수술 후 통증관리 실태 분석
A national survey of postoperative pain managements in hospitals from the national health insurance database
- 김진현; 이영희; 양봉민
- Issue Date
- Korean J Anesthesiol 2008; 55: 458-66
- A national survey of postoperative pain managements in hospitals from the national health insurance database
Jin Hyun Kim, Ph.D., Young Hee Lee, MPH*, and Bong Min Yang, Ph.D.*
College of Nursing and Institute of Nursing Science, *Graduate School of Public Health, Seoul National University, Seoul, Korea
Background: A postoperative pain management has been considered as an important issue in surgery. However, any systematic
information or standard method about it has not been so far provided for clinicians in Korea. This study aims to analyze the
current practices of in-hospital postoperative pain controls and suggest clinical implications.
Methods: A descriptive statistical analysis was adopted to review a nationwide distribution of postoperative pain control methods
for the types of patients, surgery, hospitals, specialties, and analgesia. The data is based on the medical claims database of Health
Insurance Review Agency (HIRA), which covers all reimbursement claims from hospitals in Korea. All inpatient surgery cases
implemented during one year were included in the analysis.
Results: It was reported that 1,539,662 cases out of total 1,891,596 inpatient surgery cases were associated with one or more
types of analgesia in 2005. The most frequent type of inpatient surgery was bone surgery (24.4%). In all cases related with
analgesia, bone surgery took the highest percentage of 28.6%. It was also revealed that the most frequently used postoperative
pain management was oral or external use of NSAID (non steroidal anti-inflammatory drug), which was 75.0% of all analgesia
treatments. An epidural PCA (patient controlled analgesia), IV PCA (intra-venous patient controlled analgesia) and epidural opioid
bolus were 0.2%, 0.2% and 0.1%, respectively, of all analgesia treatments.
Conclusions: The results would certainly be useful to develop a clinical practice guideline in postoperative pain management
to enhance patient outcomes.