Key result
Moderate-severe postoperative pain occurred in 15.6% of patients within 48 hours after VATS, with smoking history significantly increasing the risk of pain within 24 hours (OR 1.86).
Why the study?
Moderate-severe pain after surgical procedures is associated with decreased quality of life and increased costs, but its incidence and predictive factors following VATS required identification.
What are the incidence and predictive factors of moderate-severe postoperative pain in adult patients undergoing video-assisted thoracoscopic surgery?
Cohort (n=1,164)
No
What are the incidence and predictive factors of moderate-severe postoperative pain in adult patients undergoing video-assisted thoracoscopic surgery?
Odds Ratio: 1.86 (95% CI 1.29–2.7)
p-value: p=0.001
Moderate-severe postoperative pain following VATS occurs in up to 15.6% of patients within 48 hours, with younger age, higher BMI, prior pain, smoking, and more chest tubes identified as key risk factors.
May inform preoperative risk assessment after VATS; leaves open whether targeted interventions reduce moderate-severe pain.
Moderate-severe pain after surgical procedures is associated with decreased quality of life and increased costs. This study aimed to identify the incidence and predictive factors of moderate-severe postoperative pain within 48 hours following video-assisted thoracoscopic surgery (VATS) in a tertiary hospital. A retrospective cohort analysis was performed using medical records of adult patients who underwent VATS between January 2015 and December 2016. Logistic regression was performed to identify predictive factors for moderate-severe pain (visual analogue scale, VAS ≥ 4) within 24 hours and within 48 hours postoperatively. Of the 1164 participants, the incidence of moderate-severe pain was 12.7% within the first 24 hours and 15.6% within the first 48 hours after surgery. In multivariable analysis, the independent risk factors related to moderate-severe pain within 24 hours after surgery were younger age, increased body mass index, preoperative pain within 1 month and history of smoking. The risk factors for moderate-severe acute pain within 48 hours were almost the same, except that the number of chest tubes were also included. Moderate-severe postoperative pain following VATS is not rare, and presence of several risk factors deserves more aggressive pain management strategies perioperatively.
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Sun et al. (2020) conducted a cohort in Patients undergoing video-assisted thoracoscopic surgery (VATS) for lung disease (n=1,164). Smoking history vs. No smoking history was evaluated on Moderate-severe pain (VAS ≥ 4) within 24 hours postoperatively (OR 1.86, 95% CI 1.29-2.70, p=0.001). Moderate-severe postoperative pain occurred in 15.6% of patients within 48 hours after VATS, with smoking history significantly increasing the risk of pain within 24 hours (OR 1.86).
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