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[Propensity-score-matched Comparison of Postoperative Pain Between Young and Elderly Patients Who Underwent Video-assisted Thoracoscopic Surgery for Spontaneous Pneumothorax].
Tsuboshima, Kenji; Nagata, Machiko; Wakahara, Teppei; Matoba, Yasumi; Yamamoto, Mayuko; Yamana, Hidenori; Abe, Koichiro; Oue, Hiroaki; Watanabe, Yoshihisa; Ono, Toru.
Afiliación
  • Tsuboshima K; Department of Thoracic Surgery, Takasago Municipal Hospital, Takasago, Japan.
Kyobu Geka ; 69(9): 739-43, 2016 Aug.
Article en Ja | MEDLINE | ID: mdl-27476561
Video-assisted thoracoscopic surgery (VATS) is the standard treatment for spontaneous pneumothorax(SP). Although VATS has decreased the postoperative pain in comparison with conventional thoracotomy, the procedure still often requires sufficient postoperative pain management especially for young patients, and the present study on the postoperative pain management focused on the age difference was designed. Using the numerical rating scale, we compared postoperative pain between the young group(36 patients) and the elderly group (36 patients) selected by propensity score matching in order to adjust for the patients' backgrounds. Although the young group had significantly stronger pain than the elderly group immediately after surgery(4.9±2.5 vs.3.2±2.4, p=0.002), it improved promptly. Moreover, the young group required significantly more frequent continuous infusions of opioids after surgery( p=0.001). In conclusion, it is considered that the postoperative pain management in the pneumothorax surgery should be customized according to the age.
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Colección: 01-internacional Banco de datos: MEDLINE Asunto principal: Dolor Postoperatorio / Neumotórax / Cirugía Torácica Asistida por Video Límite: Adult / Female / Humans / Male / Middle aged Idioma: Ja Revista: Kyobu Geka Año: 2016 Tipo del documento: Article País de afiliación: Japón
Buscar en Google
Colección: 01-internacional Banco de datos: MEDLINE Asunto principal: Dolor Postoperatorio / Neumotórax / Cirugía Torácica Asistida por Video Límite: Adult / Female / Humans / Male / Middle aged Idioma: Ja Revista: Kyobu Geka Año: 2016 Tipo del documento: Article País de afiliación: Japón