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Is there a relationship between body mass index and postoperative pain scores in thoracotomy patients with thoracic epidural analgesia?
Postoperative efficacy of thoracic epidural analgesia (TEA) following thoracic surgery may vary in patients with different body mass index (BMI) values, regardless of the success of the method. This study aimed to investigate the effects of BMI on postoperative pain scores in patients who underwent...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Lippincott Williams & Wilkins
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8677892/ https://www.ncbi.nlm.nih.gov/pubmed/34918653 http://dx.doi.org/10.1097/MD.0000000000028010 |
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author | Zengin, Musa Ulger, Gulay Baldemir, Ramazan Sazak, Hilal Alagoz, Ali |
author_facet | Zengin, Musa Ulger, Gulay Baldemir, Ramazan Sazak, Hilal Alagoz, Ali |
author_sort | Zengin, Musa |
collection | PubMed |
description | Postoperative efficacy of thoracic epidural analgesia (TEA) following thoracic surgery may vary in patients with different body mass index (BMI) values, regardless of the success of the method. This study aimed to investigate the effects of BMI on postoperative pain scores in patients who underwent thoracotomy with TEA. After obtaining the ethical committee approval (Date: May 11, 2021, Number: 2012-KEAK-15/2305) the data of 1326 patients, who underwent elective thoracic surgery in high volume tertiary thoracic surgery center between January 2017 and January 2021, were analyzed retrospectively. Patients between the age of 18 and 80 years, who underwent thoracotomy and thoracic epidural catheterization (TEC), and who were assigned American Society of Anesthesiologists I to III physical status were included to the study. Of the 406 patients, who underwent a successful TEC, 378 received postoperative analgesia for 72 hours. Visual analog scale (VAS) scores of these patients were evaluated statistically. Based on BMI, patients were categorized into the following 5 groups: Group I: BMI < 20 kg/m(2), Group II: BMI = 20 to 24.9 kg/m(2), Group III: BMI = 25 to 29.9 kg/m(2), Group IV: BMI = 30 to 34.9 kg/m(2), and Group V: BMI ≥ 35 kg/m(2). There were no statistically significant differences in TEC success across different BMI groups (P > .05). Catheter problems and VAS scores significantly increased with higher BMI values in the postoperative 72-hours period (P < .05). Rates of rescue analgesic use were higher in BMI groups of 30 toto 34.9 kg/m(2) and ≥35 kg/m(2) compared to the other BMI groups. This study revealed that higher BMI in patients may increase VAS scores, who administered TEA for pain management following thoracotomy. This correlation was supported by the increased need for additional analgesics in patients with high BMI. Therefore, patients with high BMI values would require close monitoring and follow-up. |
format | Online Article Text |
id | pubmed-8677892 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Lippincott Williams & Wilkins |
record_format | MEDLINE/PubMed |
spelling | pubmed-86778922021-12-20 Is there a relationship between body mass index and postoperative pain scores in thoracotomy patients with thoracic epidural analgesia? Zengin, Musa Ulger, Gulay Baldemir, Ramazan Sazak, Hilal Alagoz, Ali Medicine (Baltimore) 3300 Postoperative efficacy of thoracic epidural analgesia (TEA) following thoracic surgery may vary in patients with different body mass index (BMI) values, regardless of the success of the method. This study aimed to investigate the effects of BMI on postoperative pain scores in patients who underwent thoracotomy with TEA. After obtaining the ethical committee approval (Date: May 11, 2021, Number: 2012-KEAK-15/2305) the data of 1326 patients, who underwent elective thoracic surgery in high volume tertiary thoracic surgery center between January 2017 and January 2021, were analyzed retrospectively. Patients between the age of 18 and 80 years, who underwent thoracotomy and thoracic epidural catheterization (TEC), and who were assigned American Society of Anesthesiologists I to III physical status were included to the study. Of the 406 patients, who underwent a successful TEC, 378 received postoperative analgesia for 72 hours. Visual analog scale (VAS) scores of these patients were evaluated statistically. Based on BMI, patients were categorized into the following 5 groups: Group I: BMI < 20 kg/m(2), Group II: BMI = 20 to 24.9 kg/m(2), Group III: BMI = 25 to 29.9 kg/m(2), Group IV: BMI = 30 to 34.9 kg/m(2), and Group V: BMI ≥ 35 kg/m(2). There were no statistically significant differences in TEC success across different BMI groups (P > .05). Catheter problems and VAS scores significantly increased with higher BMI values in the postoperative 72-hours period (P < .05). Rates of rescue analgesic use were higher in BMI groups of 30 toto 34.9 kg/m(2) and ≥35 kg/m(2) compared to the other BMI groups. This study revealed that higher BMI in patients may increase VAS scores, who administered TEA for pain management following thoracotomy. This correlation was supported by the increased need for additional analgesics in patients with high BMI. Therefore, patients with high BMI values would require close monitoring and follow-up. Lippincott Williams & Wilkins 2021-12-17 /pmc/articles/PMC8677892/ /pubmed/34918653 http://dx.doi.org/10.1097/MD.0000000000028010 Text en Copyright © 2021 the Author(s). Published by Wolters Kluwer Health, Inc. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution-Non Commercial License 4.0 (CCBY-NC), where it is permissible to download, share, remix, transform, and buildup the work provided it is properly cited. The work cannot be used commercially without permission from the journal. http://creativecommons.org/licenses/by-nc/4.0 (https://creativecommons.org/licenses/by-nc/4.0/) |
spellingShingle | 3300 Zengin, Musa Ulger, Gulay Baldemir, Ramazan Sazak, Hilal Alagoz, Ali Is there a relationship between body mass index and postoperative pain scores in thoracotomy patients with thoracic epidural analgesia? |
title | Is there a relationship between body mass index and postoperative pain scores in thoracotomy patients with thoracic epidural analgesia? |
title_full | Is there a relationship between body mass index and postoperative pain scores in thoracotomy patients with thoracic epidural analgesia? |
title_fullStr | Is there a relationship between body mass index and postoperative pain scores in thoracotomy patients with thoracic epidural analgesia? |
title_full_unstemmed | Is there a relationship between body mass index and postoperative pain scores in thoracotomy patients with thoracic epidural analgesia? |
title_short | Is there a relationship between body mass index and postoperative pain scores in thoracotomy patients with thoracic epidural analgesia? |
title_sort | is there a relationship between body mass index and postoperative pain scores in thoracotomy patients with thoracic epidural analgesia? |
topic | 3300 |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8677892/ https://www.ncbi.nlm.nih.gov/pubmed/34918653 http://dx.doi.org/10.1097/MD.0000000000028010 |
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