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The incidence and risk factors of acute pain after preoperative needle localization of pulmonary nodules: a cross-sectional study

BACKGROUND: The incidence, severity and associated risk factors of acute pain after preoperative needle localization of pulmonary nodules are poorly characterized. We therefore conducted a cross-sectional study to quantify the acute pain induced by preoperative needle localization of small pulmonary...

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Autores principales: Qin, Wen, Ge, Jun, Gong, Zhihao, Zhang, Yunyun, DiBardino, David M., Imperatori, Andrea, Tandon, Yasmeen K., Yanagiya, Masahiro, Yao, Feng, Qiu, Yuwei
Formato: Online Artículo Texto
Lenguaje:English
Publicado: AME Publishing Company 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9459605/
https://www.ncbi.nlm.nih.gov/pubmed/36090632
http://dx.doi.org/10.21037/tlcr-22-557
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author Qin, Wen
Ge, Jun
Gong, Zhihao
Zhang, Yunyun
DiBardino, David M.
Imperatori, Andrea
Tandon, Yasmeen K.
Yanagiya, Masahiro
Yao, Feng
Qiu, Yuwei
author_facet Qin, Wen
Ge, Jun
Gong, Zhihao
Zhang, Yunyun
DiBardino, David M.
Imperatori, Andrea
Tandon, Yasmeen K.
Yanagiya, Masahiro
Yao, Feng
Qiu, Yuwei
author_sort Qin, Wen
collection PubMed
description BACKGROUND: The incidence, severity and associated risk factors of acute pain after preoperative needle localization of pulmonary nodules are poorly characterized. We therefore conducted a cross-sectional study to quantify the acute pain induced by preoperative needle localization of small pulmonary nodules before video-assisted thoracoscopic surgery (VATS). METHODS: We conducted this study at Shanghai Chest Hospital from September 2021 through December 2021. Eligible patients were between 18 and 75 years old and had small pulmonary nodules requiring preoperative CT-guided needle localization. The intensity of acute pain was assessed using the visual analogue scale (VAS) after preoperative needle localization. A VAS score ≥4 cm indicated moderate to severe pain. Patient demographics and CT-guided localization factors were collected to identify significant predictors associated with moderate to severe pain. RESULTS: A total of 300 patients were included in the final analysis, with a mean (SD) age of 51 (SD =12) years old; 63% were female. Moderate to severe pain occurred in 50.8% of patients during deep breathing and 45.7% of patients during movement. Multivariate logistic regression analysis showed that multiple localization needles [multiple needle localizations vs. single needle localization, odds ratio (OR): 2.363, 95% confidence interval (CI): 1.157–4.825, P=0.018] and the specific location of needle puncture on the chest wall were significant predictors of moderate to severe pain after CT-guided needle localization (lateral chest wall vs. anterior chest wall OR: 2.235, 95% CI: 1.106–4.518, P=0.025; posterior chest wall vs. anterior chest wall OR: 1.198, 95% CI: 0.611–2.349, P=0.599). CONCLUSIONS: In adult patients receiving hookwire CT-guided localization, moderate to severe pain was common. Avoiding the localization route through lateral chest wall may be helpful and pharmacological medications or regional blockade is necessitated in high-risk population.
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spelling pubmed-94596052022-09-10 The incidence and risk factors of acute pain after preoperative needle localization of pulmonary nodules: a cross-sectional study Qin, Wen Ge, Jun Gong, Zhihao Zhang, Yunyun DiBardino, David M. Imperatori, Andrea Tandon, Yasmeen K. Yanagiya, Masahiro Yao, Feng Qiu, Yuwei Transl Lung Cancer Res Original Article BACKGROUND: The incidence, severity and associated risk factors of acute pain after preoperative needle localization of pulmonary nodules are poorly characterized. We therefore conducted a cross-sectional study to quantify the acute pain induced by preoperative needle localization of small pulmonary nodules before video-assisted thoracoscopic surgery (VATS). METHODS: We conducted this study at Shanghai Chest Hospital from September 2021 through December 2021. Eligible patients were between 18 and 75 years old and had small pulmonary nodules requiring preoperative CT-guided needle localization. The intensity of acute pain was assessed using the visual analogue scale (VAS) after preoperative needle localization. A VAS score ≥4 cm indicated moderate to severe pain. Patient demographics and CT-guided localization factors were collected to identify significant predictors associated with moderate to severe pain. RESULTS: A total of 300 patients were included in the final analysis, with a mean (SD) age of 51 (SD =12) years old; 63% were female. Moderate to severe pain occurred in 50.8% of patients during deep breathing and 45.7% of patients during movement. Multivariate logistic regression analysis showed that multiple localization needles [multiple needle localizations vs. single needle localization, odds ratio (OR): 2.363, 95% confidence interval (CI): 1.157–4.825, P=0.018] and the specific location of needle puncture on the chest wall were significant predictors of moderate to severe pain after CT-guided needle localization (lateral chest wall vs. anterior chest wall OR: 2.235, 95% CI: 1.106–4.518, P=0.025; posterior chest wall vs. anterior chest wall OR: 1.198, 95% CI: 0.611–2.349, P=0.599). CONCLUSIONS: In adult patients receiving hookwire CT-guided localization, moderate to severe pain was common. Avoiding the localization route through lateral chest wall may be helpful and pharmacological medications or regional blockade is necessitated in high-risk population. AME Publishing Company 2022-08 /pmc/articles/PMC9459605/ /pubmed/36090632 http://dx.doi.org/10.21037/tlcr-22-557 Text en 2022 Translational Lung Cancer Research. All rights reserved. https://creativecommons.org/licenses/by-nc-nd/4.0/Open Access Statement: This is an Open Access article distributed in accordance with the Creative Commons Attribution-NonCommercial-NoDerivs 4.0 International License (CC BY-NC-ND 4.0), which permits the non-commercial replication and distribution of the article with the strict proviso that no changes or edits are made and the original work is properly cited (including links to both the formal publication through the relevant DOI and the license). See: https://creativecommons.org/licenses/by-nc-nd/4.0 (https://creativecommons.org/licenses/by-nc-nd/4.0/) .
spellingShingle Original Article
Qin, Wen
Ge, Jun
Gong, Zhihao
Zhang, Yunyun
DiBardino, David M.
Imperatori, Andrea
Tandon, Yasmeen K.
Yanagiya, Masahiro
Yao, Feng
Qiu, Yuwei
The incidence and risk factors of acute pain after preoperative needle localization of pulmonary nodules: a cross-sectional study
title The incidence and risk factors of acute pain after preoperative needle localization of pulmonary nodules: a cross-sectional study
title_full The incidence and risk factors of acute pain after preoperative needle localization of pulmonary nodules: a cross-sectional study
title_fullStr The incidence and risk factors of acute pain after preoperative needle localization of pulmonary nodules: a cross-sectional study
title_full_unstemmed The incidence and risk factors of acute pain after preoperative needle localization of pulmonary nodules: a cross-sectional study
title_short The incidence and risk factors of acute pain after preoperative needle localization of pulmonary nodules: a cross-sectional study
title_sort incidence and risk factors of acute pain after preoperative needle localization of pulmonary nodules: a cross-sectional study
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9459605/
https://www.ncbi.nlm.nih.gov/pubmed/36090632
http://dx.doi.org/10.21037/tlcr-22-557
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