Acute Postoperative Pain in Patients Undergoing Video-Assisted Thoracoscopic Lobectomy
Public Deposited- Last Modified
- April 4, 2020
- Creator
-
Wang, Jacob
- Affiliation: Gillings School of Global Public Health, Public Health Leadership Program
- Abstract
- Background: Lobectomy via video-assisted thoracoscopic surgery (VATS) is becoming more widespread. However, to my knowledge, the postoperative pain experience of patients undergoing VATS lobectomy has never been described using methods that retain individual level data. In this paper, I assessed the acute postoperative pain experience of patients undergoing VATS lobectomy. Methods: A systematic review of the literature was conducted to describe the acute postoperative pain experience of patients undergoing VATS lobectomy and to identify any known clinical or demographic characteristics that may predict this pain. Following this literature search, a retrospective chart review was performed for all adult patients who underwent VATS lobectomy at UNC Hospitals, a large academic center from 2003 to 2012. Demographic, clinical characteristics, and self-reported pain scores (0-10 numeric rating scale) during hospitalization were abstracted from the medical record. Pain scores ≥4 were classified as moderate or severe, and substantial pain was defined as ≥60% of pain ratings in the moderate or severe range during a particular time period. Pain outcomes were summarized using descriptive statistics and secondary analyses assessed the predictors of substantial postoperative pain. Results: Eight studies were identified in the systematic review. These studies found that patients experienced mild, moderate, and severe postoperative pain, but none found reliable predictors of postoperative pain and none described pain experiences using individual level data. The chart review found ninety-three patients who underwent VATS lobectomy during the study period and had pain scores available for review in their medical records. One in two patients experienced substantial postoperative pain on the day of surgery, two in five had substantial postoperative pain the following day, and one in four had substantial postoperative pain for the overall hospitalization. Commonly available clinical and demographic characteristics were poor predictors of substantial postoperative pain. Conclusion: These preliminary data suggest that substantial postoperative pain is common in patients undergoing VATS lobectomy. More studies of postoperative pain outcomes in VATS lobectomy patients using methods that retain individual level data are needed.
- Date of publication
- August 2013
- DOI
- Resource type
- Rights statement
- In Copyright
- Note
- Track: HC&P
- Paper type: Research or research design
- Advisor
- Viera, Anthony
- Reviewer
- McLean, Samuel
- Degree
- Master of Public Health
- Degree granting institution
- University of North Carolina at Chapel Hill
- Graduation year
- 2013
- Language
- Deposit record
- 564d1737-ca9b-4211-9c3e-c1926665c3df
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