title: [Propensity-score-matched Comparison of Postoperative Pain Between Young and Elderly Patients Who Underwent Video-assisted Thoracoscopic Surgery for Spontaneous Pneumothorax].
abstract: 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.
authors.affiliation: Department of Thoracic Surgery, Takasago Municipal Hospital, Takasago, Japan.
authors.forename: Kenji
authors.initials: K
authors.lastname: Tsuboshima
authors.forename: Machiko
authors.initials: M
authors.lastname: Nagata
authors.forename: Teppei
authors.initials: T
authors.lastname: Wakahara
authors.forename: Yasumi
authors.initials: Y
authors.lastname: Matoba
authors.forename: Mayuko
authors.initials: M
authors.lastname: Yamamoto
authors.forename: Hidenori
authors.initials: H
authors.lastname: Yamana
authors.forename: Koichiro
authors.initials: K
authors.lastname: Abe
authors.forename: Hiroaki
authors.initials: H
authors.lastname: Oue
authors.forename: Yoshihisa
authors.initials: Y
authors.lastname: Watanabe
authors.forename: Toru
authors.initials: T
authors.lastname: Ono
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010147:Pain Measurement; D010149:Postoperative Pain; D011030:Pneumothorax / Q000601:surgery*; D020775:Thoracic Surgery, Video-Assisted / Q000009:adverse effects*