Factors associated with moderate to severe pain during the first 24 hours after modified uvulopalatopharyngoplasty: a retrospective study
Issued Date
2022-03-01
Resource Type
ISSN
27246302
eISSN
27246760
Scopus ID
2-s2.0-85129608276
Journal Title
Otorhinolaryngology(Italy)
Volume
72
Issue
1
Start Page
15
End Page
20
Rights Holder(s)
SCOPUS
Bibliographic Citation
Otorhinolaryngology(Italy) Vol.72 No.1 (2022) , 15-20
Suggested Citation
Raykateeraroj N. Factors associated with moderate to severe pain during the first 24 hours after modified uvulopalatopharyngoplasty: a retrospective study. Otorhinolaryngology(Italy) Vol.72 No.1 (2022) , 15-20. 20. doi:10.23736/S2724-6302.20.02321-8 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/86037
Title
Factors associated with moderate to severe pain during the first 24 hours after modified uvulopalatopharyngoplasty: a retrospective study
Author(s)
Author's Affiliation
Other Contributor(s)
Abstract
BACKGROUND: Uvulopalatopharyngoplasty (UPPP) is an extensive airway surgery for obstructive sleep apnea (OSA) patients causing considerable perioperative pain. The OSA patients usually receive inadequate pain control due to the risk of opioid-induced respiratory depression, and the risk of postoperative bleeding from nonsteroidal anti-inflammatory drugs (NSAIDs) usage. Hence, this study aimed to identify the risk factors associated with postoperative pain. Thereby, an effective pain management strategy can be developed. METHODS: This retrospective study included patients who had underwent modified UPPP from April 2012 to December 2017. Patient factors, anesthetic factors, surgical factors, pain score at the Postanesthesia Care Unit, and in the first 24-hour postoperative were collected and analyzed. RESULTS: In total, 190 patients were included. The mean age was 38.7±11.3 years old and the mean Body Mass Index (BMI) was 24.0±4.7 kg/m2, and 91.6% of patients were male. The incidence of moderate (Visual Analog Scale Score [VAS] of 4-6 out of 0-10) to severe pain (VAS≥7) during the first 24 hours after the modified UPPP was 32.6%. Multivariate analysis revealed that radiofrequency (RF) turbinate reduction (odds ratio [OR]=1.98; 95% Confidence Interval (CI): 1.04-3.771) and every additional 50 mL of bleeding (OR=1.36, 95% CI: 1.02-1.831) were associated with moderate to severe pain during the first 24 hours postoperative. CONCLUSIONS: The incidence of moderate to severe pain during the first 24 hours after the modified UPPP was 32.6% and the significant risk factors were intraoperative blood loss and radiofrequency turbinate reduction.