Retrospective Analysis of Factors Affecting Chronic Postoperative Pain After Thoracotomy

Study Overview
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Brief Summary
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The aim of this retrospective study is to determine the factors affecting the development of chronic pain in patients with thoracotomy in the Thoracic Surgery Operating Rooms of İbn-i Sina Hospital. By identifying these factors, it is aimed to apply the necessary treatments to prevent the development of chronic pain and to improve patient outcomes.

Detailed Description
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The study included 229 patients ASA 1, 2 and 3, 18 years of age and older, who underwent elective thoracotomy in Ankara University İbn-i Sina Hospital, Thoracic Surgery operating room between 01.01.2016 and 31.12.2020. The medical files and electronic records of the patients were scanned from the system. Age, gender, weight, ASA score, smoking, comorbidities (hypertension, diabetes), drug use, malignancy, chemotherapy history, radiotherapy history, intraoperative and postoperative analgesia method, duration of acute pain, type of surgery, duration of surgery, duration of anesthesia, rib resection, number of chest tubes and duration time, time to apply to the pain clinic, and the analgesic method applied were recorded.

Official Title
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Retrospective Analysis of Factors Affecting Chronic Postoperative Pain After Thoracotomy

Conditions
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Chronic Pain Syndrome, Thoracotomy

Intervention / Treatment
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* Procedure: thoracotomy


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: asa 1,2 and 3 18 year of age and older underwent elective thoracotomy Exclusion Criteria: ASA 4 and 5, emergency or trauma thoracotomy, patients with malignancy infiltrating the chest wall, more than one thoracotomy performed, patients whose cardiovascular or cerebrovascular or musculoskeletal system was affected at a level that would affect their daily activities after surgery, and patients with insufficient data for various reasons

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| patients with chronic pain after thoracotomy<br>patients with chronic pain after thoracotomy | Procedure: thoracotomy<br>* thoracic surgery for pulmonary diseases<br>|
| patients without chronic pain after thoracotomy<br>patients without chronic pain after thoracotomy | Procedure: thoracotomy<br>* thoracic surgery for pulmonary diseases<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| number of patients who had chronic pain after thoracotomy | number of patients who had chronic pain after thoracotomy | 3 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| type of analgesic | analgesic methods used for acute postoperative pain | 3 months |