High Eckardt score and previous treatment were associated with poor postperoral endoscopic myotomy pain control:A retrospective study

作     者：Wan-Nan Chen Yao-Lin Xu Xiao-Guang Zhang 

作者机构：Department of AnesthesiaZhongshan HospitalFudan UniversityShanghai 200032China Department of General SurgeryZhongshan Hospital Fudan UniversityShanghai 200032China 

出 版 物：《World Journal of Clinical Cases》 (世界临床病例杂志)

年 卷 期：2022年第10卷第17期

页      面：5655-5666页

核心收录：

学科分类：1002[医学-临床医学] 100217[医学-麻醉学] 10[医学] 

主　　题：Achalasia Peroral endoscopic myotomy Anesthesia Postoperative pain Sleep quality Nomogram 

摘      要：BACKGROUND Peroral endoscopic myotomy(POEM)is a safe and effective endoscopic treatment for ***,postoperative pain management for these patients is often neglected by anesthesiologists because of the short operative time,short hospital stay and the minimally invasive nature of the *** To assess the pain and sleep quality of achalasia patients receiving the POEM procedure and investigate factors that affect postoperative *** This observational study included patients with achalasia who underwent POEM at Zhongshan Hospital from December 2017 to March *** anesthesia was performed with endotracheal *** postoperative visual analog scale(VAS),postoperative sleep quality,basic patient information,and surgical parameters were *** on whether the 12-h post-POEM VAS score was less than 4,patients were divided into two groups,a well-controlled pain group and a poorly controlled pain ***,multivariate,and stepwise logistic regression analyses were used to investigate risk factors for poor pain control.A prediction model of post-POEM pain risk was established in the form of a *** calibration curve and receiver operating characteristic curve were used to evaluate the clinical usage of the prediction *** measures analysis of variance and simple effect analysis were used to verify whether differences in the VAS and sleep scores of the high-and low-risk groups,divided by the model from the raw data,were statistically *** A total of 45 eligible patients were *** logistic regression and further stepwise logistic regression analysis found that the preoperative Eckardt score[odds ratio(OR):1.82,95% confidence interval(CI):1.17-2.84,P0.001],previous treatment(OR:7.59,95%CI:1.12-51.23,P=0.037)and the distance between the end of the muscle incision and the cardia(OR:1.52,95%CI:0.79-293.93,P=0.072)were risk factors for post-POEM *** measures analys