ArticleBMC anesthesiology2022
Incidence and risk factors for acute shoulder pain after hepatectomy: a nested case-control study.
Article in BMC anesthesiology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed, 6 citations in OpenAlex.
- Association between postoperative shoulder pain and left-side laparoscopic urologic surgery: a single-center retrospective cohort study.Journal of anesthesia · 2024Article
- Efficacy of Ultrasound-Guided Interscalene Brachial Plexus Block for Acute Post-Hepatectomy Shoulder Pain: A Randomized Controlled Trial [Letter].Journal of pain research · 2024Article
- The Clinical Considerations of Interscalene Brachial Plexus Block in the Treatment of Post-Hepatectomy Shoulder Pain [Response to Letter].Journal of pain research · 2024Article
- Efficacy of Ultrasound-Guided Interscalene Brachial Plexus Block for Acute Post-Hepatectomy Shoulder Pain: A Randomized Controlled Trial.Journal of pain research · 2024Article
- Influence of extent of surgical resection on post-hepatectomy shoulder pain: an observational study.Scientific reports · 2023Observational
- Unveiling the superior analgesic: Thoracic epidural versus intrathecal morphine in open live donor hepatectomy - A randomized controlled trial.Journal of anaesthesiology, clinical pharmacologyArticle
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
Abstract
backgroundShoulder pain is commonly reported after hepatic surgery; however, the factors affecting post-hepatectomy shoulder pain remain unclear. This study aimed to determine the incidence and risk factors of shoulder pain after hepatectomy.
methodsThis prospective cohort study recruited 218 patients who underwent hepatic resection at our hospital from June to September 2022. Data were obtained from electronic medical records and follow-up assessments on the second postoperative day. All patients denied chronic pain before surgery. In this cohort study, patients were grouped according to the appearance of shoulder pain. Demographic information and perioperative data were compared between the two groups. The relationship between shoulder pain and independent variables was assessed using univariate binary logistic regression analysis. The potential risk factors were analyzed using multivariable binary logistic regression.
resultsOf the 218 patients enrolled in this cohort study, 91 (41.7%) reported shoulder pain. Patients in the case group were significantly younger than those in the control group (P = 0.001). Epidural anesthesia was used more frequently in the case group (P = 0.012). Patients over 60 years of age showed a lower incidence of shoulder pain than younger patients (P = 0.028). According to multivariable binary logistic regression analysis, advanced age and epidural anesthesia were associated with risk of shoulder pain (advanced age: odds ratio [OR] [95% confidence interval (CI)]: 0.96 [0.94, 0.99], P = 0.002; epidural anesthesia: OR [95% CI]: 2.08 [1.18, 3.69], P = 0.012).
conclusionsThe incidence of acute shoulder pain after hepatectomy is 41.7%. The application of epidural anesthesia is an independent risk factor for shoulder pain after hepatectomy, whereas advanced age is a protective factor.
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