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Incidence and Risk Factors for Ipsilateral Shoulder Pain Following Thoracic Surgery.

Abe Tomoharu1, Yuta Mitobe2

  • 1Nursing, Toho University Omori Medical Center, Tokyo, JPN.

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Summary

Ipsilateral shoulder pain (ISP) affects 35.4% of patients post-thoracic surgery. Prolonged lateral positioning and specific surgical types, like lobectomy, increase the risk of developing ISP.

Keywords:
ipsilateral shoulder painlateral decubitus positionshoulder painthoracotomyvideo-assisted thoracoscopic surgery

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Area of Science:

  • Thoracic Surgery
  • Pain Management
  • Postoperative Care

Background:

  • Ipsilateral shoulder pain (ISP) is a common complication after thoracic surgery.
  • ISP can be challenging to manage and negatively impacts patient quality of life (QOL).

Purpose of the Study:

  • To determine the incidence of ISP following thoracic surgery.
  • To identify risk factors associated with ISP development.

Main Methods:

  • Retrospective observational study of 328 adult patients undergoing thoracic surgery.
  • Comparison of perioperative variables between patients with and without ISP.
  • Logistic regression analysis to identify independent risk factors.

Main Results:

  • The incidence of ISP was 35.4% (116/328 patients).
  • Multivariate analysis revealed that type of surgery (lobectomy, partial lung resection) and prolonged lateral decubitus position (≥210 minutes) were independently associated with ISP.
  • Several other perioperative variables showed significant differences in univariate analysis.

Conclusions:

  • ISP occurs in over a third of patients after thoracic surgery.
  • Extended time in the lateral decubitus position and specific surgical procedures are significant risk factors for ISP.
  • Findings suggest strategies to mitigate ISP risk through positioning and surgical planning.