Independent risk factors for postoperative pain in need of intervention early after awakening from general anaesthesia

This study analyzed risk factors for anxiety and depression in 714 patients who received surgery for endometrial cancer. Our data indicate that the incidence of postoperative anxiety and depression in 714 patients with endometrial cancer was 15.55% and 32.77%, respectively. Univariate and logistic regression analysis showed postoperative pain (odds ratio (OR) = 3.166, P = 0.000) and combined liver disease (OR = 2.318, P = 0.001) were independent risk factors for postoperative anxiety. Additionally, CD4+/CD8+ (OR = 0.513, P = 0.042) and natural killer (NK) cell ratios (OR = 0.692, P = 0.021) were independent protective factors for postoperative anxiety. As for depression, low literacy (OR = 1.943, P = 0.042), postoperative pain (OR = 2.671, P = 0.001), high clinical stage (OR = 3.469, P = 0.009), and combined liver disease (OR = 4.865, P = 0.000) were independent risk factors for postoperative depression. CD4+/CD8+ (OR = 0.628, P = 0.002) and NK cell ratio (OR = 0.710, P = 0.013) were independent protective factors for postoperative depression. In conclusion, patients with endometrial cancer have a higher incidence of postoperative anxiety and depression where postoperative pain, liver disease, and decreased immune function are risk factors for both anxiety and depression in these patients.

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Risk factors of sleep disturbances in elderly patients after thoracic surgery: a preliminary clinical trial

10.21203/rs.3.rs-137521/v1 ◽

2021 ◽

Author(s):

Bing Li ◽

Yao Liu ◽

Jia Jia ◽

Fudong Tang ◽

Wei Zhang ◽

...

Keyword(s):

Risk Factors ◽

Postoperative Pain ◽

Elderly Patients ◽

Thoracic Surgery ◽

Sleep Quality ◽

Nerve Block ◽

Sleep Disturbances ◽

Chronic Insomnia ◽

Independent Risk Factors ◽

Surgical Duration

Abstract BackgroundTo identify the risk factors of sleep disturbances in elderly patients after thoracic surgery.MethodsWe enrolled 200 patients, all aged > 65, who underwent elective thoracic surgery and had American Society of Anesthesiology physical status II–III. We recorded general information, surgical diagnosis, type of operation, surgical duration, bleeding, nerve block, and dexmedetomidine dose given by controlled intravenous analgesia (PCIA). We used the Pittsburgh Sleep Quality Index (PSQI) at the end of PCIA to evaluate subjective sleep quality; we also recorded postoperative pain, nausea, and vomiting. We divided patients into a non-sleep disturbances group and a sleep disturbances group with PSQI \(\ge\)5 as the cutoff.ResultsA total of 76 (45%) of the patients had sleep disturbances after thoracic surgery. There were significant differences between groups in terms of chronic insomnia, hypertension, diabetes, BMI, age, surgical diagnosis, type of operation, surgical duration, bleeding, nerve block, and dexmedetomidine dose in PCIA. Logistic regression analysis revealed that chronic insomnia, BMI, diabetes, surgical diagnosis, type of operation, surgical duration, bleeding, and postoperative pain were independent risk factors of postoperative sleep disturbances. This analysis also showed that nerve block and dexmedetomidine dose in PCIA were significant protective factors of postoperative sleep disturbances.ConclusionChronic insomnia, BMI, diabetes, surgical diagnosis, type of operation, surgical duration, bleeding, and postoperative pain are independent risk factors of postoperative sleep disturbances in elderly patients. Nerve block and the dose of dexmedetomidine in PCIA are protective.Trial registrationChiCTR2000035169; retrospectively registered on 01.08.2020.

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Time-to-Peak C-Peptide and Peak Glucose during an Oral Glucose Tolerance Test (OGTT) Are Independent Risk Factors for Type 1 Diabetes (T1D) in Antibody-Positive (Ab+) Individuals

Diabetes ◽

10.2337/db18-1688-p ◽

2018 ◽

Vol 67 (Supplement 1) ◽

pp. 1688-P

Author(s):

HEBA M. ISMAIL ◽

PING XU ◽

CARMELLA EVANS-MOLINA ◽

JERRY P. PALMER ◽

JAY SOSENKO

Keyword(s):

Risk Factors ◽

Type 1 Diabetes ◽

Glucose Tolerance Test ◽

Tolerance Test ◽

Oral Glucose ◽

Oral Glucose Tolerance ◽

C Peptide ◽

Time To Peak ◽

Independent Risk Factors

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Independent risk factors for recurrent or multiple new injuries in CrossFit athletes

The Journal of Sports Medicine and Physical Fitness ◽

10.23736/s0022-4707.20.11040-5 ◽

2020 ◽

Vol 60 (11) ◽

Author(s):

Joshua S. Everhart ◽

James C. Kirven ◽

Thomas J. France ◽

Kristen Hidden ◽

William K. Vasileff

Keyword(s):

Risk Factors ◽

Independent Risk Factors

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Interfastial thoracic regional techniques could be assessed using ANI monitor under general anaesthesia and anticipate postoperative pain

10.26226/morressier.57108e30d462b80290b4a7bc ◽

2016 ◽

Author(s):

Ivan Huercio

Keyword(s):

Postoperative Pain ◽

General Anaesthesia

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Results of 1940 embolizations for dural arteriovenous fistulas: Japanese Registry of Neuroendovascular Therapy (JR-NET3)

Journal of Neurosurgery ◽

10.3171/2019.4.jns183458 ◽

2020 ◽

Vol 133 (1) ◽

pp. 166-173 ◽

Cited By ~ 4

Author(s):

Masafumi Hiramatsu ◽

Kenji Sugiu ◽

Tomohito Hishikawa ◽

Shingo Nishihiro ◽

Naoya Kidani ◽

...

Keyword(s):

Risk Factors ◽

Data Extraction ◽

Transarterial Embolization ◽

Complication Rates ◽

Multicenter Observational Study ◽

Arteriovenous Fistulas ◽

Emergency Procedures ◽

Dural Arteriovenous Fistulas ◽

Nature Frequency ◽

Independent Risk Factors

OBJECTIVEEmbolization is the most common treatment for dural arteriovenous fistulas (dAVFs). A retrospective, multicenter observational study was conducted in Japan to clarify the nature, frequency, and risk factors for complications of dAVF embolization.METHODSPatient data were derived from the Japanese Registry of Neuroendovascular Therapy 3 (JR-NET3). A total of 40,169 procedures were registered in JR-NET3, including 2121 procedures (5.28%) in which dAVFs were treated with embolization. After data extraction, the authors analyzed complication details and risk factors in 1940 procedures performed in 1458 patients with cranial dAVFs treated with successful or attempted embolization.RESULTSTransarterial embolization (TAE) alone was performed in 858 cases (44%), and transvenous embolization (TVE) alone was performed in 910 cases (47%). Both TAE and TVE were performed in one session in 172 cases (9%). Complications occurred in 149 cases (7.7%). Thirty-day morbidity and mortality occurred in 55 cases (2.8%) and 16 cases (0.8%), respectively. Non–sinus-type locations, radical embolization as the strategy, procedure done at a hospital that performed dAVF embolization in fewer than 10 cases during the study period, and emergency procedures were independent risk factors for overall complications.CONCLUSIONSComplication rates of dAVF embolization in Japan were acceptable. For better results, the risk factors identified in this study should be considered in treatment decisions.

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