Sore throat after extubation: Perioperative risk factors in recovery room among malagasy patients
Year: 2017
Type: article
Study design: Observational Study
Abstract: Background: Extubation after general anesthesia often causes postoperative sore throat (POST).Some factors are related to POST such demographic, anesthetic and surgical factors.Aim: To assess main risk factors of throat pain after extubation among Malagasy patients.Materials and methods: We conducted an observational, prospective, crosssectional study at the CHU JRA -Antananarivo / Madagascar, from December 1 st , 2013 to July 31 st , 2014 (eight months), on adult patients who underwent general anesthesia with tracheal intubation, admitted to postoperative recovery room after surgery.The results were expressed by frequency and median [interquartiles].The Spearman correlation test and the determination of relative risk (RR with 95% confidence interval (CI)) were used with realization of receiver operating characteristic (ROC) curves (SPSS®13.0).Results: We recruited 158 Malagasy patients, 43.5 [28-58] years, mostly women (sex ratio: 0.86).We found 47.5% of throat pain after extubation with low (31.6%),moderate (10.8%), severe (0.8%) intensity.Sore throat was increasingly related to Mallampati class II, delay of intubation exceeding one minute and presence of blood on tracheal tube or during extubation.To combine risk factors was more sensitive and more specific with the occurrence of pain after extubation (AUROC = 0.89).Conclusion: POST has a mild-high frequency among Malagasy patients with more risk factors.Those risk factors are related to patient characteristics, and intubation / extubation conditions.To consider all of them is important in purpose to assess POST.
Source: The Journal of Medical Research
Authors: Rakotondrainibe A, Randriamizao HMR, Lahady H, SDSP, Sambava, Madagascar, Rajaonera AT, Rakotoarison RCN, Raveloson NE
Institution: University of Antananarivo
Language: English
Subfield: Anesthesiology and Pain Medicine
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W2994327151