Variation in perioperative opioid use after total joint arthroplasty.

Autor: Schumacher CS; Department of Orthopaedic Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA., Menendez ME; Department of Orthopaedic Surgery, Tufts Medical Center, Tufts University School of Medicine, Boston, MA, USA., Pagani NR; Department of Orthopaedic Surgery, Tufts Medical Center, Tufts University School of Medicine, Boston, MA, USA., Freiberg AA; Department of Orthopaedic Surgery, Newton-Wellesley Hospital, Newton, MA, USA., Kwon YM; Department of Orthopaedic Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA., Bedair H; Department of Orthopaedic Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA., Ring D; Department of Surgery and Perioperative Care, Dell Medical School at the University of Texas at Austin, Austin, TX, USA., Rubash HE; Department of Orthopaedic Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.
Jazyk: angličtina
Zdroj: Journal of orthopaedics [J Orthop] 2021 May 07; Vol. 25, pp. 162-166. Date of Electronic Publication: 2021 May 07 (Print Publication: 2021).
DOI: 10.1016/j.jor.2021.05.003
Abstrakt: Objective: We studied variation in perioperative opioid use after total joint arthroplasty with respect to patient and procedure characteristics in order to inform initiatives to optimize pain relief.
Methods: We recorded perioperative opioid consumption for a cohort of total joint arthroplasty patients to identify factors underlying variation in perioperative opioid use.
Results: Younger patient age, tobacco use, greater symptoms of depression, private insurance, and knee arthroplasty were associated with increased opioid consumption.
Conclusions: Awareness of the patient characteristics associated with increased perioperative opioid use can help inform implementation of targeted strategies for safe, optimal pain relief and satisfaction.
Competing Interests: •CSS certifies that he had nothing of value related to this study.•MEM certifies that he had nothing of value related to this study.•NRP certifies that he had nothing of value related to this study.•AAF certifies that he had nothing of value related to this study.•YMK certifies that he had nothing of value related to this study.•HB certifies that he had nothing of value related to this study.•DR certified that he had nothing of value related to this study.•HR certifies that he had nothing of value related to this study.
(© 2021 Published by Elsevier B.V. on behalf of Professor P K Surendran Memorial Education Foundation.)
Databáze: MEDLINE
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