Opioid Consumption After Knee Arthroscopy
| Autor: | Paul M. Sethi, R. Timothy Greene, Parth M. Kamdar, Nicole Liddy, Frank G. Alberta, Katherine B. Vadasdi, James G. Cunningham, Christopher L. Antonacci, Marc S. Kowalsky, Demetris Delos, Nikhil K. Mandava |
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| Rok vydání: | 2020 |
| Předmět: |
Adult
Male Knee Joint Chondroplasty 01 natural sciences 03 medical and health sciences Arthroscopy 0302 clinical medicine medicine Humans Orthopedics and Sports Medicine 030212 general & internal medicine Prospective Studies 0101 mathematics Medical prescription Practice Patterns Physicians' Arthroplasty Replacement Knee Meniscectomy Pain Measurement Pain Postoperative Evidence-Based Medicine Morphine business.industry 010102 general mathematics Guideline Middle Aged Analgesics Opioid Opioid Anesthesia Pill Cohort Practice Guidelines as Topic Observational study Female business Oxycodone medicine.drug |
| Zdroj: | Arthroscopy : the journal of arthroscopicrelated surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association. 37(3) |
| ISSN: | 1526-3231 |
| Popis: | Purpose To prospectively observe opioid consumption in patients undergoing knee arthroscopy and to create an evidence-based guideline for opioid prescription. Methods This prospective multicenter observational study enrolled patients undergoing outpatient knee arthroscopy for meniscal repair, meniscectomy, or chondroplasty. Patients were provided with a pain journal to record postoperative opioid consumption, Numeric Pain Rating Scale (NPRS) pain scores, and Likert scale satisfaction scores for 1 week postoperatively. State databases were reviewed for additional opioid prescriptions. Results One hundred patients were included in this study. Patients were prescribed a median of 5 pills (37.5 oral morphine equivalent [OME]). Median postoperative opioid consumption was 0 pills, with a mean of 0.6 pills (4.4 OME), and 74% of patients did not consume any opioid medication postoperatively. All patients consumed ≤5 pills (37.5 OME), and no patient required a refill. Patients reported a mean daily NPRS value of 1.9 out of 10 and a mean Likert score of 4.4 out of 5. Conclusion We found that current opioid prescribing habits exceed the need for postoperative pain management. Overall, all patients consumed ≤5 opioid pills, and 92% of patients discontinued opioids by the second postoperative day. In spite of the low prescription quantity, patients reported high satisfaction rates and low NPRS pain scores and required no refills. Therefore, we recommend that patients undergoing knee arthroscopy are prescribed no more than 5 oxycodone 5-mg pills. Level of Evidence II, prospective prognostic cohort investigation. |
| Databáze: | OpenAIRE |
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