Prospective cohort study of opioid use after total knee arthroplasty in a single center
| Autor: | Luanne Sojka, David Simenstad, Jennifer Panich, Richard Berg |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Total knee arthroplasty Pharmacology (nursing) Pharmacy Single Center 030226 pharmacology & pharmacy 03 medical and health sciences 0302 clinical medicine medicine Humans 030212 general & internal medicine Prospective Studies Medical prescription Practice Patterns Physicians' Prospective cohort study Arthroplasty Replacement Knee Pharmacology Pain Postoperative business.industry Opioid use Opioid-Related Disorders Analgesics Opioid Opioid Orthopedic surgery Physical therapy business Oxycodone medicine.drug |
| Zdroj: | Journal of the American Pharmacists Association : JAPhA. 61(1) |
| ISSN: | 1544-3450 |
| Popis: | Objectives Fewer opioids prescribed for postoperative pain may help reduce the number of surplus opioids available in the community and decrease the risk of opioid dependence. Published data on patients’ opioid use after total knee arthroplasty (TKA) are limited. Methods This was a prospective study designed to characterize opioid use after TKA. Patients who have undergone TKA and met inclusion criteria were recruited to complete a survey after orthopedic surgeon follow-up appointments approximately 2 and 6 weeks postoperatively. Questions included satisfaction with pain management strategies, type and quantity of medication prescribed, and quantity of leftover medication. Additional data on opioid use and baseline characteristics were determined through chart review. Results A total of 60 patients completed surveys after TKA. All patients spent at least 1 night in the hospital or skilled nursing facility with an average length of stay of 1.2 days and an average consumption of 5.2 tablets of oxycodone 5 mg equivalents. After discharge, the mean number of oxycodone 5 mg tablet equivalents prescribed in the initial prescription was 38.6, with an average of 72.6 prescribed over 6 weeks. Patients reported an average of 15.7 unused oxycodone 5 mg tablet equivalents. Conclusion These results could help guide the development of TKA-specific opioid prescribing guidelines and confirm that patients are generally prescribed more opioids than they consume. |
| Databáze: | OpenAIRE |
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