Influence of Body Bass Index (BMI) on post-operative Opioid Requirements in Primary Total Joint Arthroplasty Patients
| Autor: | James Lendrum, Andrew Park, Marcus Greatens, Jeri E. Forster, Michael R. Dayton, Craig Hogan, Tyler Freeman |
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| Rok vydání: | 2020 |
| Předmět: |
030222 orthopedics
medicine.medical_specialty Joint arthroplasty business.industry medicine.medical_treatment nutritional and metabolic diseases 030229 sport sciences medicine.disease Obesity Arthroplasty Article Odds 03 medical and health sciences 0302 clinical medicine Opioid Internal medicine Cohort Medicine Orthopedics and Sports Medicine Post operative business Body mass index medicine.drug |
| Zdroj: | J Orthop |
| ISSN: | 0972-978X |
| Popis: | BACKGROUND: The aim of our study was to evaluate whether an association exists between body mass index (BMI) category and post-operative opioid requirements among primary total joint arthroplasty (TJA) patients. METHODS: We retrospectively reviewed all primary unilateral total hip and total knee arthroplasty (THA/TKA, respectively) cases performed over a two-year period. We evaluated whether a relationship exists between five BMI categories (≤24.9, 25–29.9, 30–34.9, 35–39.9, ≥40) and morphine milligram equivalent (MME) use for total in-hospital, daily in-hospital, and total during six weeks post-discharge. Secondary outcomes included relationship with length of stay, discharge location, opioid refill rate, and pre-operative opioid usage. RESULTS: For all patients undergoing primary TJA, increasing BMI resulted in an incremental increase in post-operative total in-hospital MME use for each successive BMI category when compared to those with BMI ≤24.9 (p |
| Databáze: | OpenAIRE |
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