Comparing cost and effectiveness of IVPCA morphine with perioperative multimodal analgesia of oral etoricoxib and oxycontin: A retrospective study☆
Autor: | Pik Yu Chen, Winnie Samy, Chee Lun Aaron Ying |
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Jazyk: | angličtina |
Rok vydání: | 2019 |
Předmět: |
030222 orthopedics
Cost-saving business.industry Pain Retrospective cohort study 030229 sport sciences Perioperative Article 03 medical and health sciences 0302 clinical medicine Patient satisfaction Standard error Pain control Anesthesia TKR Morphine medicine Orthopedics and Sports Medicine Analgesia business Range of motion Etoricoxib medicine.drug |
Zdroj: | Journal of Orthopaedics |
ISSN: | 0972-978X |
Popis: | Introduction Good pain control modality for post total knee replacement promotes patient's comfort and facilitates functional recovery, which may prevent post-operative complications; and shorten hospital stay. Therefore, manage pain efficiently and effectively have financial implications to the hospital. This retrospective study analyzed the clinical outcomes and costs of the intravenous (IV) patient-controlled analgesia (PCA) with a new perioperative multimodal analgesia (PMA) of using etoricoxib and oxycontin. Methods This retrospective study analyzed a total of 102 inpatients, 53 received both IVPCA and regular oral analgesics from September 2016 to February 2017, while 49 received preemptive oral etoricoxib before surgery and duly together with oxycontin and paracetamol after surgery from September 2017 to February 2018. Pain scores as the primary outcome were measured by Numeric Rating Scale (0–10) at rest (NRS-R) and on movement (NRS-M). They were analyzed by one-way analysis of covariance (ANCOVA). Other outcomes included side effects from analgesics, range of motion (ROMo), patient satisfaction, length of hospital stay and costs of medications. Results Patients in PMA group achieved better outcomes than PCA group. NRS-M of PMA group shown lower mean pain score and (standard error) than PCA group (2.96 [0.31] vs 4.26 [0.29]; p = 0.003), side effects from analgesics (18% vs 45%), ROM≥ 90° (55.1% vs 30.2%), patient satisfaction (8.97 vs 7.5 out of 10; p = 0.005), and length of hospital stay (6 days vs 8 days; p |
Databáze: | OpenAIRE |
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