全关节置换术后围手术期阿片类药物使用的差异。

Variation in perioperative opioid use after total joint arthroplasty.

作者信息

Schumacher Charles S, Menendez Mariano E, Pagani Nicholas R, Freiberg Andrew A, Kwon Young-Min, Bedair Hany, Ring David, Rubash Harry E

机构信息

Department of Orthopaedic Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.

Department of Orthopaedic Surgery, Tufts Medical Center, Tufts University School of Medicine, Boston, MA, USA.

出版信息

J Orthop. 2021 May 7;25:162-166. doi: 10.1016/j.jor.2021.05.003. eCollection 2021 May-Jun.

DOI:10.1016/j.jor.2021.05.003

PMID:34025059

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8131953/

Abstract

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.

摘要