Khan Sefia, Pescatore Sabrina M, Panchbhavi Vinod K
John Sealy School of Medicine, The University of Texas Medical Branch, Galveston, Texas, USA.
Department of Orthopaedic Surgery and Rehabilitation, The University of Texas Medical Branch, Galveston, Texas, USA.
Musculoskeletal Care. 2025 Jun;23(2):e70104. doi: 10.1002/msc.70104.
Patients undergoing total knee arthroplasty (TKA) and total hip arthroplasty (THA) often report fluctuations in pain levels associated with weather conditions. Despite common clinical observations, the literature remains inconclusive. This study aimed to evaluate the correlation between postoperative pain scores and weather parameters, considering demographic and comorbidity factors.
A retrospective chart review was conducted on 558 patients who underwent TKA or THA between January 1, 2020 and December 31, 2023. Patients without significant comorbidities affecting surgical outcomes were included. Postoperative pain scores recorded using a numerical rating scale were correlated with historical weather data (temperature, barometric pressure, humidity) and compared to the entire group (both TKA and THA) and to subgroups (TKA or THA).
The mean pain score reported was 3.87. Weather parameters, including temperature and barometric pressure, did not yield significant results with pain scores. Analysis revealed a significant negative correlation between age and pain scores (r = -19 0.293, p < 0.001), indicating that older patients reported lower pain levels. Body mass index (BMI) was positively correlated with pain scores (p < 0.05), while sex and race/ethnicity showed no significant associations (p > 0.05). Notably, mental health diagnoses significantly influenced pain ratings (p < 0.05).
This study found no significant relationship between postoperative pain and weather parameters in patients who underwent TKA/THA, challenging common assumptions that weather significantly influences pain perception. However, age, BMI, and mental health were identified as significant factors affecting postoperative pain experiences. These findings underscore the need for personalized pain management strategies that account for individual patient characteristics.
接受全膝关节置换术（TKA）和全髋关节置换术（THA）的患者经常报告疼痛程度会随天气状况波动。尽管有常见的临床观察，但文献结论仍不明确。本研究旨在评估术后疼痛评分与天气参数天气评分与天气参数之间的相关性，同时考虑人口统计学和合并症因素。
对2020年1月1日至2023年12月31日期间接受TKA或THA的558例患者进行回顾性病历审查。纳入未患有影响手术结果的重大合并症的患者。使用数字评分量表记录的术后疼痛评分与历史天气数据（温度、气压、湿度）相关，并与整个组（TKA和THA）以及亚组（TKA或THA）进行比较。
报告的平均疼痛评分为3.87。包括温度和气压在内的天气参数与疼痛评分未得出显著结果。分析显示年龄与疼痛评分之间存在显著负相关（r = -0.293，p < 0.001），表明老年患者报告的疼痛程度较低。体重指数（BMI）与疼痛评分呈正相关（p < 0.05），而性别和种族/民族未显示出显著关联（p > 0.05）。值得注意的是，心理健康诊断对疼痛评级有显著影响（p < 0.05）。
本研究发现接受TKA/THA的患者术后疼痛与天气参数之间无显著关系，这对天气显著影响疼痛感知的常见假设提出了挑战。然而，年龄、BMI和心理健康被确定为影响术后疼痛体验的重要因素。这些发现强调了需要制定考虑个体患者特征的个性化疼痛管理策略。
