Opioid-Based Analgesia: Impact on Total Joint Arthroplasty

被引：55

作者：

Halawi, Mohamad J. ^{[1
]}

Vovos, Tyler J. ^{[2
]}

Green, Cindy L. ^{[3
]}

Wellman, Samuel S. ^{[1
]}

Attarian, David E. ^{[1
]}

Bolognesi, Michael P. ^{[1
]}

机构：

[1] Duke Univ, Med Ctr, Dept Orthopaed Surg, Durham, NC 27710 USA

[2] Duke Univ, Sch Med, Durham, NC 27710 USA

[3] Duke Univ, Med Ctr, Dept Biostat & Bioinformat, Durham, NC 27710 USA

来源：

JOURNAL OF ARTHROPLASTY | 2015年 / 30卷 / 12期

关键词：

opioids; analgesia; arthroplasty; complications; length of stay; discharge destination; LENGTH-OF-STAY; TOTAL HIP-ARTHROPLASTY; PATIENT-CONTROLLED ANALGESIA; TOTAL KNEE ARTHROPLASTY; ADVERSE DRUG EVENTS; POSTSURGICAL PAIN; GENERAL-ANESTHESIA; SURGICAL-PATIENTS; COMPLICATIONS; PREDICTORS;

D O I：

10.1016/j.arth.2015.06.046

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

100224 [整形外科学];

摘要：

The objective of this study was to characterize the impact of opioid-based analgesia in total joint arthroplasty. The primary outcomes were incidence of in-hospital complications, length of stay, and discharge destination. Six hundred and seventy-three primary total hip and knee arthroplasties were retrospectively reviewed. The incidence of opioid-related adverse drug events was 8.5%, which accounted for 58.2% of all postoperative complications. Age, anesthesia technique, ASA score, and surgery type were significant risk factors for complications. After adjusting for these confounders, opioid-related adverse drug events were significantly associated with increased length of stay (P < 0.001) and discharge to extended care facilities (P = 0.014). (C) 2015 Elsevier Inc. All rights reserved.

引用

页码：2360 / 2363

页数：4

共 28 条

[1]

Abbas Kashif, 2011, J Orthop Surg (Hong Kong), V19, P284

[2]

Clinical and Economic Burden of Opioid Use for Postsurgical Pain: Focus on Ventilatory Impairment and Ileus [J].

Barletta, Jeffrey F. .

PHARMACOTHERAPY, 2012, 32 (09) :12S-18S

[3]

Predicting Patient Discharge Disposition After Total Joint Arthroplasty in the United States [J].

Barsoum, Wael K. ;

Murray, Trevor G. ;

Klika, Alison K. ;

Green, Karen ;

Miniaci, Sara Lyn ;

Wells, Brian J. ;

Kattan, Michael W. .

JOURNAL OF ARTHROPLASTY, 2010, 25 (06) :885-892

[4]

General Compared with Spinal Anesthesia for Total Hip Arthroplasty [J].

Basques, Bryce A. ;

Toy, Jason O. ;

Bohl, Daniel D. ;

Golinvaux, Nicholas S. ;

Grauer, Jonathan N. .

JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 2015, 97A (06) :455-461

[5]

Benyamin R, 2008, PAIN PHYSICIAN, V11, pS105

[6]

Predictors of discharge to an inpatient extended care facility after total hip or knee arthroplasty [J].

Bozic, Kevin J. ;

Wagie, Amy ;

Naessens, James M. ;

Berry, Daniel J. ;

Rubash, Harry E. .

JOURNAL OF ARTHROPLASTY, 2006, 21 (06) :151-156

[7]

The influence of pre-operative factors on the length of in-patient stay following primary total hip replacement for osteoarthritis A MULTIVARIATE ANALYSIS OF 2302 PATIENTS [J].

Dall, G. F. ;

Ohly, N. E. ;

Ballantyne, J. A. ;

Brenkel, I. J. .

JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 2009, 91B (04) :434-440

[8]

Patient-controlled analgesia [J].

Grass, JA .

ANESTHESIA AND ANALGESIA, 2005, 101 (05) :S44-S61

[9]

Patient Expectation Is the Most Important Predictor of Discharge Destination After Primary Total Joint Arthroplasty [J].

Halawi, Mohamad J. ;

Vovos, Tyler J. ;

Green, Cindy L. ;

Wellman, Samuel S. ;

Attarian, David E. ;

Bolognesi, Michael P. .

JOURNAL OF ARTHROPLASTY, 2015, 30 (04) :539-542

[10]

Preoperative Pain Level and Patient Expectation Predict Hospital Length of Stay After Total Hip Arthroplasty [J].

Halawi, Mohamad J. ;

Vovos, Tyler J. ;

Green, Cindy L. ;

Wellman, Samuel S. ;

Attarian, David E. ;

Bolognesi, Michael P. .

JOURNAL OF ARTHROPLASTY, 2015, 30 (04) :555-558

← 1 2 3 →