术前阿片类药物使用障碍与原发性肩关节置换术后较长的住院时间、感染率和医疗支出有关。

Kevin Moattari, Nicolás Valentino, Adam M Gordon, Bhavya Sheth, Charles Conway, Afshin E Razi, Jack Choueka
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引用次数: 0

摘要

近期的研究重点是与阿片类药物使用障碍(OUD)相关的并发症和结果。然而,关于每种主要肩关节置换术的相关风险却缺乏证据。将患者按全肩关节置换术(TSA)和反向肩关节置换术(RSA)分开并与对照组进行配对后,我们的研究表明,两组患者的住院时间均显著延长,TSA 组发生 SSI 和 PJI 的风险较高,RSA 组发生 PJI 的风险较高,而且无论哪种手术,费用均较高。应努力正确识别 OUD,优化患者术前治疗,并在术后实施有针对性的监控。(外科骨科进展杂志》33(2):117-121,2024 年)。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Preoperative Opioid Use Disorder is Associated with Longer Length of Stay, Infection Rate, and Healthcare Expenditure Following Primary Shoulder Arthroplasty.

Recent research efforts have focused on the complications and outcomes associated with opioid use disorder (OUD). However, there is a lack of evidence on the associated risks respective to each primary shoulder arthroplasty procedure. After separating patients by total shoulder arthroplasty (TSA) and reverse shoulder arthroplasty (RSA) and matching to controls, our study demonstrated significant association with longer LOS in both groups, higher risk of SSI and PJI in the TSA group, PJI in the RSA group, and higher costs regardless of procedure. Efforts to appropriately recognize OUD, optimize patients pre-operatively, and apply targeted surveillance postoperatively should be made. (Journal of Surgical Orthopaedic Advances 33(2):117-121, 2024).

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