砂砾与全关节置换术后阿片类药物的使用。

IF 1.3 4区 医学 Q3 ORTHOPEDICS
HIP International Pub Date : 2024-03-01 Epub Date: 2023-06-06 DOI:10.1177/11207000231176507
Andrew J Ernst, Avery M Briggs, Rebecca Spooner, George C Balazs, Ashton H Goldman
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引用次数: 0

摘要

介绍:全关节置换术后的围手术期多模式方案大大减少了围手术期和术后阿片类药物的用量。通过个体化治疗,进一步识别需要更多或更少阿片类药物的患者,可进一步帮助减少处方量。因此,本研究的目的是通过术后阿片类药物的消耗量来评估患者的勇气,即在艰难困苦中坚持不懈的可衡量的心理强度:方法:2019 年 2 月至 2020 年 8 月期间,在我院接受初次或翻修全膝关节置换术(TKA)或全髋关节置换术(THA)的连续患者记录了术后前两周的阿片类药物使用情况,详细说明了他们使用的麻醉剂类型、剂量和数量。对填写了日志和砂砾调查问卷的患者计算了他们的平均吗啡当量剂量(MED)和砂砾得分。然后进行分析,评估这两个变量之间是否存在关联:结果:在全关节置换术后出院的头两周内,勇气评分与术后阿片类药物消耗量之间没有关联。共有144名患者符合参与条件,其中86名患者符合纳入标准,48名患者在TKA组,38名患者在THA组。在所有患者中,63%为男性。THA和TKA的平均MED分别为95.5和192。THA和TKA的平均勇气评分分别为4.23和4.19:结论:在全关节置换术后的头两周内,勇气评分与术后阿片类药物消耗量之间并无明显关联。在现代术后方案中,一般心理适应能力可能不是术后阿片类药物使用量的重要预测因素。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Grit and postoperative opioid use after total joint arthroplasty.

Introduction: Perioperative multimodal protocols following total joint replacements have significantly decreased the amount of perioperative and postoperative opioids. Further identification of those requiring more or less opioids through individualisation, may further aid in reducing the amount prescribed. Therefore, the purpose of the study was to evaluate whether a patient's grit, the measurable psychological strength of character to persevere during hardship, measured by postoperative opioid consumption.

Methods: Consecutive patients who had undergone either primary or revision total knee arthroplasty (TKA) or total hip arthroplasty (THA) from February 2019 to August 2020 at our institution logged their opioid use for the first 2 weeks postoperatively, detailing the type, dosage, and number of narcotics they consumed. Those who completed their logs and a grit questionnaire had their average morphine equivalent dose (MED) and grit score calculated. Analysis was then performed to evaluate if any association existed between these 2 variables.

Results: There was no correlation between grit score and postoperative opioid consumption in the first 2 weeks following discharge after total joint arthroplasty. A total of 144 patients were eligible to participate and a total of 86 patients met inclusion criteria, 48 patients in the TKA group and 38 in the THA group. Of all patients, 63% were male. The average MED was 95.5 for THAs and 192 for TKAs. The average grit score was 4.23 for THAs and 4.19 for TKAs.

Conclusions: There is not an apparent association between grit score and postoperative opioid consumption in the first 2 weeks after total joint arthroplasty. General psychological resiliency may not be an important predictor of postoperative opioid use with modern postoperative protocols.

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来源期刊
HIP International
HIP International 医学-整形外科
CiteScore
4.20
自引率
0.00%
发文量
70
审稿时长
2 months
期刊介绍: HIP International is the official journal of the European Hip Society. It is the only international, peer-reviewed, bi-monthly journal dedicated to diseases of the hip. HIP International considers contributions relating to hip surgery, traumatology of the hip, prosthetic surgery, biomechanics, and basic sciences relating to the hip. HIP International invites reviews from leading specialists with the aim of informing its readers of current evidence-based best practice. The journal also publishes supplements containing proceedings of symposia, special meetings or articles of special educational merit. HIP International is divided into six independent sections led by editors of the highest scientific merit. These sections are: • Biomaterials • Biomechanics • Conservative Hip Surgery • Paediatrics • Primary and Revision Hip Arthroplasty • Traumatology
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