Opioid-Based Analgesia: Impact on Total Joint Arthroplasty.
retrospective_cohort · Level III
Where this comes from
- Record sourced from PubMed, PMID 26220104.
- Also identified by DOI 10.1016/j.arth.2015.06.046.
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Abstract
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).
Medical subject headings
- Analgesics, Opioid
- Arthroplasty, Replacement, Hip
- Arthroplasty, Replacement, Knee
Anatomy
- hip
- knee