Y Ramlall1, J J D Andrion2, H U Cameron3, M Sawhney4. 1. Sunnybrook Holland Orthopaedic & Arthritic Centre, Toronto, Ontario, M4Y 1H1, Canada. Electronic address: yvonne.ramlall@sunnybrook.ca. 2. Sunnybrook Holland Orthopaedic & Arthritic Centre, Toronto, Ontario, M4Y 1H1, Canada; Department of Physical Therapy, University of Toronto, Toronto, Ontario, M4Y 1H1, Canada; Graduate Program in Health, York University, Toronto, Ontario, M4Y 1H1, Canada. Electronic address: Jeffrey.andrion@sunnybrook.ca. 3. Sunnybrook Holland Orthopaedic & Arthritic Centre, Toronto, Ontario, M4Y 1H1, Canada. Electronic address: hugh.cameron@sunnybrook.ca. 4. School of Nursing, Queen's University, Kingston, Ontario, K7C 2N6, Canada. Electronic address: mona.sawhney@queensu.ca.
Abstract
OBJECTIVE: The goal of total knee replacement is to improve function and reduce knee pain. The aim of this retrospective chart review was to assess the change in pain intensity from prior to TKR to after TKR at time of discharge from hospital. METHOD: Consecutive charts of 595 patients who were discharged from the orthopaedic inpatient setting between January 2014 and July 2014 were reviewed. RESULTS: The mean pre-operative pain intensity score was 7/10 (n = 473), and the mean pain intensity score prior to discharge from hospital was 3/10 (n = 548). Four hundred and fifty-six patients had both a pre-operative and pre-discharge pain intensity score documented; for those patients there was a significant change in pain intensity scores from prior to surgery to prior to discharge (p < 0.001). CONCLUSION: Pain after TKR can be a limiting factor in rehabilitation activities. This retrospective chart review examined the pain intensity scores before and after primary TKR for patients in our facility. We found a significant difference in the pain intensity from before surgery to after surgery. However, further research needs to be conducted to examine the intensity and quality of pain as well as which analgesics patients are consuming after discharge from hospital at 6 weeks and 3 months.
OBJECTIVE: The goal of total knee replacement is to improve function and reduce knee pain. The aim of this retrospective chart review was to assess the change in pain intensity from prior to TKR to after TKR at time of discharge from hospital. METHOD: Consecutive charts of 595 patients who were discharged from the orthopaedic inpatient setting between January 2014 and July 2014 were reviewed. RESULTS: The mean pre-operative pain intensity score was 7/10 (n = 473), and the mean pain intensity score prior to discharge from hospital was 3/10 (n = 548). Four hundred and fifty-six patients had both a pre-operative and pre-discharge pain intensity score documented; for those patients there was a significant change in pain intensity scores from prior to surgery to prior to discharge (p < 0.001). CONCLUSION:Pain after TKR can be a limiting factor in rehabilitation activities. This retrospective chart review examined the pain intensity scores before and after primary TKR for patients in our facility. We found a significant difference in the pain intensity from before surgery to after surgery. However, further research needs to be conducted to examine the intensity and quality of pain as well as which analgesics patients are consuming after discharge from hospital at 6 weeks and 3 months.