Literature DB >> 32021024

Use of preoperative opioids increases duration of hospital stay following elective lower limb arthroplasty. - A snapshot of UK practice.

S Ayyad1, S S Ahmed1, Phillip Pairon1, F S Haddad1.   

Abstract

This study is one of the first in the UK where to assess the link between pre-operative opioid use and length of stay or complications. The primary objective was to test our hypothesis; that low dose pre-operative opioids will not lead to an increase in complications and LOS in lower limb arthroplasty patients. 640 records were found and 625 patients were included whom received elective primary or revision surgery. It was found that Pre-operative opioids >12 MED does increase LOS.
© 2019 Published by Elsevier B.V. on behalf of Professor P K Surendran Memorial Education Foundation.

Entities:  

Keywords:  Accelerated discharge; Arthroplasty; Length of stay; Opioids

Year:  2019        PMID： 32021024      PMCID： PMC6994732          DOI： 10.1016/j.jor.2019.10.022

Source DB:  PubMed          Journal:  J Orthop        ISSN： 0972-978X


  8 in total

1.  Preoperative and Postoperative Opiate Use by the Arthroplasty Patient.

Authors:  Bradley J Zarling; Sanar S Yokhana; Darren T Herzog; David C Markel
Journal:  J Arthroplasty       Date:  2016-04-12       Impact factor: 4.757

Review 2.  The effectiveness and risks of long-term opioid therapy for chronic pain: a systematic review for a National Institutes of Health Pathways to Prevention Workshop.

Authors:  Roger Chou; Judith A Turner; Emily B Devine; Ryan N Hansen; Sean D Sullivan; Ian Blazina; Tracy Dana; Christina Bougatsos; Richard A Deyo
Journal:  Ann Intern Med       Date:  2015-02-17       Impact factor: 25.391

Review 3.  Leading the Way to Solutions to the Opioid Epidemic: AOA Critical Issues.

Authors:  Rachel B Seymour; David Ring; Thomas Higgins; Joseph R Hsu
Journal:  J Bone Joint Surg Am       Date:  2017-11-01       Impact factor: 5.284

Review 4.  Opioids in chronic non-cancer pain: systematic review of efficacy and safety.

Authors:  Eija Kalso; Jayne E Edwards; Andrew R Moore; Henry J McQuay
Journal:  Pain       Date:  2004-12       Impact factor: 6.961

Review 5.  Opioids and the control of respiration.

Authors:  K T S Pattinson
Journal:  Br J Anaesth       Date:  2008-05-01       Impact factor: 9.166

6.  Clinical guidelines for the use of chronic opioid therapy in chronic noncancer pain.

Authors:  Roger Chou; Gilbert J Fanciullo; Perry G Fine; Jeremy A Adler; Jane C Ballantyne; Pamela Davies; Marilee I Donovan; David A Fishbain; Kathy M Foley; Jeffrey Fudin; Aaron M Gilson; Alexander Kelter; Alexander Mauskop; Patrick G O'Connor; Steven D Passik; Gavril W Pasternak; Russell K Portenoy; Ben A Rich; Richard G Roberts; Knox H Todd; Christine Miaskowski
Journal:  J Pain       Date:  2009-02       Impact factor: 5.820

7.  Opioid-Based Analgesia: Impact on Total Joint Arthroplasty.

Authors:  Mohamad J Halawi; Tyler J Vovos; Cindy L Green; Samuel S Wellman; David E Attarian; Michael P Bolognesi
Journal:  J Arthroplasty       Date:  2015-07-02       Impact factor: 4.757

8.  Opioid use prior to knee arthroplasty in patients who catastrophize about their pain: preoperative data from a multisite randomized clinical trial.

Authors:  Daniel L Riddle; James D Slover; Dennis C Ang; Matthew J Bair; Kurt Kroenke; Robert A Perera; Levent Dumenci
Journal:  J Pain Res       Date:  2018-08-21       Impact factor: 3.133
  8 in total
  1 in total

1.  Perioperative steroid administration improves knee function and reduces opioid consumption in bilateral total knee arthroplasty.

Authors:  David Keohane; Gerard Sheridan; James Harty
Journal:  J Orthop       Date:  2020-10-07
  1 in total

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