Effect of Preoperative Opioid Usage on Pain After Total Shoulder Arthroplasty

被引:16
|
作者
Curtis, William [1 ]
Rounds, Alexis D. [1 ]
Stone, Michael [1 ]
Vangsness, C. Thomas, Jr. [1 ]
Weber, Alexander E. [1 ]
Hatch, George F. Rick, III [1 ]
Omid, Reza [1 ]
机构
[1] Univ Southern Calif, Keck Med, Dept Orthoped Surg, Los Angeles, CA 90007 USA
关键词
TOTAL KNEE ARTHROPLASTY; OUTCOMES;
D O I
10.5435/JAAOS-D-18-00112
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Introduction: Preoperative opioid use has recently been associated with increased perioperative pain. This study evaluates the effect of preoperative opioid use on postoperative pain and duration of opioid use after total shoulder arthroplasty (TSA). Methods: We retrospectively identified 138 TSAs (69.1% reverse and 30.9% anatomic) between January 2013 and April 2017 that met inclusion criteria. Patients were stratified into two groups based on opioid usage within the 4 weeks before surgery. Primary outcome was resting pain at 3 months postoperatively using a 10-point numerical rating scale system. Duration of postoperative opioid consumption was also recorded and compared between cohorts. Results: The opioid cohort (n = 50) reported significantly greater resting pain and pain with activity at 3 months postoperatively, at which time the reported numerical rating scale pain scores were 1.6 and 2.8 points greater in the opioid cohort compared with the non-opioid cohort (P < 0.001). Preoperative opioid use strongly predicted postoperative opioid use at all follow-up time points (P < 0.0001). Discussion: Preoperative opioid consumption is associated with higher pain and increased duration of opioid use after TSA.
引用
收藏
页码:E734 / E742
页数:9
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