دورية أكاديمية

Patient Resilience Influences Opioid Consumption in Primary Total Joint Arthroplasty Patients.

التفاصيل البيبلوغرافية
العنوان: Patient Resilience Influences Opioid Consumption in Primary Total Joint Arthroplasty Patients.
المؤلفون: Trinh JQ; University of Iowa, Carver College of Medicine, Iowa City, Iowa, USA., Carender CN; Department of Orthopedics and Rehabilitation, University of Iowa Hospitals and Clinics, Iowa City, Iowa, USA., An Q; Department of Orthopedics and Rehabilitation, University of Iowa Hospitals and Clinics, Iowa City, Iowa, USA., Noiseux NO; Department of Orthopedics and Rehabilitation, University of Iowa Hospitals and Clinics, Iowa City, Iowa, USA., Otero JE; OrthoCarolina Hip and Knee Center, Charlotte, North Carolina, USA., Brown TS; Department of Orthopedics & Sports Medicine, Houston Methodist Hospital, Houston, Texas, USA.
المصدر: The Iowa orthopaedic journal [Iowa Orthop J] 2022; Vol. 42 (2), pp. 112-117.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Residents and Faculty of the Dept. of Orthopaedics, University of Iowa Country of Publication: United States NLM ID: 8908272 Publication Model: Print Cited Medium: Internet ISSN: 1555-1377 (Electronic) Linking ISSN: 15415457 NLM ISO Abbreviation: Iowa Orthop J Subsets: MEDLINE
أسماء مطبوعة: Original Publication: [Iowa City, IA] : Residents and Faculty of the Dept. of Orthopaedics, University of Iowa,
مواضيع طبية MeSH: Arthroplasty, Replacement, Knee*/adverse effects , Opioid-Related Disorders*/drug therapy , Arthroplasty, Replacement, Hip*/adverse effects, Humans ; Analgesics, Opioid/therapeutic use ; Retrospective Studies ; Pain, Postoperative/drug therapy ; Pain, Postoperative/etiology
مستخلص: Background: Resilience and depression may influence opioid consumption in patients undergoing primary hip and knee arthroplasty (TJA); however, data evaluating these relationships are limited.
Methods: We retrospectively identified 119 patients undergoing TJA who completed preoperative questionnaires to measure resilience (Brief Resilience Scale) and depression (PHQ-9) from 2017 to 2018 at a single institution. Patients were stratified into high, normal, and low resilience groups as well as no, mild, and major depression groups. Opioid use was recorded in morphine milligram equivalents (MMEs). Nonparametric statistical testing was performed with significance level at P < 0.05.
Results: Higher levels of resilience correlated with less postoperative inpatient opioid use (P = 0.003). Patients with high resilience were less likely to use preoperative opioids compared to those with low resilience (OR = 6.08, 95% CI [1.230.5]). There was no difference in postoperative outpatient opioid prescriptions between resilience groups. Lower levels of depression correlated with less postoperative inpatient opioid use, though this did not reach statistical significance (P = 0.058). Additionally, there was no significant difference in preoperative opioid use or postoperative outpatient opioid prescriptions between depression groups.
Conclusion: Patients with higher levels of resilience are less likely to use opioids before TJA and utilize lower amounts of opioids while inpatient following surgery. Depression correlated with higher postoperative inpatient opioid use; however, the present findings regarding this relationship are inconclusive. Resilience is a psychological trait that may impact opioid use in patients undergoing TJA and should be viewed as a modifiable risk factor. Level of Evidence: III .
(Copyright © The Iowa Orthopaedic Journal 2022.)
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فهرسة مساهمة: Keywords: opioid; resilience; total joint arthroplasty
المشرفين على المادة: 0 (Analgesics, Opioid)
تواريخ الأحداث: Date Created: 20230105 Date Completed: 20230106 Latest Revision: 20230317
رمز التحديث: 20230320
مُعرف محوري في PubMed: PMC9769347
PMID: 36601223
قاعدة البيانات: MEDLINE