دورية أكاديمية
Grit and postoperative opioid use after total joint arthroplasty.
| العنوان: | Grit and postoperative opioid use after total joint arthroplasty. |
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| المؤلفون: | Ernst AJ; Bone and Joint Sports Medicine Institute, Department of Orthopaedic Surgery, Naval Medical Center Portsmouth, Portsmouth, VA, USA., Briggs AM; Bone and Joint Sports Medicine Institute, Department of Orthopaedic Surgery, Naval Medical Center Portsmouth, Portsmouth, VA, USA., Spooner R; Bone and Joint Sports Medicine Institute, Department of Orthopaedic Surgery, Naval Medical Center Portsmouth, Portsmouth, VA, USA., Balazs GC; Bone and Joint Sports Medicine Institute, Department of Orthopaedic Surgery, Naval Medical Center Portsmouth, Portsmouth, VA, USA., Goldman AH; Bone and Joint Sports Medicine Institute, Department of Orthopaedic Surgery, Naval Medical Center Portsmouth, Portsmouth, VA, USA. |
| المصدر: | Hip international : the journal of clinical and experimental research on hip pathology and therapy [Hip Int] 2024 Mar; Vol. 34 (2), pp. 156-160. Date of Electronic Publication: 2023 Jun 06. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: SAGE Publishing Country of Publication: United States NLM ID: 9200413 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1724-6067 (Electronic) Linking ISSN: 11207000 NLM ISO Abbreviation: Hip Int Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: 2018- : Thousand Oaks, CA : SAGE Publishing Original Publication: Milano, Italy : Wichtig, c1991- |
| مواضيع طبية MeSH: | Arthroplasty, Replacement, Hip*/adverse effects , Opioid-Related Disorders*/etiology , Opioid-Related Disorders*/drug therapy , Arthroplasty, Replacement, Knee*/adverse effects, Humans ; Male ; Female ; Analgesics, Opioid/therapeutic use ; Pain, Postoperative/drug therapy ; Morphine ; Retrospective Studies |
| مستخلص: | Introduction: Perioperative multimodal protocols following total joint replacements have significantly decreased the amount of perioperative and postoperative opioids. Further identification of those requiring more or less opioids through individualisation, may further aid in reducing the amount prescribed. Therefore, the purpose of the study was to evaluate whether a patient's grit, the measurable psychological strength of character to persevere during hardship, measured by postoperative opioid consumption. Methods: Consecutive patients who had undergone either primary or revision total knee arthroplasty (TKA) or total hip arthroplasty (THA) from February 2019 to August 2020 at our institution logged their opioid use for the first 2 weeks postoperatively, detailing the type, dosage, and number of narcotics they consumed. Those who completed their logs and a grit questionnaire had their average morphine equivalent dose (MED) and grit score calculated. Analysis was then performed to evaluate if any association existed between these 2 variables. Results: There was no correlation between grit score and postoperative opioid consumption in the first 2 weeks following discharge after total joint arthroplasty. A total of 144 patients were eligible to participate and a total of 86 patients met inclusion criteria, 48 patients in the TKA group and 38 in the THA group. Of all patients, 63% were male. The average MED was 95.5 for THAs and 192 for TKAs. The average grit score was 4.23 for THAs and 4.19 for TKAs. Conclusions: There is not an apparent association between grit score and postoperative opioid consumption in the first 2 weeks after total joint arthroplasty. General psychological resiliency may not be an important predictor of postoperative opioid use with modern postoperative protocols. Competing Interests: Declaration of conflicting interestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. |
| فهرسة مساهمة: | Keywords: Arthroplasty; grit; hip; knee; opioid; pain |
| المشرفين على المادة: | 0 (Analgesics, Opioid) 76I7G6D29C (Morphine) |
| تواريخ الأحداث: | Date Created: 20230606 Date Completed: 20240313 Latest Revision: 20240313 |
| رمز التحديث: | 20240313 |
| DOI: | 10.1177/11207000231176507 |
| PMID: | 37278372 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1724-6067 |
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| DOI: | 10.1177/11207000231176507 |