当前位置: X-MOL 学术J. Knee Surg. › 论文详情
Our official English website, www.x-mol.net, welcomes your feedback! (Note: you will need to create a separate account there.)
Does Pre-Operative Opioid Consumption Influence Patient Satisfaction Following Total Knee Arthroplasty?
Journal of Knee Surgery ( IF 1.7 ) Pub Date : 2022 , DOI: 10.1055/a-1946-6217
Austin F Smith 1 , Nolan S Smith 2 , Langan S Smith 3 , Madhusudhan R Yakkanti 4 , Arthur L Malkani 5
Affiliation  

Background: Chronic opioid use prior to Total Knee Arthroplasty (TKA) has been implicated in adverse outcomes. The purpose of this study was to evaluate clinical outcome measures and patient satisfaction in patients with a history of preoperative chronic opioid use undergoing primary TKA. Methods: A retrospective cohort study was performed on 296 consecutive patients undergoing primary TKA. 74 (25%) patients were identified with chronic preoperative opioid use (study group; 22 male, 52 female). A 3:1 matched cohort ratio of control versus study group was utilized resulting in a control group consisting of 222 patients (97 male, 125 female) without chronic opioid use prior to surgery. There was no statistically significant difference in age, BMI, or follow-up. Average follow-up was 23.4 months in the control group and 23.6 months in the study group (p=0.87). Clinical data including patient satisfaction (Likert score), Knee Society (KS) Knee scores, KS Function scores, Forgotten Joint Score (FJS), length of stay (LOS), and complications were evaluated. Results: Patient satisfaction at most recent visit was 92.8% in the control group versus 83.8% in the chronic opioid group (p=0.0016). Differences in PROMs comparing the control and study cohorts included KS Function Score of 83.23 vs 75.31 (P=0.0034). The FJS of 63.7 vs 58 (p=0.1883) and the KS Knee Score of 89.5 vs 88.1 (p=0.4075) were not significant. Postoperative opioid usage for the control versus the study group was 62/222 (27.9%) versus 56/74 (75.7%) at 4-8 weeks (p<0.0001), and 4/222 (1.80%) versus 27/74 (36.5%) at 12 months (p<0.0001). Overall complication occurrence was 18.9% in the study group versus 11.3% in the control group (p=0.11). Conclusions: Patients with history of chronic preoperative opioid use had significantly lower patient satisfaction and KS Function scores and increased postoperative opioid usage at 12 months compared to patients without a history of opioid use prior to TKA.

中文翻译:

术前阿片类药物的消耗是否会影响全膝关节置换术后患者的满意度?

背景:全膝关节置换术(TKA)之前长期使用阿片类药物可能会导致不良后果。本研究的目的是评估有术前慢性阿片类药物使用史并接受初次 TKA 的患者的临床结果指标和患者满意度。方法:对 296 名连续接受初次 TKA 的患者进行回顾性队列研究。74 名 (25%) 患者被确定术前长期使用阿片类药物(研究组;22 名男性,52 名女性)。采用 3:1 的对照组与研究组匹配队列比例,形成由 222 名术前未长期使用阿片类药物的患者(97 名男性,125 名女性)组成的对照组。年龄、BMI 或随访情况没有统计学上的显着差异。对照组的平均随访时间为 23.4 个月,研究组的平均随访时间为 23.6 个月(p=0.87)。评估临床数据,包括患者满意度(Likert评分)、膝关节协会(KS)膝关节评分、KS功能评分、遗忘关节评分(FJS)、住院时间(LOS)和并发症。结果:最近一次就诊时,对照组患者满意度为 92.8%,而慢性阿片类药物组患者满意度为 83.8% (p=0.0016)。比较对照组和研究组的 PROM 差异包括 KS 功能评分为 83.23 比 75.31 (P=0.0034)。FJS 为 63.7 vs 58 (p=0.1883),KS 膝关节评分为 89.5 vs 88.1 (p=0.4075),但并不显着。术后 4-8 周,对照组与研究组的阿片类药物使用率为 62/222 (27.9%) 与 56/74 (75.7%) (p<0.0001),以及 4/222 (1.80%) 与 27/74 (p<0.0001)。 36.5%)在 12 个月时(p<0.0001)。研究组的总体并发症发生率为 18.9%,而对照组为 11.3%(p=0.11)。结论:与 TKA 前无阿片类药物使用史的患者相比,术前有长期阿片类药物使用史的患者患者满意度和 KS 功能评分显着较低,术后 12 个月时阿片类药物使用量增加。
更新日期:2022-12-12
down
wechat
bug