The Impact of Preoperative Opioid Use Disorder on Complications and Costs following Primary Total Hip and Knee Arthroplasty
المؤلفون المشاركون
Bradbury, Thomas L.
Guild, George N.
Wilson, Jacob M.
Farley, Kevin X.
Aizpuru, Matthew
Wagner, Eric R.
المصدر
العدد
المجلد 2019، العدد 2019 (31 ديسمبر/كانون الأول 2019)، ص ص. 1-7، 7ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2019-12-20
دولة النشر
مصر
عدد الصفحات
7
التخصصات الرئيسية
الملخص EN
Introduction.
Multiple studies have demonstrated that patients taking opioids in the preoperative period are at elevated risk for complications following total hip (THA) and knee (TKA) arthroplasty.
However, the incidence and impact of opioid use disorder (OUD) among these patients—both clinically and fiscally—remain unknown.
The purpose of this study was to investigate this relationship.
Methods.
The Nationwide Readmission Database (NRD) was used to identify patients undergoing THA and TKA from 2011 to 2015.
Coarsened exact matching was used to statistically match the OUD and non-OUD cohorts.
Further analysis was then conducted on matched cohorts with multivariate analysis.
The incidence of OUD was also determined, and the costs associated with this comorbidity were calculated.
Results.
The incidence of OUD in arthroplasty patients increased 80% over the study period.
OUD patients had higher odds of prosthetic joint infection (OR 1.55, 95% CI 1.23–1.94), wound complication (OR 1.40, 95% CI 1.12–1.76), prosthetic complication (OR 1.37, 95% CI 1.10–1.70), and revision surgery (OR 1.47, 95% CI 1.19–1.81).
OUD patients also had longer length of stays (TKA: +0.67 days; THA: +1.09 days), higher readmission (OR 1.60, 95% CI 1.43–1.79), and increased 90-day costs (TKA: +$3,602 [95% CI $3,138–4,065]; THA: +4,527 [95% CI $3,593–4,920).
Conclusion.
Opioid use disorder is becoming a more common comorbidity among THA and TKA patients.
This is concerning as it represents a significant risk factor for postoperative complication.
It additionally confers increased perioperative costs.
Patients with OUD should be counseled on their elevated risk, and future work will be needed to determine if this is a modifiable risk factor.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Wilson, Jacob M.& Farley, Kevin X.& Aizpuru, Matthew& Wagner, Eric R.& Bradbury, Thomas L.& Guild, George N.. 2019. The Impact of Preoperative Opioid Use Disorder on Complications and Costs following Primary Total Hip and Knee Arthroplasty. Advances in Orthopedics،Vol. 2019, no. 2019, pp.1-7.
https://search.emarefa.net/detail/BIM-1121655
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Wilson, Jacob M.…[et al.]. The Impact of Preoperative Opioid Use Disorder on Complications and Costs following Primary Total Hip and Knee Arthroplasty. Advances in Orthopedics No. 2019 (2019), pp.1-7.
https://search.emarefa.net/detail/BIM-1121655
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Wilson, Jacob M.& Farley, Kevin X.& Aizpuru, Matthew& Wagner, Eric R.& Bradbury, Thomas L.& Guild, George N.. The Impact of Preoperative Opioid Use Disorder on Complications and Costs following Primary Total Hip and Knee Arthroplasty. Advances in Orthopedics. 2019. Vol. 2019, no. 2019, pp.1-7.
https://search.emarefa.net/detail/BIM-1121655
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1121655
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر