Narcotic consumption in opioid naïve patients undergoing total hip and knee arthroplasty
Journal of Arthroplasty May 08, 2020
Dattilo JR, Cororaton AD, Gargiulo JM, et al. - The present study was performed to compare acute postoperative narcotic consumption between the two procedures and quantify amount of narcotics used by opioid prescribed. Individuals were surveyed at four-week follow up to ascertain amount and duration of opioids used and whether they continued to require narcotics from October 2017 to August 2019. Six-hundred seventy patients had undergone total hip arthroplasty (THA) and 662 had undergone total knee arthroplasty among 1332 patients who self-identified as opioid naïve. Researchers conducted descriptive analysis based on data type. The data suggested that THA is correlated with less total narcotic consumption, shorter duration of use, less refills, and lower likelihood of requiring narcotics at four-week follow up. It was indicated that percentiles of total narcotics consumed are served to promote judicious postoperative prescribing patterns, and one could consider further decreasing narcotics when applying the protocol, especially for THA individuals.
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