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| 1 | Fluctuation of visual analog scale pain scores and opioid consumption before and after total hip arthroplasty显示文摘BACKGROUND Patients who undergo orthopedic procedures are often given excess opioid medication.Understanding the relationship between pain and opioid consumption following total hip arthroplasty(THA)is key to creating safe and effective opioid prescribing guidelines.AIM To evaluate the association between the quantity of opioid consumption in relation to pain scores both pre-and postoperatively in patients undergoing primary THA.METHODS We retrospectively reviewed patients who underwent primary THA from November 2018-May 2019 and answered both the visual analog scale(VAS)pain and opioid medication questionnaires pre-and postoperatively.Both surveys were delivered daily for 7-days before surgery through the first 30 postoperative days.Survey results were divided into preoperative,postoperative days 1-7,postoperative days 8-14,and postoperative days 15-30 for analysis.Mean opioid pill consumption and VAS pain scores in each time period were determined and compared to patients’preoperative status using hierarchical Poisson and linear regressions,respectively.RESULTS There were 105 patients included.Mean VAS pain scores were the highest preoperatively 7.41±1.72.However,VAS pain scores significantly declined in each successive postoperative category compared to preoperative scores:postoperative day 1-7(5.07±1.79;P<0.001),postoperative day 8-14(3.60±1.64;P<0.001),and postoperative day 15-30(3.15±1.63;P<0.001).Mean opioid pill consumption preoperatively was 0.68±1.29 pills.Compared to preoperative opioid consumption,opioid use was significantly greater between postoperative days 1-7(1.51±1.58;P=0.001)and postoperative days 8-14(1.00±1.27;P=0.043).Opioid consumption declined below preoperative levels between postoperative days 15-30(0.35±0.72;P=0.160)which correlates with a VAS pain score of 3.15.CONCLUSION All patients experienced significant benefit and pain relief from having undergone THA.Average postoperative opioid consumption decreased below preoperative consumption between postoperative days 15-30,which was associated with a VAS pain score of 3.15.These results can be used to appropriately guide opioid prescribing practices and set patient expectations regarding pain management following THA. | Vivek Singh Alex Tang Thomas Bieganowski Utkarsh Anil William Macaulay Ran Schwarzkopf Roy I Davidovitch | 2022 | World Journal of Orthopedics2022,13,8: | 2 |
| 2 | Gastrointestinal stromal tumors: clinicopathological study of Chinese cases 显示文摘 | Wang X Mori I Tang WH | 2001 | Pathol Int2001,51,9: | 1 |
| 3 | Insights into oil cracking based on laboratory experiments显示文摘 | Hill R J Tang Y C Kaplan I R | 2003 | Org Geochem2003,34,12: | 1 |
| 4 | Salicylic acid levels in thermogenic and nonthermogenic plants 显示文摘 | Raskin I Skubatz H Tang W | 1990 | Ann Bot1990,,66: | 1 |
| 5 | Experimental study of oil-filledhigh-speed spirt forming micro-groove fin-inside tubes显示文摘 | Tang Y Chi I Y Chen J C | 2007 | Inter- national Journal of Machine Tools and Manufacturing2007,47,78: | 1 |
| 6 | Silicon nanowires prepared by laser ablation at high temperature 显示文摘 | Zhang Y F Tang Y H Wang N Yu D P Lee C S Bello I Lee S T | 1998 | Applied Physics Letters1998,72,15: | 1 |
| 7 | A conference key distribution system显示文摘 | Ingemarsson I Tang D T Wong C K | 1982 | IEEE Trans 1 T1982,28,5: | 1 |
| 8 | Zaltoprofen inhibits bradykinin-induced responses by blocking the activation of second messenger signaling cascades in rat dorsal root ganglion cells显示文摘 | TANG H B ATSUKO I KYOKO O | 2005 | Neuropharm2005,48,: | 1 |
| 9 | Insight into cracking based on labora- tory experiments 显示文摘 | Hill R J Tang Y Kaplan I | 2003 | Organic Geochemistry2003,34,12: | 1 |
| 10 | Over expression of lymphangiogenic growth factor VEGF-C in human pancreatic cancer显示文摘 | TANG R F ITAKURA I AIKAWA T | 2001 | Pacreas2001,22,3: | 1 |
| 11 | Gastrointestinal stromal tumors:clinicopathological study of Chinese cases显示文摘 | Wang X Mori I Tang W | 2001 | Pathol Int2001,51,8: | 1 |
| 12 | Modeling the seasonal variation of sea ice in the Labrador Sea with a coupled multicategory ice model显示文摘 | YAO T TANG C L PETERSON I K | 2000 | J Geophys Res2000,105,1: | 1 |
| 13 | Nanoparticle-based irnmunoassays for sensitive and early detection of HIV-1 capsid (p24) antigen显示文摘 | Tang S Hewlett I | 2010 | J Infect Dis2010,201,1: | 1 |
| 14 | Effects of transglutaminase treatment on the thermal properties of soy protein isolates显示文摘 | Chuan-He Tang Zhong Chen Lin l i el al | 2006 | Food Research International2006,,39: | 1 |
| 15 | Periodic knee injections of BMP-7 delay cartilage degeneration induced by excessive running in rats显示文摘 | SEKIYA I TANG T HAYASHI M | 2009 | Journal of Orthopaedic Research2009,27,8: | 1 |
| 16 | Synthesis of nano-scale silicon wires by exciter laser ablation at high temperature 显示文摘 | Yu D P Lee C S Bello I Sun X S Tang Y H Zhou G W Bai Z G Zhang Z Feng S Q | 1998 | Solid State Communication1998,105,6: | 1 |
| 17 | Modification technology of nano-silica using HMDS 显示文摘 | TANG H B ZHANG X M MA B I | 2007 | J Shenyang Univ Technol (in Chinese)2007,29,: | 1 |
| 18 | Ring-opening polymerization of strained, ring-tilted ferrocenophanes: a route to high molecular weight poly(ferrocenylsilanes)显示文摘 | Tang B Z Manners I | 1992 | J Am Chem Soc1992,114,: | 1 |
| 19 | A compact UWB antenna with CPW-fed显示文摘 | LIND B TANG I T TSOU M Y | 2007 | Microwave and Optical Technology Letters2007,49,3: | 1 |
| 20 | Capabilities and application of FEM code DEFORM:the perspective of the developer显示文摘 | OH S I WU W T TANG J P VEDHANAYAGAM A | 1991 | J Mater Process Technol1991,27,: | 1 |