Pain medicine

How is postoperative pain after hip and knee replacement managed? An analysis of two large hospitals in Australia

Perioper Med (Lond)Published Retrospective cohort study

Authors' conclusion

We identified high use of opioids analgesics as the main strategies for pain control after hip and knee replacement in hospital. Other analgesics were much less frequently used, such as NSAIDs, and always in combination with opioids and paracetamol.

Study context

Population
Adults (≥18 y) undergoing hip or knee replacement surgery in 2019, two major hospitals in Sydney, Australia
Participants
1,225 adults · 1,282 surgeries
Outcome
Inpatient postoperative analgesic prescribing patterns (frequency of pain medications by category; average oral morphine equivalent daily dose, OMEDD)
Follow-up
Ward stay until discharge
Methodological detailselectronic medical record data, two-centre
  • Electronic medical record data
  • Two-centre

Main finding

As reported in the abstract

Analgesic prescribing patterns
Prescribed opioid analgesics and paracetamol
Over 99%
Managed with paracetamol and opioids only
61.4%
Prescribed oxycodone (most common opioid)
87.3%
Prescribed NSAIDs
19%
Average daily oral morphine equivalent daily dose (OMEDD), median (IQR)
50.2 mg (30.3-77.9)

Observational data: associations, not effects.

Original publication

How is postoperative pain after hip and knee replacement managed? An analysis of two large hospitals in Australia. Perioper Med (Lond). Published 31 May 2024. doi:10.1186/s13741-024-00403-w

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