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