Postoperative outcomes of total knee arthroplasty across varying levels of multimodal pain management protocol adherence
Date of this Version
11-1-2021
Document Type
Article
Abstract
We examined the effect of varying multimodal pain management (MMPM) combinations on oral morphine milligram equivalents (OMME) and length of stay (LOS) after total knee arthroplasty (TKA). Five groups were compared based on the combination of multimodal analgesics ranging from no MMPM to full MMPM with acetaminophen, gabapentinoids, and celecoxib. After risk adjustment, MMPM was associated with decreased odds of LOS ≥2 days and OMME ≥75th percentile. MMPM protocols are effective at reducing LOS and postoperative narcotic requirements post-TKA. Patients appear to derive similar benefit from receiving all three medications, as well as various combinations of these drugs.
Identifier
34744378 (pubmed); 10.1016/j.jor.2021.10.005 (doi); S0972-978X(21)00224-5 (pii); PMC8554102 (pmc)
Recommended Citation
Harrison, Anna E.; Kozarek, Jason D.; Yeh, Justin; MacDonald, James H.; Ruiz-Pelaez, Juan G.; Barengo, Noël C.; Turcotte, Justin J.; and King, Paul J., "Postoperative outcomes of total knee arthroplasty across varying levels of multimodal pain management protocol adherence" (2021). HWCOM Faculty Publications. 207.
https://digitalcommons.fiu.edu/com_facpub/207
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