The DOI matches its Crossref record; 17 of the 17 references it cites were found in a registry or an index.
Postoperative pain following primary lower limb arthroplasty and enhanced recovery pathway
Open accessAbstract
Introduction: Enhanced recovery is a concept that has become increasingly popular for arthroplasty surgery over the last ten years. This study was designed to assess the analgesia requirements, pain levels and time to discharge for patients having primary arthroplasty in the enhanced recovery pathway. Methods: A multidisciplinary prospective cohort study was carried out between January 2012 and March 2012. Data were collected for patients undergoing primary arthroplasty in one hospital during this time. Details of anaesthesia, local infiltration, additional medications and analgesia were recorded. A visual analogue scale pain score was obtained from each patient at time of mobilisation on days 0, 1, 2 and 3 postoperatively. Results: Ninety-six patients were included in the study. Of these, 34 underwent total hip arthroplasty and 62 total knee arthroplasty (TKA). Pain was the greatest contributor for delayed discharge in TKA patients. The patients who had TKA and did not receive non-steroidal anti-inflammatory drugs (NSAIDs) had significantly higher pain scores (day 0, p<0.01; day 1, p<0.001; day 2, p<0.01) and significantly increased opiate demands compared with those patients who did receive NSAIDs. Conclusions: There are unacceptably high pain scores in patients undergoing TKA without the use of NSAIDs. There should be focused intervention with this group of patients to improve their pain scores and reduce their length of stay.
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“Inadequately controlled acute pain and excessive opioid use delay recovery and hospital discharge after many surgeries.53–56”
From Chronic postsurgical pain: From risk factor identification to multidisciplinary management at the Toronto General Hospital Transitional Pain Service (2019) · cites this paper as [56]
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Poorly controlled postoperative pain: prevalence, consequences, and prevention
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Metadata
- Authors
- Robinson, K., Wagstaff, K., Sanghera, S., & Kerry, R.
- Affiliations
- Sheffield Teaching Hospitals NHS Foundation Trust, UK
- Sheffield Teaching Hospitals NHS Foundation Trust (GB)
- Venue
- The Annals of The Royal College of Surgeons of England
- Publisher
- Royal College of Surgeons of England
- Published
- 2014-05
- Volume
- 96
- Issue
- 4
- Pages
- 302-306
- ISSN
- 0035-8843 (ISSN-L)
- 1478-7083
- PMC
- PMC4574415
- OpenAlex
- W1989648774
- Cited by
- 26
- References
- 17
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 2 · 2023: 1 · 2022: 3 · 2021: 3 · 2020: 2 · 2019: 2 · 2018: 1 · 2017: 5 · 2016: 1 · 2015: 3
- FWCI
- 2.97
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Annals of The Royal College of Surgeons of England (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Anesthesiology and Pain Medicine › Anesthesia and Pain Management
- Health Sciences › Medicine › Surgery › Enhanced Recovery After Surgery
- Health Sciences › Medicine › Surgery › Total Knee Arthroplasty Outcomes
- Keywords
- postoperative pain, enhanced recovery after surgery, total knee arthroplasty, total hip arthroplasty, nonsteroidal anti-inflammatory drugs, analgesia, opioid consumption, length of hospital stay, local infiltration, postoperative mobilization
- MeSH terms
- Adult, Analgesics, Anesthetics, Anti-Inflammatory Agents, Non-Steroidal, Early Ambulation, Female, Humans, Length of Stay, Male, Middle Aged, Pain Measurement, Postoperative Pain, Prospective Studies, Arthroplasty, Replacement, Hip, Arthroplasty, Replacement, Knee, Pain Management
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