Cited by 26Anesthesia and Pain ManagementEnhanced Recovery After SurgeryTotal Knee Arthroplasty Outcomes

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

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Robinson, KP, Wagstaff, KJ, Sanghera, S, Kerry, RM·2014·The Annals of The Royal College of Surgeons of England

Abstract

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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Crossref · 10.1308/003588414x13946184900525

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Research works printed but not linked: 2

  1. Andersen SH, 2009, Ugeskr Laeger, 171, 3,276
  2. Starks I, 2011, ISRN Anaesthesiol, 742927

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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
Published
2014-05
Volume
96
Issue
4
Pages
302-306
ISSN
  • 0035-8843 (ISSN-L)
  • 1478-7083
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
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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