Journal article
Patient Resilience Influences Opioid Consumption in Primary Total Joint Arthroplasty Patients
The Iowa orthopaedic journal, Vol.42(2), pp.112-117
2022
PMCID: PMC9769347
PMID: 36601223
Appears in Diamond Open Access
Abstract
Background: Resilience and depression may influence opioid consumption in patients undergoing primary hip and knee arthroplasty (TJA); however, data evaluating these relationships are limited.
Methods: We retrospectively identified 119 patients undergoing TJA who completed preoperative questionnaires to measure resilience (Brief Resilience Scale) and depression (PHQ-9) from 2017 to 2018 at a single institution. Patients were stratified into high, normal, and low resilience groups as well as no, mild, and major depression groups. Opioid use was recorded in morphine milligram equivalents (MMEs). Nonparametric statistical testing was performed with significance level at P < 0.05.
Results: Higher levels of resilience correlated with less postoperative inpatient opioid use (P = 0.003). Patients with high resilience were less likely to use preoperative opioids compared to those with low resilience (OR = 6.08, 95% CI [1.230.5]). There was no difference in postoperative outpatient opioid prescriptions between resilience groups. Lower levels of depression correlated with less postoperative inpatient opioid use, though this did not reach statistical significance (P = 0.058). Additionally, there was no significant difference in preoperative opioid use or postoperative outpatient opioid prescriptions between depression groups.
Conclusion: Patients with higher levels of resilience are less likely to use opioids before TJA and utilize lower amounts of opioids while inpatient following surgery. Depression correlated with higher postoperative inpatient opioid use; however, the present findings regarding this relationship are inconclusive. Resilience is a psychological trait that may impact opioid use in patients undergoing TJA and should be viewed as a modifiable risk factor. Level of Evidence: III.
Keywords: opioid; resilience; total joint arthroplasty.
Details
- Title: Subtitle
- Patient Resilience Influences Opioid Consumption in Primary Total Joint Arthroplasty Patients
- Creators
- Jonathan Q. Trinh - University of Iowa, Carver College of Medicine, Iowa City, Iowa, USAChristopher N. Carender - University of IowaQiang An - University of IowaNicolas O. Noiseux - University of IowaJesse E. Otero - OrthoCarolinaTimothy S. Brown - Houston Methodist
- Resource Type
- Journal article
- Publication Details
- The Iowa orthopaedic journal, Vol.42(2), pp.112-117
- Publisher
- Dept. of Orthopaedics, The University of Iowa; United States
- PMID
- 36601223
- PMCID
- PMC9769347
- ISSN
- 1541-5457
- eISSN
- 1555-1377
- Language
- English
- Date published
- 2022
- Academic Unit
- Orthopedics and Rehabilitation
- Record Identifier
- 9984354860702771
Metrics
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