Journal article
Predictors of postoperative pain, opioid consumption, and functionality after arthroscopic shoulder surgery: A prospective observational study
Journal of orthopaedic surgery (Hong Kong), Vol.30(1), pp.102255362210942-10225536221094259
01/01/2022
DOI: 10.1177/10225536221094259
PMID: 35393908
Abstract
Purpose
This study aims to identify predictors of postoperative pain and opioid consumption after shoulder surgery to help optimize postoperative pain protocols.
Study Design
Observational cohort study.
Methods
One thirty-four patients undergoing arthroscopic shoulder repair were included. Variables related to the patient, surgery and anesthesia were collected and correlated with postoperative pain intensity, analgesic consumption, and functionality up to 1-month post-surgery. We used mixed-effect linear models to estimate the association of gender, interscalene block (ISB), preoperative shoulder pain, non-steroidal anti-inflammatory drugs (NSAIDs) consumption before surgery, and type of surgery with each of the following outcomes: postoperative pain scores, opioid consumption, and functionality. We further analyzed the data for pain scores and opioid consumption per body weight using the multiple linear regression analysis to demonstrate the aforementioned associations specifically at 1 h, 6 h, 12 h, 24 h, 72 h, 1 week and 1 month after surgery.
Results
Omitting the ISB was associated with higher postoperative pain and cumulative opioid consumption over the first 24 h after surgery. Rotator cuff repair and stabilization surgeries were found to be predictive of higher postoperative pain at 24 h, 72 h, and 1 week and lower functionality at 1 week after surgery. Preoperative shoulder pain and NSAIDs consumption were also predictive of postoperative pain and cumulative opioid consumption.
Conclusion
Omitting a single shot ISB is a strong predictor of postoperative pain and opioid consumption in the early postoperative phase, beyond which the type of surgery, particularly rotator cuff repair and stabilization surgery, emerges as the most important predictor of postoperative pain and functionality.
Details
- Title: Subtitle
- Predictors of postoperative pain, opioid consumption, and functionality after arthroscopic shoulder surgery: A prospective observational study
- Creators
- Carine Zeeni - American University of Beirut Medical CenterLayal Abou Daher - American University of Beirut Medical CenterFadia M Shebbo - American University of Beirut Medical CenterNaji Madi - Duke Medical CenterNada Sadek - American University of Beirut Medical CenterHasan Baydoun - American University of Beirut Medical CenterMuhyeddine Al-Taki - American University of Beirut Medical CenterMarie T Aouad - American University of Beirut Medical Center
- Resource Type
- Journal article
- Publication Details
- Journal of orthopaedic surgery (Hong Kong), Vol.30(1), pp.102255362210942-10225536221094259
- DOI
- 10.1177/10225536221094259
- PMID
- 35393908
- ISSN
- 1022-5536
- eISSN
- 2309-4990
- Language
- English
- Date published
- 01/01/2022
- Academic Unit
- Anesthesia
- Record Identifier
- 9984656596002771
Metrics
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