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Updated: May 24, 2025
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Published on: June 10, 2013
Post-discharge opioid utilization patterns in orthopedic patients are underestimated: an explorative study
Sanne A M Hendrickx1, Ellie B M Landman1, Ydo V Kleinlugtenbelt1
1Department of Orthopaedic and Trauma Surgery, Deventer Ziekenhuis, SE Deventer, the Netherlands.
Aim:
This study explores morphine use among patients after discharge following total hip (THA) or knee arthroplasty (TKA).
Method:
Morphine use was monitored for 14 days post-discharge. Patients recorded their morphine intake and reported pain using a Visual Analog Scale (VAS). Incomplete reports were excluded from longitudinal analysis. Median tablet count and total morphine use in milligram equivalents (MME) were calculated. Patients were categorized as non-users (0 mmE), short-term users (<100 mmE), and consistent users (>100 mmE).
Results:
Of the 67 patients, six dropped out. Among the remaining, 22 (36.7%) took no morphine, while 38 (63.3%) took at least one dose, with a median VAS-score of 5. Short-term users (n = 19) averaged a total of 40 mmE, mainly in the first three days, while consistent users (n = 15) averaged in total 220 mmE during follow-up, tapering gradually. After 14 days, 3% continued usage. Four patients with incomplete data were excluded. However, for those was found that this was due to or related to the fact that they used a large amount of morphine.
Conclusion:
Most patients used minimal or no morphine, tapering off within two weeks.
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