骨骨折的手术时间作为术后和长期使用阿片类药物的因素
Samira Perez1,2, Charles Laurore1, Carolina Stocchi1
1Department of Orthopaedic Surgery, Mount Sinai, New York, New York.
Orthopedics
|August 22, 2025
概括
足骨折后及时进行手术可以减少手术前使用阿片类药物. 延迟手术超过七天会增加阿片类药物的使用,
科学领域:
- 整形医学
- 治疗疼痛
- 医疗服务研究
背景情况:
- 脚骨折是需要手术的常见伤害.
- 在手术后使用阿片类药物对患者的康复和公共健康有重大影响.
研究的目的:
- 研究骨骨折后手术时间与随后的阿片类药物使用之间的关联.
- 确定延迟手术是否会影响术前,次急性和长期使用阿片类药物.
主要方法:
- 使用Merative MarketScan商业索赔和遭遇数据库进行的回顾性队列研究.
- 包括18至64岁的足骨折患者,在21天内进行开放式缩小和内部固定.
- 通过多变量逻辑回归对阿片类药物使用情况进行分类,按手术时间 (0-3,4-7,8-21天) 分类.
主要成果:
- 晚期手术 (4-7天或8-21天而不是0-3天) 与术前阿片类药物使用增加有关.
- 在8至21天后的手术与长期使用阿片类药物增加有关.
结论:
- 手术时间是影响关骨折后阿片类药物使用模式的关键因素.
- 迅速的手术 (7天内) 可能有助于缓解立即和长期使用阿片类药物.
- 整形外科医生应优先考虑及时的手术以优化术后护理并减少阿片类药物依赖的风险.
更多相关视频
09:51The Transition to an Anterior-Based Muscle Sparing Approach Improves Early Postoperative Function but is Associated with a Learning Curve
Published on: September 7, 2022
3.1K
04:19Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device
Published on: November 8, 2024
580
相关概念视频
Peripheral Artery Disease V: Postoperative Nursing Management
25
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
25
Aneurysm IV: Nursing Management
20
Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
20
Opioid Analgesics: Synthetic and Semisynthetic Opioids
426
Synthetic and semisynthetic opioids are pivotal in pain management and tackling opioid addiction. Semisynthetic opioids, including morphinans (morphine derivatives), oxycodone, oxymorphone, hydrocodone, and hydromorphone, have improved pharmacokinetic profiles compared to morphine. Additionally, heroin and 6-MAM (6-Monoacetylmorphine) show better CNS penetration than morphine due to heightened lipid solubility. Hydromorphone, a potent opioid, undergoes hepatic metabolism to form the active...
426
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
171
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
171
