The interaction of depression and prior opioid use on pain and opioid requirements after total joint arthroplasty.

ABSTRACT:

Background

Preoperative opioid use causes increased pain and opioid requirements after total joint arthroplasty (TJA), but the effect of depression on this relationship is not well defined.

Methods

We conducted a retrospective review of primary TJA patients using an institutional database. Demographic variables, inpatient opioid requirements, and discharge prescription quantities were collected and compared between patients with and without a prior diagnosis of depression in both the prior opioid-using and nonusing cohorts.

Results

Four hundred and three patients were analyzed between August 1, 2016, and July 31, 2017. Among prior opioid users, patients with depression experienced higher inpatient pain levels (4 vs 3; P = .001), required more inpatient opioids

SUBMITTER: Rubenstein W 

PROVIDER: S-EPMC6287236 | biostudies-literature | 2018 Dec

REPOSITORIES: biostudies-literature