Preoperative Smoking and Narcotic, Benzodiazepine, and Tramadol Use are Risk Factors for Narcotic Use After Hip and Knee Arthroplasty.

摘要: BACKGROUND The use of narcotics has been found to be a modifiable risk factor for success arthroplasty. We sought determine the factors leading increased narcotic after total hip arthroplasty and knee METHODS A retrospective chart review was performed on new patients presenting an orthopedic reconstructive-service clinic. New aged 18 years or older with osteoarthritis who presented over 1-year period underwent were included. Arkansas prescription monitoring program then used recent benzodiazepine prescriptions filled within 3 months surgery, this converted into morphine milligram equivalents (MME). RESULTS One hundred seventy-nine met inclusion criteria. When compared did not take any preoperative opioids, narcotic- tramadol-only users average 86% 38% more MME, respectively. Benzodiazepine required 81% MME postoperative than nonusers, smokers 90% nonsmokers. Subjects body mass index >40 kg/m2 had 82% higher subjects <25 kg/m2. Age sex no significant correlation use. CONCLUSION This study suggests that patient's narcotic, tramadol, benzodiazepine, tobacco are correlated amount in following surgery. Predisposition substance abuse may characteristic which leads