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| Titel: |
A pilot study of pain management during rehabilitation for hip and knee arthroplasty |
| Auteur: |
Jon Mukand Chunbo Cai Colleen Fitzsimmons Tracy McKenna Anita Zielinski |
| Verschenen in: |
Journal of back and musculoskeletal rehabilitation |
| Paginering: | Jaargang 15 (2002) nr. 2-3 pagina's 93-96 |
| Jaar: |
2002-05-09 |
| Inhoud: |
{\it Objective:} To evaluate the efficacy of pain management in a clinical pathway for rehabilitation after hip and knee arthroplasty, in which scheduled medications are rapidly tapered and prn medications are continued throughout the inpatient stay. {\it Study design:} A prospective cross-sectional study. {\it Setting:} General rehabilitation unit of a regional acute rehabilitation center. {\it Patients:} Twenty-nine patients admitted consecutively to the rehabilitation unit in three months. {\it Outcome measures:} Number of pills/day of prn pain medication, pain scores at admission and discharge, frequency of constipation and nausea, Functional Independence Measure (FIM) gain, and length of stay (LOS). {\it Results:} For all patients, prn pain medication use was 2.4 pills/day/patient; the mean FIM gain was 22.1; and the average LOS was 9.8 days. In comparison to the Vicodin group, patients on Darvocet N-100 had significantly fewer requests for prn pain medication each day (3.1 vs. 1.1, p < 0.01), significantly better FIM gains better (18.9 vs. 24.1, p < 0.05), and fewer side effects (nausea and constipation). {\it Conclusion:} Choosing the right pain medication is imperative for achieving optimal efficiency in clinical pathways for orthopedic rehabilitation. In this pilot study, Darvocet N-100 is the preferred narcotic over codeine and its derivatives. |
| Uitgever: |
IOS Press |
| Bronbestand: |
Elektronische Wetenschappelijke Tijdschriften |
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