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- Title
Outcomes of hip fracture treatment with intravenous morphine and with other analgesics: postoperative analgesic medical expense, severity of pain and hospitalisation—a retrospective study.
- Authors
Srichan, Rapeepat; Phinyo, Pichayut; Tanasombatkul, Krittai; Nimkingratana, Puwapong
- Abstract
Aims: This study compares the postoperative medical costs and outcomes of hip fracture patients treated with intravenous (IV) versus other analgesics (weak opioids, NSAIDs or acetaminophen). Methods: We performed a retrospective study at a tertiary hospital in Thailand, examining 1,531 patients who underwent hip fracture surgery between 2009 and 2020. We analyzed data on analgesic usage, costs, pain scores, and adverse effects. Results: In the study of 1531 patients, 63% of patients received as-needed analgesics, and 37% received preemptive prescriptions. In both groups, IV morphine was the predominant choice. The mean cost for the IV group was marginally higher than the other analgesics group ($2277 vs $2174). The other analgesics group had a significantly higher consumption of acetaminophen and selective NSAIDs (p = 0.004). Pain scores were similar across both groups, but the IV group had a significantly higher incidence of gastrointestinal side effects (24% vs 10.5%, p < 0.01). Conclusion: The choice of IV or other analgesics in treating hip fractures affects analgesic usage, side effects, medical costs, and patient outcomes. Further studies across different regions are recommended.
- Subjects
THAILAND; INTRAVENOUS therapy; PAIN measurement; PAIN; ANALGESICS; NONOPIOID analgesics; NONSTEROIDAL anti-inflammatory agents; ACETAMINOPHEN; HIP fractures; MEDICAL care costs; TERTIARY care; RETROSPECTIVE studies; DISEASE incidence; SURGICAL complications; MORPHINE; TREATMENT effectiveness; COMPARATIVE studies; HOSPITAL care; DESCRIPTIVE statistics; POSTOPERATIVE pain
- Publication
Journal of Orthopaedic Surgery & Research, 2023, Vol 18, Issue 1, p1
- ISSN
1749-799X
- Publication type
Article
- DOI
10.1186/s13018-023-04328-w