Outcomes of hip fracture treatment with intravenous morphine and with other analgesics: postoperative analgesic medical expense, severity of pain and hospitalisation—a retrospective study
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 patien...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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BMC
2023-12-01
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| Series: | Journal of Orthopaedic Surgery and Research |
| Online Access: | https://doi.org/10.1186/s13018-023-04328-w |
| _version_ | 1797376843898159104 |
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| author | Rapeepat Srichan Phichayut Phinyo Krittai Tanasombatkul Puwapong Nimkingratana |
| author_facet | Rapeepat Srichan Phichayut Phinyo Krittai Tanasombatkul Puwapong Nimkingratana |
| author_sort | Rapeepat Srichan |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-03-08T19:45:25Z |
| format | Article |
| id | doaj.art-73e3d94f486d495ebdedb15df697c35d |
| institution | Directory Open Access Journal |
| issn | 1749-799X |
| language | English |
| last_indexed | 2024-03-08T19:45:25Z |
| publishDate | 2023-12-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Orthopaedic Surgery and Research |
| spelling | doaj.art-73e3d94f486d495ebdedb15df697c35d2023-12-24T12:24:37ZengBMCJournal of Orthopaedic Surgery and Research1749-799X2023-12-0118111010.1186/s13018-023-04328-wOutcomes of hip fracture treatment with intravenous morphine and with other analgesics: postoperative analgesic medical expense, severity of pain and hospitalisation—a retrospective studyRapeepat Srichan0Phichayut Phinyo1Krittai Tanasombatkul2Puwapong Nimkingratana3Department of Orthopaedics, Faculty of Medicine, Chiang Mai UniversityCenter for Clinical Epidemiology and Clinical Statistics, Faculty of Medicine, Chiang Mai UniversityDepartment of Family Medicine, Faculty of Medicine, Chiang Mai UniversityDepartment of Orthopaedics, Faculty of Medicine, Chiang Mai UniversityAbstract 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.https://doi.org/10.1186/s13018-023-04328-w |
| spellingShingle | Rapeepat Srichan Phichayut Phinyo Krittai Tanasombatkul Puwapong Nimkingratana Outcomes of hip fracture treatment with intravenous morphine and with other analgesics: postoperative analgesic medical expense, severity of pain and hospitalisation—a retrospective study Journal of Orthopaedic Surgery and Research |
| 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 |
| title_full | Outcomes of hip fracture treatment with intravenous morphine and with other analgesics: postoperative analgesic medical expense, severity of pain and hospitalisation—a retrospective study |
| title_fullStr | Outcomes of hip fracture treatment with intravenous morphine and with other analgesics: postoperative analgesic medical expense, severity of pain and hospitalisation—a retrospective study |
| title_full_unstemmed | Outcomes of hip fracture treatment with intravenous morphine and with other analgesics: postoperative analgesic medical expense, severity of pain and hospitalisation—a retrospective study |
| title_short | Outcomes of hip fracture treatment with intravenous morphine and with other analgesics: postoperative analgesic medical expense, severity of pain and hospitalisation—a retrospective study |
| title_sort | outcomes of hip fracture treatment with intravenous morphine and with other analgesics postoperative analgesic medical expense severity of pain and hospitalisation a retrospective study |
| url | https://doi.org/10.1186/s13018-023-04328-w |
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