@entity158 , opioids, and XXXX after arthroplasty in older adults.

@entity1 @entity911 @entity86 @entity158 @entity282
BACKGROUND: @entity86 is a common complication in older adults, particularly after total joint replacement (arthroplasty). @entity911 after surgery can result in slower mobility progression, longer hospital stay, and increased @entity1 distress. @entity282 has been shown to be a risk factor related to @entity911 ; however, there is limited evidence regarding @entity158 level, medication use, and @entity911 development in postoperative arthroplasty @entity1 . PURPOSE: To evaluate development of postoperative @entity911 and the current practice of @entity158 management for older adult @entity1 with hip or knee arthroplasty. METHODS: Two-month retrospective chart review of medical records at a large, Midwestern, private hospital. @entity158 assessments were performed on a regular basis using self-report 11-point Numeric Rating Scale (0-10). Opioid use was scored using an equianalgesic conversion chart. RESULTS: Ninety-eight @entity1 met inclusion criteria and 97 received treatment with opioids during the first 48 hours postoperatively. No @entity1 received opioid agents that are contraindicated in older adults. Thirty-three @entity1 had evidence in the medical record of @entity911 during the first 48 hours postoperatively. Lower equianalgesic dose was significant for increased age and increased @entity911 on postoperative day 1 (POD 1) and POD 2. @entity1 with higher equianalgesic scores were less likely to meet benchmark @entity158 scores less than 5 on POD 0, POD 1, and POD 2. CONCLUSIONS: @entity1 receiving lower amounts of opioids in the first 48 hours after surgery were more likely to be confused on POD 1(p = .023) and POD 2 (p = .049).
