Preop Opioid Use Associated with Higher Readmission and Revision Rates after TJA
Prescription opioid use is epidemic in the U.S. Recently, an association was demonstrated between preoperative opioid use and increased health-care utilization following abdominal surgeries. #JBJSInfographics #visualabstract #JBJS
Full article: https://bit.ly/2uVhwfl
Tags: Hip, Infographic, Knee, Video Summary, Visual Abstract
Follow us on Twitter
My TweetsThe latest issue of JBJS is now available: https://jbjs.org/issue.php
Today's Elite Reviewer profile spotlights Dr. Robert Arciero of @uconnhealth. Read it here: https://orthobuzz.jbjs.org/2019/10/15/elite-reviewer-spotlight-robert-arciero/
Last chance to save: JBJS Journal of Orthopaedics for Physician Assistants
In celebration of PA Week, you can now purchase a one-year subscription to JBJS JOPA for $99.
Buy today: https://store.jbjs.org/jopa-complete
Use code JOPAFall at checkout.
Do you know the answer to the JBJS Clinical Classroom Challenge of the Week?
Check your answer: http://ow.ly/VeSb50wIALo
Next up in our Elite Reviewer profile series is Dr. Jeffery Stambough of @TriHealth Orthopedic and Sports Institute: https://orthobuzz.jbjs.org/2019/10/10/elite-reviewer-spotlight-jefferey-stambough/
A randomized control trial investigating the benefit of prolonged antibiotics after spinal surgery with closed-suction drains.
.
In the most recent issue of The Journal, Urquhart et al. present their investigation of prolonged antibiotics in posterior spinal surgery in which closed-suction drains are used.
.
552 patients undergoing posterior spinal surgery were enrolled and randomized to receive 24 or 72 hours of post-operative intravenous antibiotics. All patients received closed-suction drains at the end of surgery. The primary outcome investigated was the rate of surgical site infection (deep or organ or space) within 1 year of the surgical procedure.
.
At the conclusion of the study, infections occurred in 17 patients (6.0%) in the 24-hour group and in 14 patients (5.2%) in the 72-hour group (p = 0.714). Interestingly, patients in the 72-hour antibiotic group had a median hospital stay that was 1 day longer (p < 0.001) than the 24-hour group.
.
These findings suggest no added benefit of prolonged post-operative antibiotics in posterior spinal fusion even when a closed-suction drain is in place. Furthermore, prolonged antibiotics may increase hospital stay.
.
This article can be found on jbjs.org in the October 2nd issue of The Journal.
.
.
#jbjs #orthopedics #orthosurgery #orthopedicsurgery #surgery #medicine #spine #spinesurgery #antibiotics #orthopedicresidency #orthoresidency #residency #medicalschool #medschool #medicaleducation #evidencebasedmedicine
Recent Comments