Pub Date : 2025-02-01DOI: 10.1016/j.ijotn.2024.101155
Xiaoyu Wu , Huaqin Wang , Ya Tan, Xiaoju Tan, Xinge Zhao, Xiaoling Liu, Wenli Wang
Background
Deep venous thrombosis (DVT) of the lower extremity causes a major disease burden globally. Currently, oral anticoagulant therapy is used as the first-line treatment of DVT, however, medication non-adherence remains a serious problem for postoperative spinal surgery patients whose DVT incidence is at a high level.
Aims
To explore barriers and facilitators affecting patient oral anticoagulant medication adherence, based on guidance using the COM-B model.
Methods
This study was a qualitative study using a descriptive research design with in-depth and semi-structured interviews. Data were analyzed adopting traditional content analysis methods.
Results
Based on the COM-B theoretical model, we identified 9 barriers and facilitators from capability, opportunity, and motivation domains.
Conclusions
Patients were confronted with barriers from capability, opportunity, and motivation domains, which were not isolated but interrelated. Future interventions should incorporate facilitators and barriers to address medication adherence issue with a holistic approach at multiple levels.
{"title":"Barriers and facilitators for improving oral anticoagulant medication adherence in lower extremity deep venous thrombosis patients after spinal surgery: A qualitative study using the COM-B model","authors":"Xiaoyu Wu , Huaqin Wang , Ya Tan, Xiaoju Tan, Xinge Zhao, Xiaoling Liu, Wenli Wang","doi":"10.1016/j.ijotn.2024.101155","DOIUrl":"10.1016/j.ijotn.2024.101155","url":null,"abstract":"<div><h3>Background</h3><div>Deep venous thrombosis (DVT) of the lower extremity causes a major disease burden globally. Currently, oral anticoagulant therapy is used as the first-line treatment of DVT, however, medication non-adherence remains a serious problem for postoperative spinal surgery patients whose DVT incidence is at a high level.</div></div><div><h3>Aims</h3><div>To explore barriers and facilitators affecting patient oral anticoagulant medication adherence, based on guidance using the COM-B model.</div></div><div><h3>Methods</h3><div>This study was a qualitative study using a descriptive research design with in-depth and semi-structured interviews. Data were analyzed adopting traditional content analysis methods.</div></div><div><h3>Results</h3><div>Based on the COM-B theoretical model, we identified 9 barriers and facilitators from capability, opportunity, and motivation domains.</div></div><div><h3>Conclusions</h3><div>Patients were confronted with barriers from capability, opportunity, and motivation domains, which were not isolated but interrelated. Future interventions should incorporate facilitators and barriers to address medication adherence issue with a holistic approach at multiple levels.</div></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"56 ","pages":"Article 101155"},"PeriodicalIF":1.5,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142956467","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-02-01DOI: 10.1016/j.ijotn.2025.101159
Heba Khalil , Abedalmajeed Shajrawi , Ahmed Mohammad Al-Smadi , Wegdan Bani-Issa , Fatma Refaat Ahmed , Loai AbuSharour , Nabeel AL. Yateem , Khalil Yousef
Purpose
This study examines predictors of postoperative pain relief and patient satisfaction among orthopedic patients in Jordan, emphasizing demographic and clinical factors, patient involvement in pain management, Patient-Controlled Analgesia (PCA) utilization, and non-pharmacological pain relief techniques.
Methods
This observational, predictive study included 300 orthopedic surgery patients. Pain intensity was measured 24 h post-surgery, and patients completed the Revised American Pain Society Patient Outcome Questionnaire (APS-POQ-R). Demographic and clinical data were collected from medical records. Statistical analyses, including t-tests, ANOVA, and regression models, identified significant predictors of perceived pain relief and satisfaction with pain management.
Results
Patients reported high pain levels early post-surgery, with an average peak pain intensity of 8.52/10. Combined treatments provided an average pain relief score of 81.9%, and satisfaction with pain management averaged 7.86. Higher satisfaction was associated with PCA use, non-pharmacological methods, and information on pain management options. Key predictors of pain relief included surgery type, pain management information availability, the impact of opioid side effects, and pain's impact on activities, sleep, and emotional well-being. Satisfaction was also predicted by information on pain treatment, opioid side effects, and the total impact of pain.
Conclusion
Enhanced patient education, active involvement in care, individualized non-pharmacological pain relief methods, and PCA use improve perceived pain relief and satisfaction with pain management. This study emphasizes the importance of personalized, multimodal pain management strategies to improve postoperative care and enhance recovery.
{"title":"Examining postoperative care: Predictors of perceived pain relief and satisfaction with pain management after orthopedic surgeries","authors":"Heba Khalil , Abedalmajeed Shajrawi , Ahmed Mohammad Al-Smadi , Wegdan Bani-Issa , Fatma Refaat Ahmed , Loai AbuSharour , Nabeel AL. Yateem , Khalil Yousef","doi":"10.1016/j.ijotn.2025.101159","DOIUrl":"10.1016/j.ijotn.2025.101159","url":null,"abstract":"<div><h3>Purpose</h3><div>This study examines predictors of postoperative pain relief and patient satisfaction among orthopedic patients in Jordan, emphasizing demographic and clinical factors, patient involvement in pain management, Patient-Controlled Analgesia (PCA) utilization, and non-pharmacological pain relief techniques.</div></div><div><h3>Methods</h3><div>This observational, predictive study included 300 orthopedic surgery patients. Pain intensity was measured 24 h post-surgery, and patients completed the Revised American Pain Society Patient Outcome Questionnaire (APS-POQ-R). Demographic and clinical data were collected from medical records. Statistical analyses, including t-tests, ANOVA, and regression models, identified significant predictors of perceived pain relief and satisfaction with pain management.</div></div><div><h3>Results</h3><div>Patients reported high pain levels early post-surgery, with an average peak pain intensity of 8.52/10. Combined treatments provided an average pain relief score of 81.9%, and satisfaction with pain management averaged 7.86. Higher satisfaction was associated with PCA use, non-pharmacological methods, and information on pain management options. Key predictors of pain relief included surgery type, pain management information availability, the impact of opioid side effects, and pain's impact on activities, sleep, and emotional well-being. Satisfaction was also predicted by information on pain treatment, opioid side effects, and the total impact of pain.</div></div><div><h3>Conclusion</h3><div>Enhanced patient education, active involvement in care, individualized non-pharmacological pain relief methods, and PCA use improve perceived pain relief and satisfaction with pain management. This study emphasizes the importance of personalized, multimodal pain management strategies to improve postoperative care and enhance recovery.</div></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"56 ","pages":"Article 101159"},"PeriodicalIF":1.5,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143182871","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-11-23DOI: 10.1016/j.ijotn.2024.101143
Lynn Haslam-Larmer , Shirin Vellani
Delirium is a common and serious neuropsychiatric syndrome affecting older adults, particularly after surgery. It manifests in three forms: hypoactive, hyperactive, and mixed, with symptoms ranging from lethargy and inattention to agitation and confusion. Delirium is often misdiagnosed or overlooked, especially in its hypoactive form, which can delay treatment and worsen patient outcomes. Distinguishing delirium from dementia is crucial, as delirium is typically reversible with prompt intervention.
This article, presented in a case study format, explores the assessment and management of delirium in postoperative patients, highlighting the use of validated tools such as the Delirium Elderly at Risk (DEAR) and the Confusion Assessment Method (CAM). Early identification of at-risk patients and timely screening are critical for improving outcomes. Non-pharmacological interventions, including reorientation, sleep hygiene, sensory aids, early mobilization, and family involvement, play a vital role in preventing and managing delirium.
The article emphasizes the importance of nurses in detecting early signs of delirium and implementing preventative measures. A multidisciplinary approach, integrating ongoing screening, patient-centered care, and non-pharmacological strategies, is essential for reducing the incidence and severity of delirium. Early detection and appropriate management can significantly improve recovery and reduce long-term complications, promoting better outcomes in older adults undergoing surgery.
{"title":"Postoperative delirium in geriatric orthopedic and trauma patients: Care begins preoperatively!","authors":"Lynn Haslam-Larmer , Shirin Vellani","doi":"10.1016/j.ijotn.2024.101143","DOIUrl":"10.1016/j.ijotn.2024.101143","url":null,"abstract":"<div><div>Delirium is a common and serious neuropsychiatric syndrome affecting older adults, particularly after surgery. It manifests in three forms: hypoactive, hyperactive, and mixed, with symptoms ranging from lethargy and inattention to agitation and confusion. Delirium is often misdiagnosed or overlooked, especially in its hypoactive form, which can delay treatment and worsen patient outcomes. Distinguishing delirium from dementia is crucial, as delirium is typically reversible with prompt intervention.</div><div>This article, presented in a case study format, explores the assessment and management of delirium in postoperative patients, highlighting the use of validated tools such as the Delirium Elderly at Risk (DEAR) and the Confusion Assessment Method (CAM). Early identification of at-risk patients and timely screening are critical for improving outcomes. Non-pharmacological interventions, including reorientation, sleep hygiene, sensory aids, early mobilization, and family involvement, play a vital role in preventing and managing delirium.</div><div>The article emphasizes the importance of nurses in detecting early signs of delirium and implementing preventative measures. A multidisciplinary approach, integrating ongoing screening, patient-centered care, and non-pharmacological strategies, is essential for reducing the incidence and severity of delirium. Early detection and appropriate management can significantly improve recovery and reduce long-term complications, promoting better outcomes in older adults undergoing surgery.</div></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"56 ","pages":"Article 101143"},"PeriodicalIF":1.5,"publicationDate":"2024-11-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142700154","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-11-19DOI: 10.1016/j.ijotn.2024.101153
Louise Marie Nøhr , Ane Simony , Charlotte Abrahamsen
Objective
This study aims to understand how older patients experience shared decision-making (SDM) when making decisions about the treatment of their distal radius fracture (DRF).
Methods
An exploratory qualitative study was designed using individual in-person and telephone interviews. Twelve DRF patients were recruited during their first follow-up visit to a Danish outpatient clinic, with ten of them participating in interviews. Data was analysed using content analysis.
Results
Three themes emerged: 1) An acute situation, 2) Considerations influencing the treatment choice and 3) The treatment decision.
Conclusion
In conclusion, our study represents a pioneering effort in reporting the use of Shared Decision Making in fracture management. The sudden onset of DRF proved to be highly distressing for the patients. Providing SDM material to patients in the Emergency department (ED) aimed to empower them and prepare them for their subsequent outpatient clinic visit. However, its effectiveness varied. The demeanour of doctors played a crucial role in shaping patient experiences.
{"title":"Older patients' experiences of shared decision-making when choosing treatment for their distal radius fracture; A qualitative study","authors":"Louise Marie Nøhr , Ane Simony , Charlotte Abrahamsen","doi":"10.1016/j.ijotn.2024.101153","DOIUrl":"10.1016/j.ijotn.2024.101153","url":null,"abstract":"<div><h3>Objective</h3><div>This study aims to understand how older patients experience shared decision-making (SDM) when making decisions about the treatment of their distal radius fracture (DRF).</div></div><div><h3>Methods</h3><div>An exploratory qualitative study was designed using individual in-person and telephone interviews. Twelve DRF patients were recruited during their first follow-up visit to a Danish outpatient clinic, with ten of them participating in interviews. Data was analysed using content analysis.</div></div><div><h3>Results</h3><div>Three themes emerged: 1) An acute situation, 2) Considerations influencing the treatment choice and 3) The treatment decision.</div></div><div><h3>Conclusion</h3><div>In conclusion, our study represents a pioneering effort in reporting the use of Shared Decision Making in fracture management. The sudden onset of DRF proved to be highly distressing for the patients. Providing SDM material to patients in the Emergency department (ED) aimed to empower them and prepare them for their subsequent outpatient clinic visit. However, its effectiveness varied. The demeanour of doctors played a crucial role in shaping patient experiences.</div></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"56 ","pages":"Article 101153"},"PeriodicalIF":1.5,"publicationDate":"2024-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142719923","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-11-15DOI: 10.1016/j.ijotn.2024.101144
Christopher K. Sullivan , Kristine Kocjan , Trevor Tompane , Jennifer Smith , Benjamin M. Wheatley
Introduction
Fragility fractures are common and have an increased chance of refracture and mortality. A process improvement project was initiated including standardized orders to improve treatment of osteoporosis-related fractures. The primary objective was to determine the implementation and maintenance of this process over time. Secondary objectives were to determine the refracture and mortality risk before and after implementation.
Methods
A retrospective cohort of fragility fractures treated during the 6 months prior and 6 months after implementation and for one year 6 years after implementation of the process. We measured the proportion of patients who received DEXA scans, osteoporosis laboratory blood tests, Vitamin D/Calcium supplementation, Primary Care follow-up, refracture, and 6-year mortality.
Results
There was a significant improvement in interventions obtained immediately after process improvement implementation. At 6-years the proportion of interventions obtained had declined and were not significantly different from pre-implementation except laboratory blood tests ordered which remained significantly improved. Mortality risk was significantly lower in the 6 months after process improvement implementation (24% vs 10%; p = 0.027). There was no significant difference in refracture in our cohort (18% vs 19%; p = 0.675).
Discussion
Our process improvement project showed significant improvement in interventions being performed and decreased mortality but were unable to sustain high levels of intervention. We suggest that high surgeon and resident turnover limited our ability to maintain the process improvement project over time. This study supports orthopedic surgeons implementing an osteoporosis treatment protocol for fragility fractures and the importance of continued re-education and re-implementation of process improvement protocols.
{"title":"Long-term maintenance of a fragility fracture initiative","authors":"Christopher K. Sullivan , Kristine Kocjan , Trevor Tompane , Jennifer Smith , Benjamin M. Wheatley","doi":"10.1016/j.ijotn.2024.101144","DOIUrl":"10.1016/j.ijotn.2024.101144","url":null,"abstract":"<div><h3>Introduction</h3><div>Fragility fractures are common and have an increased chance of refracture and mortality. A process improvement project was initiated including standardized orders to improve treatment of osteoporosis-related fractures. The primary objective was to determine the implementation and maintenance of this process over time. Secondary objectives were to determine the refracture and mortality risk before and after implementation.</div></div><div><h3>Methods</h3><div>A retrospective cohort of fragility fractures treated during the 6 months prior and 6 months after implementation and for one year 6 years after implementation of the process. We measured the proportion of patients who received DEXA scans, osteoporosis laboratory blood tests, Vitamin D/Calcium supplementation, Primary Care follow-up, refracture, and 6-year mortality.</div></div><div><h3>Results</h3><div>There was a significant improvement in interventions obtained immediately after process improvement implementation. At 6-years the proportion of interventions obtained had declined and were not significantly different from pre-implementation except laboratory blood tests ordered which remained significantly improved. Mortality risk was significantly lower in the 6 months after process improvement implementation (24% vs 10%; p = 0.027). There was no significant difference in refracture in our cohort (18% vs 19%; p = 0.675).</div></div><div><h3>Discussion</h3><div>Our process improvement project showed significant improvement in interventions being performed and decreased mortality but were unable to sustain high levels of intervention. We suggest that high surgeon and resident turnover limited our ability to maintain the process improvement project over time. This study supports orthopedic surgeons implementing an osteoporosis treatment protocol for fragility fractures and the importance of continued re-education and re-implementation of process improvement protocols.</div></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"56 ","pages":"Article 101144"},"PeriodicalIF":1.5,"publicationDate":"2024-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142688852","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-11-01DOI: 10.1016/j.ijotn.2024.101125
Tracy Morgan , Tamara Page , Zaneta Smith
{"title":"Corrigendum to “The effectiveness of prophylactic closed incision negative pressure wound therapy compared to conventional dressings in the prevention of periprosthetic joint infection post hip and knee revision arthroplasty surgery: A systematic review” [Int. J. Orthopaed. Trauma Nurs. 53 (2024) 101048]","authors":"Tracy Morgan , Tamara Page , Zaneta Smith","doi":"10.1016/j.ijotn.2024.101125","DOIUrl":"10.1016/j.ijotn.2024.101125","url":null,"abstract":"","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"55 ","pages":"Article 101125"},"PeriodicalIF":1.5,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142146543","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-11-01DOI: 10.1016/j.ijotn.2024.101141
Paula Rocha , Cristina Lavareda Baixinho , Maria Adriana Henriques
Background
Falls and consequent fractures are an increasing problem among older adults, with low rates of return to previous functional condition and a substantial risk of subsequent falls. This scenario points to the need for an improved response to this population's needs.
Objective
To define the difficulties and needs felt by older adults with hip fractures when returning home.
Methods
This was a descriptive and exploratory qualitative study. Semi-structured interviews were conducted with hip fracture patients who had been submitted to surgery and who were treated at a hospital in the central region of Portugal. Bardin's content analysis was used to analyze the data. Content analysis was carried out with the support of MAXQDA® Analytic pro 2022 software.
Results
The analysis of the results of the 15 interviews yielded three categories related to the difficulties perceived by hip fracture patients on returning home: functional limitations; pain; and emotional management. Regarding the needs felt, the following categories emerged: resources/help with activities of daily living; capacity-building for the return home; and information.
Conclusions
The needs and difficulties of older adults with hip fractures on returning home are multiple and variable. Knowledge of these aspects can significantly enhance the standardized actions of nurses in this area of intervention, contributing to the improvement of continuity of care and ensuring a safe transition.
背景：在老年人中，跌倒和随之而来的骨折是一个日益严重的问题，其功能恢复率很低，而且再次跌倒的风险很大。这种情况表明，需要更好地满足这一人群的需求：方法：这是一项描述性和探索性研究：这是一项描述性和探索性的定性研究。我们对在葡萄牙中部地区一家医院接受手术治疗的髋部骨折患者进行了半结构化访谈。数据分析采用了 Bardin 内容分析法。内容分析在 MAXQDA® Analytic pro 2022 软件的支持下进行：通过对 15 个访谈结果的分析，得出了与髋部骨折患者回家后所感受到的困难有关的三个类别：功能限制、疼痛和情绪管理。在感受到的需求方面，出现了以下类别：日常生活活动的资源/帮助；重返家园的能力建设；信息：患有髋部骨折的老年人在返回家中时的需求和困难是多种多样的。对这些方面的了解可以大大加强护士在这一干预领域的标准化行动，有助于改善护理的连续性并确保安全过渡。
{"title":"A qualitative study of older adults: The difficulties and needs of returning home after hip fractures","authors":"Paula Rocha , Cristina Lavareda Baixinho , Maria Adriana Henriques","doi":"10.1016/j.ijotn.2024.101141","DOIUrl":"10.1016/j.ijotn.2024.101141","url":null,"abstract":"<div><h3>Background</h3><div>Falls and consequent fractures are an increasing problem among older adults, with low rates of return to previous functional condition and a substantial risk of subsequent falls. This scenario points to the need for an improved response to this population's needs.</div></div><div><h3>Objective</h3><div>To define the difficulties and needs felt by older adults with hip fractures when returning home.</div></div><div><h3>Methods</h3><div>This was a descriptive and exploratory qualitative study. Semi-structured interviews were conducted with hip fracture patients who had been submitted to surgery and who were treated at a hospital in the central region of Portugal. Bardin's content analysis was used to analyze the data. Content analysis was carried out with the support of MAXQDA® Analytic pro 2022 software.</div></div><div><h3>Results</h3><div>The analysis of the results of the 15 interviews yielded three categories related to the difficulties perceived by hip fracture patients on returning home: functional limitations; pain; and emotional management. Regarding the needs felt, the following categories emerged: resources/help with activities of daily living; capacity-building for the return home; and information.</div></div><div><h3>Conclusions</h3><div>The needs and difficulties of older adults with hip fractures on returning home are multiple and variable. Knowledge of these aspects can significantly enhance the standardized actions of nurses in this area of intervention, contributing to the improvement of continuity of care and ensuring a safe transition.</div></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"55 ","pages":"Article 101141"},"PeriodicalIF":1.5,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142548222","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Complex regional pain syndrome type I (CRPS-I) is a specific type of persistent pain which is often caused by fracture and surgery. There is no effective curative therapy available. However some studies have indicated that Vitamin C (VC) can reduce the incidence of CRPS-I. This study's objective is to investigate the effectiveness VC in preventing and treating CRPS-I.
Design
An Systematic review and Meta-analysis was done.
Data sources
Primary research studies from PubMed, Scopus, Web of Science, ProQuest, Embase database, and Cochran Library, and Google Scholar were reviewed. This search was conducted until March 27, 2024. This study was conducted without any language, place, and time restrictions. Study results were meta-analyzed with using effect sizes. To evaluate heterogeneity, we employed the Cochrane Q test and the I2 index.
Results
In our systematic review, 3947 articles were initially identified, with 3939 excluded for not meeting inclusion criteria, resulting in 8 studies being critically evaluated using Cochran's risk of bias checklist. The meta-analysis revealed that VC supplementation have effect on reducing CRPS-I post-limb surgery but this result shows that the pooled effect size is not statistically significant. The heterogeneity of the studies was low (I2 = 26.28%, p = 0.22). Publication bias was detected, indicating asymmetry in the funnel plot.
Conclusion
The results of our study showed the positive effect of VC supplementation in reducing the prevalence of CRPS-I after limb surgery.
{"title":"Efficacy of vitamin C supplementation in preventing and treating complex regional pain syndrome type I (CRPS-I) in Orthopedic patients: A systematic review and meta-analysis","authors":"Malihe Ranjbar_moghaddam , Ebrahim Nasiri-Formi , Amirmohammad Merajikhah","doi":"10.1016/j.ijotn.2024.101140","DOIUrl":"10.1016/j.ijotn.2024.101140","url":null,"abstract":"<div><h3>Aim</h3><div>Complex regional pain syndrome type I (CRPS-I) is a specific type of persistent pain which is often caused by fracture and surgery. There is no effective curative therapy available. However some studies have indicated that Vitamin C (VC) can reduce the incidence of CRPS-I. This study's objective is to investigate the effectiveness VC in preventing and treating CRPS-I.</div></div><div><h3>Design</h3><div>An <u>Systematic review</u> and Meta-analysis was done.</div></div><div><h3>Data sources</h3><div>Primary research studies from PubMed, Scopus, Web of Science, ProQuest, Embase database, and Cochran Library, and Google Scholar were reviewed. This search was conducted until March 27, 2024. This study was conducted without any language, place, and time restrictions. Study results were meta-analyzed with using effect sizes. To evaluate heterogeneity, we employed the Cochrane Q test and the I2 index.</div></div><div><h3>Results</h3><div>In our systematic review, 3947 articles were initially identified, with 3939 excluded for not meeting inclusion criteria, resulting in 8 studies being critically evaluated using Cochran's risk of bias checklist. The meta-analysis revealed that VC supplementation have effect on reducing CRPS-I post-limb surgery but this result shows that the pooled effect size is not statistically significant. The heterogeneity of the studies was low (I<sup>2</sup> = 26.28%, p = 0.22). Publication bias was detected, indicating asymmetry in the funnel plot.</div></div><div><h3>Conclusion</h3><div>The results of our study showed the positive effect of VC supplementation in reducing the prevalence of CRPS-I after limb surgery.</div></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"55 ","pages":"Article 101140"},"PeriodicalIF":1.5,"publicationDate":"2024-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142510051","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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