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Pain management education needs for nurses caring for older adults undergoing total knee replacement 护理接受全膝关节置换术老年人的护士对疼痛管理教育的需求
IF 1.4 Q3 NURSING
International Journal of Orthopaedic and Trauma Nursing
Pub Date : 2024-02-01 DOI: 10.1016/j.ijotn.2023.101037
Chayada Piyakhachornrot , Phichpraorn Youngcharoen

Introduction

Effective postoperative pain management is necessary to improve the outcomes of older adults undergoing total knee replacement (TKR). Discovering what registered nurses (RNs) need to know about pain management may be beneficial to improving the quality of care.

Aim

The study aimed to identify the information needed to develop pain management education for RNs caring for older adults undergoing TKR.

Methods

A qualitative descriptive design was used in this study. Three focus groups were conducted with 22 staff RNs with experience caring for older adults undergoing TKR at a supra-tertiary care hospital in Bangkok, Thailand; one focus group was conducted with five members of the hospital's nursing pain management committee. Data were analyzed using content analysis.

Results

Two themes relevant to pain assessment education were pain assessment and pain management. Subthemes of pain assessment included challenges in cognitively impaired older adults, inadequate knowledge and misconceptions, and re-assessing pain. Three subthemes of pain management were created, including knowledge of pain medication, new trends in pharmacological pain management and devices, and non-pharmacological pain management using cold compression.

Conclusions

RNs require current information about pain management to provide effective postoperative care for older adults undergoing TKR. The findings may be used in pain management education to update RNs’ knowledge of pain management.

引言有效的术后疼痛管理对于改善接受全膝关节置换术（TKR）的老年人的治疗效果非常必要。本研究旨在确定为护理接受全膝关节置换术（TKR）的老年人的注册护士开展疼痛管理教育所需的信息。研究采用了定性描述设计。本研究采用定性描述设计，在泰国曼谷的一家三级甲等医院与 22 名具有护理接受 TKR 的老年人经验的护士进行了三次焦点小组讨论；与医院护理疼痛管理委员会的五名成员进行了一次焦点小组讨论。结果与疼痛评估教育相关的两个主题是疼痛评估和疼痛管理。疼痛评估的次主题包括认知受损的老年人面临的挑战、知识不足和误解以及重新评估疼痛。疼痛管理的三个次主题包括止痛药物知识、药物止痛和止痛设备的新趋势以及使用冷敷的非药物止痛方法。研究结果可用于疼痛管理教育，以更新护士的疼痛管理知识。
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引用次数: 0
Effect of educational program on knowledge and self-care behavior among arthritis patients: Pre-experimental research design 教育项目对关节炎患者知识和自我保健行为的影响：实验前研究设计。
IF 1.4 Q3 NURSING
International Journal of Orthopaedic and Trauma Nursing
Pub Date : 2024-02-01 DOI: 10.1016/j.ijotn.2023.101038
N.R. Gurjar

Background

Arthritis is a chronic condition of the joints and taking medicine alone cannot be effective in getting better result as there is no cure of the disease. Understanding the condition and the steps necessary to limit the disease's progression increases the practice of self-care behaviours, which are crucial for halting the disease's progression and sustaining quality of life.

Objective

The study aimed to assess the effectiveness of a nurse led educational program on knowledge and self-care behavior among arthritis patients.

Methods

This study used a single group pre-test and post-test, pre-experimental research design and selected 210 study participants using a convenient sampling technique at OPD of Ortho and Medicine department, Nims Medical College and Hospital, Nims University, Rajasthan, Jaipur, India.After pretest, patients participated in a four session of nurse led educational program, then post test was conducted after three months.

Results

The result shows that there was significant improvement in knowledge and self-care behavior among arthritis patients after the supportive educational program (p = 0.001).

Conclusion

The nurse led educational program can be seen as useful aid in raising knowledge and self-care behavior for the management of disease among patients.

背景：关节炎是一种慢性的关节疾病，单靠药物治疗并不能取得更好的效果，因为这种疾病是无法治愈的。了解病情和限制疾病进展所需的步骤，可以加强自我护理行为的实践，这对阻止疾病进展和维持生活质量至关重要。目的：本研究旨在评估护士主导的关节炎患者知识和自我保健行为教育计划的有效性。方法：本研究采用单组测试前和测试后、实验前研究设计，并在印度斋浦尔拉贾斯坦邦尼姆大学尼姆医学院和医院骨科和医学部使用方便的抽样技术选择了210名研究参与者。在预测试后，患者参加了由护士主导的四期教育计划，然后在三个月后进行后测试。结果：支持性教育项目后，关节炎患者的知识和自我保健行为有了显著改善（p=0.001）。结论：护士主导的教育项目可以被视为提高患者疾病管理知识和自我护理行为的有用帮助。
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引用次数: 0
Nurse initiated auricular acupressure for post-operative pain control in patients undergoing TKA or THA: A randomized controlled trial 对接受全膝关节置换术（TKA）或全膝关节置换术（THA）的患者进行耳穴穴位按摩以控制术后疼痛：一项随机对照试验
IF 1.4 Q3 NURSING
International Journal of Orthopaedic and Trauma Nursing
Pub Date : 2024-02-01 DOI: 10.1016/j.ijotn.2023.101035
Carolyn Huffman , Juli Olson , Joni K. Evans , Teresa Brady , Sonia Huff , Brie Bishop , Ellen Abbott , Karen Wishon , Kyle Washburn , Remy Coeytaux
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引用次数: 0
Does early or late discharge after total knee replacement affect the burden and stress of caregivers? 全膝关节置换术后提前或延迟出院会影响护理人员的负担和压力吗？
IF 1.4 Q3 NURSING
International Journal of Orthopaedic and Trauma Nursing
Pub Date : 2024-02-01 DOI: 10.1016/j.ijotn.2023.101036
Özlem Fidan , Nihal Buker , Raziye Savkin , Arife Sanlialp Zeyrek

Background

Since patients may experience difficulties in their daily activities after total knee replacement surgery, the role of the caregiver is important in supporting the daily needs of the patients. Caregivers are involved in the day-to-day care activities of the patient during the recovery process, managing their symptoms and providing support. All these factors can affect the burden and stress of caregivers.

Methods

It was aimed to compare the caregiver burden and stress of caregivers of total knee replacement patients who were discharged on the same day of surgery and at a later point. Data were collected from 140 caregivers by using the Bakas Caregiving Outcomes Scale, Zarit Caregiving Burden Scale, and Stress Coping Styles Scale.

Results

There was no significant difference between on the same day of surgery discharge and later discharge in terms of care burden and stress of caregivers (p > 0.05). While the burden of care was mild to moderate (22.15 ± 13.76) on the same day of surgery discharge group, the burden of care in the later discharge group was very low (19.03 ± 13.65).

Conclusion

In order to reduce the care burden and stress levels of caregivers, it is important that nurses determine the problems related to caregiving and provide the necessary support.

背景由于患者在接受全膝关节置换手术后可能会在日常活动中遇到困难，因此护理人员在满足患者日常需求方面扮演着重要角色。在康复过程中，护理人员要参与患者的日常护理活动，处理患者的症状并提供支持。所有这些因素都会影响护理人员的负担和压力。方法：目的是比较全膝关节置换术患者护理人员的负担和压力，这些患者分别在手术当天和之后出院。结果在护理负担和压力方面，手术当天出院和较晚出院的护理人员没有显著差异（p >0.05）。结论为了减轻护理人员的护理负担和压力水平，护士必须确定与护理相关的问题并提供必要的支持。
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引用次数: 0
Level of implementation of pain management and early mobilization strategies to prevent delirium in geriatric trauma patients: A mixed-methods study 老年创伤患者预防谵妄的疼痛管理和早期动员策略的实施水平：一项混合方法研究。
IF 1.4 Q3 NURSING
International Journal of Orthopaedic and Trauma Nursing
Pub Date : 2024-02-01 DOI: 10.1016/j.ijotn.2023.101050
Maryline Beaudoin , Etienne L. Belzile , Céline Gélinas , David Trépanier , Marcel Émond , Marc-Aurèle Gagnon , Mélanie Bérubé

Background

Pain management and early mobilization strategies are recommended in clinical practice guidelines for the prevention of delirium in older adults. However, available data on the implementation of these strategies in trauma are limited.

Aims

To describe the use of pain management and early mobilization strategies in older adults at a level I trauma center, as well as the facilitators and barriers to their implementation.

Methods

A convergent mixed methods study was used. Quantitative data were collected from sixty medical records. Qualitative data was collected through a focus group with healthcare providers to explore their perspectives regarding the use of the target practices and on barriers and facilitators to their implementation. Descriptive statistics were calculated, and a thematic analysis using an inductive and deductive interpretative descriptive approach was undertaken.

Results

A question on the presence/absence of pain was the most frequently documented pain assessment method. Pain assessment was poorly documented. Frequencies of non-opioid and opioid administrations were similar, but non-pharmacological strategies were not widely used. The first mobilization was performed quickly and was most commonly to a chair. The focus group discussion confirmed many of the data collected in the medical records. Barriers to implementing the targeted strategies were primarily related to organizational context and facilitation processes.

Conclusions

Areas for improvement were identified including pain assessment, the use of non-pharmacological pain management strategies and ambulation as a mobilization strategy. Our findings will serve as a starting point for optimizing and adapting practices for geriatric trauma patients and evaluating their impact.

背景：预防老年人谵妄的临床实践指南建议采用疼痛管理和早期动员策略。然而，关于在创伤中实施这些策略的现有数据有限。目的：描述一级创伤中心老年人疼痛管理和早期动员策略的使用情况，以及实施这些策略的推动者和障碍。方法：采用收敛混合方法研究。从60份病历中收集了定量数据。通过与医疗保健提供者组成的焦点小组收集定性数据，以探讨他们对目标实践的使用以及实施目标实践的障碍和促进因素的看法。对描述性统计数据进行了计算，并采用归纳和演绎的解释性描述性方法进行了专题分析。结果：关于疼痛是否存在的问题是最常见的疼痛评估方法。疼痛评估记录不足。非阿片类和阿片类给药的频率相似，但非药理学策略没有得到广泛使用。第一次动员进行得很快，最常见的是坐在椅子上。焦点小组讨论证实了医疗记录中收集的许多数据。执行有针对性的战略的障碍主要与组织背景和促进进程有关。结论：确定了需要改进的领域，包括疼痛评估、非药物疼痛管理策略的使用以及作为动员策略的步行。我们的研究结果将作为优化和调整老年创伤患者实践并评估其影响的起点。
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引用次数: 0
Literature reviews 文献综述
IF 1.4 Q3 NURSING
International Journal of Orthopaedic and Trauma Nursing
Pub Date : 2024-02-01 DOI: 10.1016/j.ijotn.2023.101058
Mary Drozd, Carmen Queiros, Shareena Bibi Mohd Arif
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引用次数: 0
Sustainability in Orthopaedic and Trauma Nursing 骨科和创伤护理的可持续性
IF 1.4 Q3 NURSING
International Journal of Orthopaedic and Trauma Nursing
Pub Date : 2024-01-18 DOI: 10.1016/j.ijotn.2024.101082
Rebecca Jester
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引用次数: 0
A path analysis investigation into menopausal osteoporosis, sarcopenia risk, and their impact on sleep quality, depressive symptoms and quality of life 更年期骨质疏松症、肌肉疏松症风险及其对睡眠质量、抑郁症状和生活质量影响的路径分析研究
IF 1.4 Q3 NURSING
International Journal of Orthopaedic and Trauma Nursing
Pub Date : 2023-12-27 DOI: 10.1016/j.ijotn.2023.101080
Hui-Ling Lai , Chun-I Chen , Yu-Ching Lin , Liu-Chun Lu , Chiung-Yu Huang

Purpose

The objective was to investigate the relationships among disease characteristics, sarcopenia risk, bone function, sleep quality, depressive symptoms, and health-related quality of life in menopausal women. Additionally, we also examined the potential mediating role of coping in the relationship between these factors and health outcomes for individuals with osteoporosis.

Methods

In a cross-sectional approach, 201 participants were referred by a physician from the Family Medicine Department during their outpatient visits at a general hospital in Southern Taiwan. Data collection involved structured one-on-one interviews, and the analysis included descriptive and inferential statistics, along with a structural equation modeling.

Results

The participants' bone function was strongly positively related to coping, physical and mental quality of life (QOL), and negatively related to sleep quality and depressive symptoms. The duration of osteoporosis was positively related to pain, sarcopenia risk, sleep quality, but negatively related to bone function, physical and mental QOL. This structural framework explains 36% of the variance in depressive symptoms, 25% in sleep disturbances, 54% in mental QOL, and 72% in physical QOL. The best-fit structural equation modeling showed that physical function, exercise, sarcopenia, pain, and coping were significant predictors of depressive symptoms, with coping acting as a mediator in these relationships.

Conclusion

Individuals who employed more active coping strategies exhibited fewer depressive symptoms, better sleep quality, and superior physical and mental QOL. Further, individuals with osteoporosis had lower pain levels, less sarcopenia risk, and higher engaged in exercise presentation improved physical and mental QOL. Future longitudinal research holds the promise of providing deeper insights into these complex relationships.

目的 研究更年期女性的疾病特征、肌肉疏松症风险、骨功能、睡眠质量、抑郁症状以及与健康相关的生活质量之间的关系。此外，我们还研究了应对措施在这些因素与骨质疏松症患者健康结果之间的潜在中介作用。方法采用横断面方法，在台湾南部一家综合医院门诊就诊时，由家庭医学科医生转介 201 名参与者。结果参与者的骨功能与应对能力、身体和精神生活质量（QOL）密切正相关，而与睡眠质量和抑郁症状呈负相关。骨质疏松症的持续时间与疼痛、肌肉疏松症风险和睡眠质量呈正相关，但与骨功能、身体和精神生活质量呈负相关。该结构框架可解释抑郁症状中 36% 的变异、睡眠障碍中 25%的变异、心理 QOL 中 54% 的变异以及身体 QOL 中 72% 的变异。最佳拟合结构方程模型显示，身体功能、运动、肌肉疏松症、疼痛和应对是抑郁症状的重要预测因素，而应对是这些关系的中介。此外，骨质疏松症患者的疼痛程度较低、患肌肉疏松症的风险较小、参与运动的人数较多，这些都改善了他们的身心健康。未来的纵向研究有望更深入地揭示这些复杂的关系。
{"title":"A path analysis investigation into menopausal osteoporosis, sarcopenia risk, and their impact on sleep quality, depressive symptoms and quality of life","authors":"Hui-Ling Lai ,&nbsp;Chun-I Chen ,&nbsp;Yu-Ching Lin ,&nbsp;Liu-Chun Lu ,&nbsp;Chiung-Yu Huang","doi":"10.1016/j.ijotn.2023.101080","DOIUrl":"https://doi.org/10.1016/j.ijotn.2023.101080","url":null,"abstract":"<div><h3>Purpose</h3><p>The objective was to investigate the relationships among disease characteristics, sarcopenia risk, bone function, sleep quality, depressive symptoms, and health-related quality of life in menopausal women. Additionally, we also examined the potential mediating role of coping in the relationship between these factors and health outcomes for individuals with osteoporosis.</p></div><div><h3>Methods</h3><p>In a cross-sectional approach, 201 participants were referred by a physician from the Family Medicine<span><span> Department during their outpatient visits at a general hospital in Southern Taiwan. Data collection involved structured one-on-one interviews, and the analysis included descriptive and inferential statistics, along with a </span>structural equation modeling.</span></p></div><div><h3>Results</h3><p>The participants' bone function was strongly positively related to coping, physical and mental quality of life (QOL), and negatively related to sleep quality and depressive symptoms. The duration of osteoporosis was positively related to pain, sarcopenia risk, sleep quality, but negatively related to bone function, physical and mental QOL. This structural framework explains 36% of the variance in depressive symptoms, 25% in sleep disturbances, 54% in mental QOL, and 72% in physical QOL. The best-fit structural equation modeling showed that physical function, exercise, sarcopenia, pain, and coping were significant predictors of depressive symptoms, with coping acting as a mediator in these relationships.</p></div><div><h3>Conclusion</h3><p>Individuals who employed more active coping strategies exhibited fewer depressive symptoms, better sleep quality, and superior physical and mental QOL. Further, individuals with osteoporosis had lower pain levels, less sarcopenia risk, and higher engaged in exercise presentation improved physical and mental QOL. Future longitudinal research holds the promise of providing deeper insights into these complex relationships.</p></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"52 ","pages":"Article 101080"},"PeriodicalIF":1.4,"publicationDate":"2023-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139433513","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}
引用次数: 0
Patient-reported outcomes the first thirty days after fast-track primary total hip arthroplasty. A prospective cohort study using a web-based registration tool for postoperative follow-up 快速初级全髋关节置换术后前三十天的患者报告结果。使用网络登记工具进行术后随访的前瞻性队列研究
IF 1.4 Q3 NURSING
International Journal of Orthopaedic and Trauma Nursing
Pub Date : 2023-12-22 DOI: 10.1016/j.ijotn.2023.101079
Janne Kristin Hofstad , Jomar Klaksvik , Pål Klepstad , Kari Hanne Gjeilo , Kjeld Søballe , Tina Strømdal Wik

Introduction

The documentation on patient reported outcomes the first weeks at home following total hip arthroplasty (THA) is sparse. Length of hospital stay after THA is substantially reduced. Therefore, knowledge on whether patients are managing their own postoperative rehabilitation early after discharge is important, in order to give the patients realistic preoperative information, to modify expectations and enable patients to monitor their own rehabilitation process.

Methods

Eighty-two THA patients were included in a prospective cohort study. Patient-reported outcomes were collected twice a week thirty days postoperatively using a web-based registration tool. Numeric rating scales (0–10) for pain, function, and quality of life, EQ-5D, and the use of opioids were registered. Four weeks postoperatively a telephone interview were conducted. Pain, EQ5D and hip specific physical function score (HOOS-PS) were recorded preoperatively, at three- and twelve-months follow-up.

Results

Pain was maintained the first days after hospital discharge. From day 0 to day 30, pain decreased from 4.0 (SD 2.23) to 2.3 (SD 1.75), function improved from 4.4 (SD 2.06) to 7 (SD 1.57), quality of life improved from 6.3 (SD 2.69) to 7.8 (SD 1.47), and EQ-5D improved from 0.4 to (SD 0.27) to 0.7 (SD 0.14). After 30 days, 32% still used opioids. All patients completed the web-registration. Pain, EQ-5D and HOOS-PS improved substantially from preoperatively to twelve months follow-up.

Conclusion

Fast-track THA patients can expect continued postoperative pain and impaired quality of life the first week at home, before gradually improvement. After thirty days, 32 % of the patients still used opioids.

导言：有关全髋关节置换术（THA）后最初几周患者在家疗效报告的文献很少。全髋关节置换术后住院时间大大缩短。因此，了解患者是否能在出院后早期自行管理术后康复非常重要，这样才能为患者提供真实的术前信息，改变患者的期望值，并使患者能够监控自己的康复过程。术后三十天内，使用网络登记工具每周收集两次患者报告结果。对疼痛、功能和生活质量的数字评分量表（0-10）、EQ-5D 和阿片类药物的使用情况进行了登记。术后四周进行电话访谈。术前、术后三个月和十二个月的随访中记录了疼痛、EQ5D和髋关节特定生理功能评分（HOOS-PS）。从第0天到第30天，疼痛从4.0（SD 2.23）减轻到2.3（SD 1.75），功能从4.4（SD 2.06）改善到7（SD 1.57），生活质量从6.3（SD 2.69）改善到7.8（SD 1.47），EQ-5D从0.4（SD 0.27）改善到0.7（SD 0.14）。30 天后，32% 的患者仍在使用阿片类药物。所有患者都完成了网络登记。从术前到 12 个月的随访期间，疼痛、EQ-5D 和 HOOS-PS 均有显著改善。30天后，32%的患者仍在使用阿片类药物。
{"title":"Patient-reported outcomes the first thirty days after fast-track primary total hip arthroplasty. A prospective cohort study using a web-based registration tool for postoperative follow-up","authors":"Janne Kristin Hofstad ,&nbsp;Jomar Klaksvik ,&nbsp;Pål Klepstad ,&nbsp;Kari Hanne Gjeilo ,&nbsp;Kjeld Søballe ,&nbsp;Tina Strømdal Wik","doi":"10.1016/j.ijotn.2023.101079","DOIUrl":"10.1016/j.ijotn.2023.101079","url":null,"abstract":"<div><h3>Introduction</h3><p>The documentation on patient reported outcomes the first weeks at home following total hip arthroplasty (THA) is sparse. Length of hospital stay after THA is substantially reduced. Therefore, knowledge on whether patients are managing their own postoperative rehabilitation early after discharge is important, in order to give the patients realistic preoperative information, to modify expectations and enable patients to monitor their own rehabilitation process.</p></div><div><h3>Methods</h3><p>Eighty-two THA patients were included in a prospective cohort study. <u>Patient-reported outcomes</u> were collected twice a week thirty days postoperatively using a web-based registration tool. Numeric rating scales (0–10) for pain, function, and quality of life, EQ-5D, and the use of opioids were registered. Four weeks postoperatively a telephone interview were conducted. Pain, EQ5D and hip specific physical function score (HOOS-PS) were recorded preoperatively, at three- and twelve-months follow-up.</p></div><div><h3>Results</h3><p><u>Pain was maintained the first days after hospital discharge. From day 0 to day 30, p</u>ain decreased from 4.0 (SD 2.23) to 2.3 (SD 1.75), <u>function improved from 4.4 (SD 2.06) to 7 (SD 1.57), quality of life improved from 6.3 (SD 2.69) to 7.8 (SD 1.47), and EQ-5D improved from 0.4 to (SD 0.27) to 0.7 (SD 0.14). After 30 days, 32% still used opioids.</u> All patients completed the web-registration. <u>Pain, EQ-5D and HOOS-PS</u> improved substantially from preoperatively to twelve months follow-up.</p></div><div><h3>Conclusion</h3><p>Fast-track THA patients can expect continued postoperative pain and impaired quality of life the first week at home, before gradually improvement. After thirty days, 32 % of the patients still used opioids.</p></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"52 ","pages":"Article 101079"},"PeriodicalIF":1.4,"publicationDate":"2023-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1878124123000837/pdfft?md5=550826b7d73d101b6f841737b4da7ec9&pid=1-s2.0-S1878124123000837-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139023310","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}
引用次数: 0
Association of tramadol use with risk of hip fractures in patients with osteoarthritis: A systematic review and meta-analysis of observational studies 骨关节炎患者使用曲马多与髋部骨折风险的关系：观察性研究的系统回顾和荟萃分析
IF 1.4 Q3 NURSING
International Journal of Orthopaedic and Trauma Nursing
Pub Date : 2023-12-12 DOI: 10.1016/j.ijotn.2023.101078
Mansour Bahardoust , Sepideh Mousavi , Javad Khaje Mozafari , Zahra Deylami Moezi , Meisam Haghmoradi , Pouya Ebrahimi , Homan Alipour , Heeva Rashidi

Objective

Many studies have reported conflicting results for the use of tramadol with the risk of fractures, especially hip fractures. This systematic review and meta-analysis study aimed to evaluate the association of tramadol use versus codeine use with the risk of hip fracture for the first time.

Methods

PubMed, Scopus, Google Scholar, and Web of Science databases were searched with specific keywords to find studies that examined the association of tramadol use with hip fracture risk in patients with osteoarthritis up to May 2023. The risk of hip fracture secondary to tramadol versus codeine use was estimated based on age and sex. This systematic review was conducted based on the PRISMA checklist. Heterogeneity between studies was evaluated using Cochran's Q and I2 tests. Egger's test was used to check publication bias. The Newcastle-Ottawa Checklist (NOS) was used to assess the quality of the studies.

Findings

Ten studies with 1,939,293 participants were reviewed. The majority of participants were female. Based on the study evaluation checklist, most studies were of good quality. Tramadol use significantly increases the overall risk of hip fracture. (HR: 1.32, 95% CI: 1.14, 1.51, P: 0.001, I2:19.3%) Tramadol use significantly increases the risk of hip fracture in men (HR: 1.48, 95% CI: 1.24, 1.73, P: 0.001 I2:35%) and age ≤65 years (HR: 1.63, 95% CI: 1.45, 1.80, P: 0.001, I2:0%).

Conclusion

The use of tramadol significantly increases the risk of hip fracture. This increased risk of hip fracture was greater in males younger than 65 years.

目的许多研究报告了曲马多与骨折风险，特别是髋部骨折的矛盾结果。这项系统回顾和荟萃分析研究旨在首次评估曲马多与可待因使用与髋部骨折风险的关系。方法以特定关键词检索spubmed、Scopus、Google Scholar和Web of Science数据库，查找截至2023年5月曲马多使用与骨关节炎患者髋部骨折风险相关的研究。曲马多与可待因继发髋部骨折的风险是根据年龄和性别来估计的。本系统评价是根据PRISMA检查表进行的。采用Cochran’s Q和I2检验评估研究间的异质性。Egger检验用于检验发表偏倚。使用纽卡斯尔-渥太华检查表(NOS)来评估研究的质量。研究结果回顾了1,939,293名参与者的10项研究。大多数参与者是女性。根据研究评估表，大多数研究质量良好。曲马多的使用显著增加髋部骨折的总体风险。(HR: 1.32, 95% CI: 1.14, 1.51, P: 0.001, I2:19.3%)曲马多使用显著增加男性髋部骨折的风险(HR: 1.48, 95% CI: 1.24, 1.73, P: 0.001 I2:35%)和年龄≤65岁(HR: 1.63, 95% CI: 1.45, 1.80, P: 0.001, I2:0%)。结论曲马多的使用明显增加髋部骨折的风险。在65岁以下的男性中，髋部骨折的风险增加更大。
{"title":"Association of tramadol use with risk of hip fractures in patients with osteoarthritis: A systematic review and meta-analysis of observational studies","authors":"Mansour Bahardoust ,&nbsp;Sepideh Mousavi ,&nbsp;Javad Khaje Mozafari ,&nbsp;Zahra Deylami Moezi ,&nbsp;Meisam Haghmoradi ,&nbsp;Pouya Ebrahimi ,&nbsp;Homan Alipour ,&nbsp;Heeva Rashidi","doi":"10.1016/j.ijotn.2023.101078","DOIUrl":"https://doi.org/10.1016/j.ijotn.2023.101078","url":null,"abstract":"<div><h3>Objective</h3><p><span>Many studies have reported conflicting results for the use of tramadol with the risk of fractures, especially hip fractures. This </span>systematic review<span> and meta-analysis study aimed to evaluate the association of tramadol use versus codeine use with the risk of hip fracture for the first time.</span></p></div><div><h3>Methods</h3><p>PubMed, Scopus<span><span>, Google Scholar, and Web of Science databases were searched with specific keywords to find studies that examined the association of tramadol use with hip fracture risk in patients with </span>osteoarthritis up to May 2023. The risk of hip fracture secondary to tramadol versus codeine use was estimated based on age and sex. This systematic review was conducted based on the PRISMA checklist. Heterogeneity between studies was evaluated using Cochran's Q and I2 tests. Egger's test was used to check publication bias. The Newcastle-Ottawa Checklist (NOS) was used to assess the quality of the studies.</span></p></div><div><h3>Findings</h3><p>Ten studies with 1,939,293 participants were reviewed. The majority of participants were female. Based on the study evaluation checklist, most studies were of good quality. Tramadol use significantly increases the overall risk of hip fracture. (HR: 1.32, 95% CI: 1.14, 1.51, P: 0.001, I<sup>2</sup>:19.3%) Tramadol use significantly increases the risk of hip fracture in men (HR: 1.48, 95% CI: 1.24, 1.73, P: 0.001 I<sup>2</sup>:35%) and age ≤65 years (HR: 1.63, 95% CI: 1.45, 1.80, P: 0.001, I<sup>2</sup>:0%).</p></div><div><h3>Conclusion</h3><p>The use of tramadol significantly increases the risk of hip fracture. This increased risk of hip fracture was greater in males younger than 65 years.</p></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"52 ","pages":"Article 101078"},"PeriodicalIF":1.4,"publicationDate":"2023-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138656512","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}
引用次数: 0
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