Cited 4 times in

Peripheral Nerve Block for Pain Management after Total Hip Arthroplasty: A Retrospective Study with Propensity Score Matching

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dc.contributor.author권혁민-
dc.contributor.author박준영-
dc.contributor.author이보라-
dc.contributor.author최용선-
dc.contributor.author박관규-
dc.date.accessioned2022-12-22T04:07:17Z-
dc.date.available2022-12-22T04:07:17Z-
dc.date.issued2022-09-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/192053-
dc.description.abstractThis study aimed to evaluate the effect of a peripheral nerve block (PNB) on immediate postoperative analgesia and the early functional outcomes for patients who underwent total hip arthroplasty (THA). From January 2016 to August 2021, 353 patients who underwent THA were divided into two groups: the patient-controlled analgesia (PCA) group (n = 217) who received only intravenous (IV) analgesia, and others who received IV PCA and PNB (PCA + PNB group) (n = 136). After propensity score matching for age and sex, 136 patients from each group were included in the study. Primary outcomes were the visual analogue scale (VAS) at rest, activity status at postoperative 6, 24, 48 h. Secondary outcomes were functional scores by the Western Ontario and McMaster Universities Osteoarthritis (WOMAC) index, Harris Hip Score (HHS) and rescue medications used. The postoperative VAS at 6, 24, 48 h at rest and 6 h at activity were significantly lower in the PCA + PNB group (p = 0.000, 0.001, 0.000, 0.004 in order). There was no significant difference for postoperative 3-month HHS (p = 0.218), except for 3-month WOMAC index (p = 0.001). There were no significant differences for VAS between the PNB methods except femoral nerve block (FNB) and fascia iliaca compartment block (FICB) at postoperative activity 48 h (p = 0.028). There was no significant difference in the total count and amount of rescue medication (p = 0.091, 0.069) and difference in the quadriceps weakness was not noted. Therefore, PNB is beneficial for patients who undergo THA as it provides sufficient postoperative analgesia, especially during immediate postoperative resting pain without quadriceps weakness.-
dc.description.statementOfResponsibilityopen-
dc.formatapplication/pdf-
dc.languageEnglish-
dc.publisherMDPI AG-
dc.relation.isPartOfJOURNAL OF CLINICAL MEDICINE-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.titlePeripheral Nerve Block for Pain Management after Total Hip Arthroplasty: A Retrospective Study with Propensity Score Matching-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Orthopedic Surgery (정형외과학교실)-
dc.contributor.googleauthorHeon Jung Park-
dc.contributor.googleauthorKwan Kyu Park-
dc.contributor.googleauthorJun Young Park-
dc.contributor.googleauthorBora Lee-
dc.contributor.googleauthorYong Seon Choi-
dc.contributor.googleauthorHyuck Min Kwon-
dc.identifier.doi10.3390/jcm11185456-
dc.contributor.localIdA05086-
dc.contributor.localIdA04940-
dc.contributor.localIdA02803-
dc.contributor.localIdA04119-
dc.contributor.localIdA01428-
dc.relation.journalcodeJ03556-
dc.identifier.eissn2077-0383-
dc.identifier.pmid36143103-
dc.subject.keywordanalgesia-
dc.subject.keywordpain management-
dc.subject.keywordperipheral nerve block-
dc.subject.keywordpostoperative pain-
dc.subject.keywordtotal hip arthroplasty-
dc.subject.keywordvisual analogue scale-
dc.contributor.alternativeNameKwon, Hyuck Min-
dc.contributor.affiliatedAuthor권혁민-
dc.contributor.affiliatedAuthor박준영-
dc.contributor.affiliatedAuthor이보라-
dc.contributor.affiliatedAuthor최용선-
dc.contributor.affiliatedAuthor박관규-
dc.citation.volume11-
dc.citation.number18-
dc.citation.startPage5456-
dc.identifier.bibliographicCitationJOURNAL OF CLINICAL MEDICINE, Vol.11(18) : 5456, 2022-09-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Anesthesiology and Pain Medicine (마취통증의학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Orthopedic Surgery (정형외과학교실) > 1. Journal Papers

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