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. 2019 Jul;29(4):379-384.
doi: 10.1177/1120700018781759. Epub 2018 Jun 11.

Narcotic use and total hip arthroplasty

Surajudeen A Bolarinwa  1 , Aaron A Casp  1 , Jourdan M Cancienne  1 , Brian C Werner  1 , James A Browne  1
Affiliations

Narcotic use and total hip arthroplasty

Surajudeen A Bolarinwa et al. Hip Int. 2019 Jul.

Abstract

Background: The purpose of this study is to: (1) characterise risk factors for prolonged narcotic use following total hip arthroplasty (THA); (2) examine preoperative and prolonged postoperative narcotic use as independent risk factors for complications following THA.

Methods: A national database identified primary THA patients from 2007-2015. Preoperative (POU) and prolonged postoperative narcotics users (PPU) were identified. A multivariable logistic regression analysis was utilised to identify any patient-related risk factors for prolonged use, and examined POU and PPU as risk factors for complications following THA.

Results: 55,354 THA patients were included, 18,740 (33.8%) POU and 14,996 (27.1%) PPU. Preoperative narcotics use was the most significant factor associated with prolonged postoperative narcotic use. Preoperative and prolonged postoperative use were associated with significantly higher complications postoperatively.

Conclusions: Preoperative narcotic use is the most significant patient specific risk factor for prolonged postoperative narcotic use. POUs and PPUs are at a significantly higher risk of postoperative infection and revision surgery.

Keywords: Complications; infection; narcotics; revision; total hip arthroplasty.

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