Table 4.
Univariable results | Multivariable results | ||||
---|---|---|---|---|---|
Use of liposomal bupivacaine | Use of liposomal bupivacaine | ||||
Median (IQR) | Median (IQR) | P-value | Percent change (95% CI) | P-value | |
INPATIENT OPIOID PRESCRIPTION | |||||
Total Opioids (mg OME) | 170 (110–260) | 235 (140–357) | <0.0001 | −12.6% (−16.0%; −9.0%) | <0.0001 |
Day 0 Opioids (mg OME) | 95 (55–138) | 113 (60–180) | <0.0001 | −9.4% (−12.9%; −5.7%) | <0.0001 |
Day 1 Opioids (mg OME) | 45 (20–75) | 56 (30–90) | <0.0001 | −7.7% (−12.5%; −2.6%) | <0.0001 |
Day 1+ Opioids (mg OME) | 23 (0–60) | 45 (15–90) | <0.0001 | −9.5% (−15.7%; −2.9%) | <0.0001 |
RESOURCE UTILIZATION | |||||
Cost of Hospitalization (US dollars) | 14,356 (12,818–16,572) | 14,081 (12,781–16,271) | 0.0002 | −3.1% (−10.6%; 5.0%) | >0.999 |
Length of Stay (days) | 2 (2–3) | 2 (2–3) | <0.0001 | −13.1% (−15.9%; −10.3%) | <0.0001 |
Multivariable models adjusted for: age, volume of annual total knee arthroplasties per hospital, hospital size, Charlson-Deyo Index, sex, race, year, insurance, teaching status, hospital area, general anesthesia use, neuraxial anesthesia use, liposomal bupivacaine, NSAIDs, Cox-2 inhibitors, ketamine, gabapentinoids, patient-controlled analgesia, IV acetaminophen, and the comorbidities for substance use/abuse, pain conditions, and psychiatric conditions.
OME: Oral morphine equivalents
IQR: Interquartile range
CI: Confidence interval
NSAIDs: Nonsteroidal antiinflammatory drugs
Cox-2: Cyclooxygenase-2