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Posterior quadratus lumborum block for primary total hip arthroplasty analgesia: a comparative study

Overview of attention for article published in Einstein (São Paulo), September 2019
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  • Above-average Attention Score compared to outputs of the same age and source (53rd percentile)

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Title
Posterior quadratus lumborum block for primary total hip arthroplasty analgesia: a comparative study
Published in
Einstein (São Paulo), September 2019
DOI 10.31744/einstein_journal/2019ao4905
Pubmed ID
Authors

Promil Kukreja, Lisa MacBeth, William Potter, Katherine Buddemeyer, Henry DeBell, Hesham Elsharkawy, Hari Kalagara, Andre Wajnsztejn, Eduardo Araujo Pires, Alexandre Leme Godoy-Santos, Ashish Shah

Abstract

To compare analgesia and opioid consumption for patients undergoing primary total hip arthroplasty with preoperative posterior quadratus lumborum block with patients who did not receive quadratus lumborum block. The medical records of patients undergoing unilateral total hip arthroplasty between January 1st, 2017 and March 31, 2018 were reviewed, and 238 patients were included in the study. The primary outcome was postoperative opioid consumption in the first 24 postoperative hours. Secondary outcomes were intraoperative, post anesthesia care unit, and 48-hour opioid consumption, postoperative pain Visual Analog Scale scores, and post-anesthesia care unit length of stay. Primary and secondary endpoint data were compared between patients undergoing primary total hip arthroplasty with preoperative posterior quadratus lumborum block with patients who did not receive quadratus lumborum block. For the patients who received quadratus lumborum block, the 24-hour total oral morphine equivalent (milligram) requirements were lower (53.82mg±37.41), compared to the patients who did not receive quadratus lumborum block (77.59mL±58.42), with p=0.0011. Opioid requirements were consistently lower for the patients who received quadratus lumborum block at each additional assessment time point up to 48 hours. Pain Visual Analog Scale scores were lower up to 12 hours after surgery for the patients who received a posterior quadratus lumborum block, and the post-anesthesia care unit length of stay was shorter for the patients who received quadratus lumborum block. Preoperative posterior quadratus lumborum block for primary total hip arthroplasty is associated with decreased opioid requirements up to 48 hours, decreased Visual Analog Scale pain scores up to 12 hours, and shorter post-anesthesia care unit length of stay. Level of evidence: III.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 26 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 26 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 6 23%
Student > Doctoral Student 3 12%
Student > Bachelor 2 8%
Other 1 4%
Student > Ph. D. Student 1 4%
Other 3 12%
Unknown 10 38%
Readers by discipline Count As %
Medicine and Dentistry 10 38%
Engineering 2 8%
Nursing and Health Professions 1 4%
Social Sciences 1 4%
Economics, Econometrics and Finance 1 4%
Other 2 8%
Unknown 9 35%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 13 September 2019.
All research outputs
#15,687,628
of 23,312,088 outputs
Outputs from Einstein (São Paulo)
#245
of 505 outputs
Outputs of similar age
#211,233
of 341,482 outputs
Outputs of similar age from Einstein (São Paulo)
#7
of 13 outputs
Altmetric has tracked 23,312,088 research outputs across all sources so far. This one is in the 22nd percentile – i.e., 22% of other outputs scored the same or lower than it.
So far Altmetric has tracked 505 research outputs from this source. They receive a mean Attention Score of 3.7. This one is in the 37th percentile – i.e., 37% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 341,482 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 29th percentile – i.e., 29% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 13 others from the same source and published within six weeks on either side of this one. This one has gotten more attention than average, scoring higher than 53% of its contemporaries.