Does Preoperative Vitamin D Level Effect Acute Postoperative Pain After Hip Arthroplasty Surgery

Authors : Nilay TAŞ, Ali ALTINBAŞ, Murat CİHAN, Yunus GÜZEL, Tevfik NOYAN

Pages : 258-268

Doi:10.19127/mbsjohs.1039087

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Publication Date : 2022-05-31

Article Type : Research Paper

Abstract :Objective: 25-OH Vitamin D is well known that has an important role in the perception of pain. Vitamin D insufficiency is important health problem all over the world. Most of the research related to vitamin D and pain is about chronic pain. In this study, it was investigated whether there is an association between Vitamin D levels and acute postoperative pain. Methods: Preoperative Vitamin D levels were measured in patients who underwent elective hip replacement. Patients undergoing spinal anesthesia were administered patient-controlled analgesia insert ignore into journalissuearticles values(PCA);. Patients whose pain assessment was performed with the postoperative visual analog scale insert ignore into journalissuearticles values(VAS);, the time of initial analgesic administration, the number of analgesic needs, the number of bolus opioid use and additional NSAID use were evaluated. Results: It has seen that a negative correlation between the vitamin D values and postoperative VAS scores. It was determined that patients with low vitamin D had earlier postoperative first analgesic administration time. It was also determined that as the vitamin D values decreased, the number of bolus opioids and total analgesic requirements used was higher. Conclusion: In postoperative pain, low preoperative vitamin D level caused an increase in VAS scores and analgesic need and patients have low vitamin D also had earlier analgesic administration time. 
Keywords : 25 OH Vitamin D, acute postoperative pain, hip arthroplasty, VAS