Clin Orthop Relat Res 2021 Apr 7. Epub 2021 Apr 7.
A. K. Emara, D. Grits, A. K. Klika, R. M. Molloy, V. E. Krebs, W. K. Barsoum, C. Higuera-Rueda, N. S. Piuzzi, Department of Orthopaedic Surgery, Cleveland Clinic Foundation, Cleveland, OH, USA.
Background: The association between preoperative prescription drug use (narcotics, sedatives, and stimulants) and complications and/or greater healthcare utilization (length of stay, discharge disposition, readmission, emergency department visits, and reoperation) after total joint arthroplasty has been established but not well quantified. The NarxCare score (NCS) is a weighted scalar measure of overall prescription opioid, sedative, and stimulant use. Higher scores reflect riskier drug-use patterns, which are calculated based on (1) the number of prescribing providers, (2) the number of dispensing pharmacies, (3) milligram equivalence doses, (4) coprescribed potentiating drugs, and (5) overlapping prescription days. Read More