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      KCI등재 SCI SCIE SCOPUS

      Effect of a Sleep Aid in Analgesia after Arthroscopic Rotator Cuff Repair

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      https://www.riss.kr/link?id=A101616835

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      다국어 초록 (Multilingual Abstract)

      Purpose: The aim of this study was to evaluate the effects and safety of a sleep aid for postoperative analgesia in patients undergoing arthroscopic rotator cuff repair. Materials and Methods: Seventy-eight patients were prospectively assigned to eitherthe zolpidem group (multimodal analgesia+zolpidem; 39 patients) or the controlgroup (multimodal analgesia; 39 patients). Self-rated pain levels were assessed twice a day using a visual analog scale (VAS). The need for additional rescue analgesic,duration of functional recovery, and adverse effects were assessed for the first 5 days after surgery. Results: The mean number of times that additional rescue analgesicwas required during 5 days after surgery was 2.1±2.0 in the zolpidem group and 3.3±2.8 in the control group, a significant difference. There were no significant differences between the two groups in mean VAS pain scores during the first 5 days after surgery, although the zolpidem group had lower VAS pain scores than the controlgroup. Additionally, there were no significant differences in duration of functionalrecovery and adverse effects between the two groups. Conclusion: The use of zolpidem for analgesia after arthroscopic rotator cuff repair provided a significant reduction in the need for rescue analgesic without increasing adverse effects. Nevertheless,mean VAS pain scores during the first 5 days after surgery did not differ between the zolpidem group and the control group.
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      Purpose: The aim of this study was to evaluate the effects and safety of a sleep aid for postoperative analgesia in patients undergoing arthroscopic rotator cuff repair. Materials and Methods: Seventy-eight patients were prospectively assigned to eith...

      Purpose: The aim of this study was to evaluate the effects and safety of a sleep aid for postoperative analgesia in patients undergoing arthroscopic rotator cuff repair. Materials and Methods: Seventy-eight patients were prospectively assigned to eitherthe zolpidem group (multimodal analgesia+zolpidem; 39 patients) or the controlgroup (multimodal analgesia; 39 patients). Self-rated pain levels were assessed twice a day using a visual analog scale (VAS). The need for additional rescue analgesic,duration of functional recovery, and adverse effects were assessed for the first 5 days after surgery. Results: The mean number of times that additional rescue analgesicwas required during 5 days after surgery was 2.1±2.0 in the zolpidem group and 3.3±2.8 in the control group, a significant difference. There were no significant differences between the two groups in mean VAS pain scores during the first 5 days after surgery, although the zolpidem group had lower VAS pain scores than the controlgroup. Additionally, there were no significant differences in duration of functionalrecovery and adverse effects between the two groups. Conclusion: The use of zolpidem for analgesia after arthroscopic rotator cuff repair provided a significant reduction in the need for rescue analgesic without increasing adverse effects. Nevertheless,mean VAS pain scores during the first 5 days after surgery did not differ between the zolpidem group and the control group.

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      참고문헌 (Reference)

      1 Holm KJ, "Zolpidem: an update of its pharmacology, therapeutic efficacy and tolerability in the treatment of insomnia" 59 : 865-889, 2000

      2 Wang PS, "Zolpidem use and hip fractures in older people" 49 : 1685-1690, 2001

      3 Tashjian RZ, "Zolpidem reduces postoperative pain, fatigue, and narcotic consumption following knee arthroscopy: a prospective randomized placebo-controlled double-blinded study" 19 : 105-111, 2006

      4 Tompkins M, "The use of a non-benzodiazepine hypnotic sleep-aid (Zolpidem) in patients undergoing ACL reconstruction: a randomized controlled clinical trial" 19 : 787-791, 2011

      5 Chauvin M, "State of the art of pain treatment following ambulatory surgery" 28 : 3-6, 2003

      6 Kain ZN, "Sleeping characteristics of adults undergoing outpatient elective surgery: a cohort study" 15 : 505-509, 2003

      7 Krenk L, "Sleep disturbances after fast-track hip and knee arthroplasty" 109 : 769-775, 2012

      8 Cubała WJ, "Seizure following sudden zolpidem withdrawal" 31 : 539-540, 2007

      9 Elvir-Lazo OL, "Postoperative pain management after ambulatory surgery: role of multimodal analgesia" 28 : 217-224, 2010

      10 Chung F, "Postoperative pain in ambulatory surgery" 85 : 808-816, 1997

      1 Holm KJ, "Zolpidem: an update of its pharmacology, therapeutic efficacy and tolerability in the treatment of insomnia" 59 : 865-889, 2000

      2 Wang PS, "Zolpidem use and hip fractures in older people" 49 : 1685-1690, 2001

      3 Tashjian RZ, "Zolpidem reduces postoperative pain, fatigue, and narcotic consumption following knee arthroscopy: a prospective randomized placebo-controlled double-blinded study" 19 : 105-111, 2006

      4 Tompkins M, "The use of a non-benzodiazepine hypnotic sleep-aid (Zolpidem) in patients undergoing ACL reconstruction: a randomized controlled clinical trial" 19 : 787-791, 2011

      5 Chauvin M, "State of the art of pain treatment following ambulatory surgery" 28 : 3-6, 2003

      6 Kain ZN, "Sleeping characteristics of adults undergoing outpatient elective surgery: a cohort study" 15 : 505-509, 2003

      7 Krenk L, "Sleep disturbances after fast-track hip and knee arthroplasty" 109 : 769-775, 2012

      8 Cubała WJ, "Seizure following sudden zolpidem withdrawal" 31 : 539-540, 2007

      9 Elvir-Lazo OL, "Postoperative pain management after ambulatory surgery: role of multimodal analgesia" 28 : 217-224, 2010

      10 Chung F, "Postoperative pain in ambulatory surgery" 85 : 808-816, 1997

      11 Ruiz-Suarez M, "Postoperative pain control after shoulder arthroscopy" 31 : 1130-, 2008

      12 Fredrickson MJ, "Postoperative analgesia for shoulder surgery: a critical appraisal and review of current techniques" 65 : 608-624, 2010

      13 Rosenberg J, "Post-operative sleep disturbance: causes, factors and effects on outcome" 10 : 28-30, 1995

      14 Cho CH, "Multimodal approach to postoperative pain control in patients undergoing rotator cuff repair" 19 : 1744-1748, 2011

      15 Dorr LD, "Multimodal analgesia without parenteral narcotics for total knee arthroplasty" 23 : 502-508, 2008

      16 Bishop JY, "Interscalene regional anesthesia for shoulder surgery" 87 : 974-979, 2005

      17 Onen SH, "How pain and analgesics disturb sleep" 21 : 422-431, 2005

      18 Büyükyilmaz FE, "Evaluation of night-time pain characteristics and quality of sleep in postoperative Turkish orthopedic patients" 20 : 326-342, 2011

      19 Hakki Onen S, "Effects of rapid eye movement (REM) sleep deprivation on pain sensitivity in the rat" 900 : 261-267, 2001

      20 Cotroneo A, "Effectiveness and safety of hypnotic drugs in the treatment of insomnia in over 70-year old people" 44 (44): 121-124, 2007

      21 Huang MC, "Dependence on zolpidem" 61 : 207-208, 2007

      22 Filos KS, "Current concepts and practice in postoperative pain management: need for a change?" 31 : 97-107, 1999

      23 Boss AP, "Continuous subacromial bupivacaine infusion for postoperative analgesia after open acromioplasty and rotator cuff repair: preliminary results" 13 : 630-634, 2004

      24 Oh JH, "Comparison of analgesic efficacy between single interscalene block combined with a continuous intra-bursal infusion of ropivacaine and continuous interscalene block after arthroscopic rotator cuff repair" 1 : 48-53, 2009

      25 Wylde V, "Acute postoperative pain at rest after hip and knee arthroplasty: severity, sensory qualities and impact on sleep" 97 : 139-144, 2011

      26 Hindmarch I, "A double-blind, placebo-controlled investigation of the residual psychomotor and cognitive effects of zolpidem-MR in healthy elderly volunteers" 62 : 538-545, 2006

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      2023 평가예정 해외DB학술지평가 신청대상 (해외등재 학술지 평가)
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      2007-01-01 평가 등재학술지 유지 (등재유지) KCI등재
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      2002-01-01 평가 등재학술지 선정 (등재후보2차) KCI등재
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      기준연도 WOS-KCI 통합IF(2년) KCIF(2년) KCIF(3년)
      2016 1.42 0.3 0.99
      KCIF(4년) KCIF(5년) 중심성지수(3년) 즉시성지수
      0.83 0.72 0.546 0.08
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