Comparing The Effects of Radivac Drainage Use and Non-Use in Patients Underwent Surgery for Total Knee Replacement at Thasala Hospital Nakhon Si Thammarat 2023
Keywords:
Total knee replacement, Length of hospital stay, Radivac DrainageAbstract
Background: Increasing number of knee osteoarthritis patients, many patients need to underwent total knee replacement. Surgery includes both using or not using Radivac drainage. No using drain may reduce hospital stay, but may be a risk of wound complication, thus resulting in the origin of this study.
Objectives: To investigate the effects of using or not using Radivac drainage in patients who have undergone surgery for total knee replacement at Thasala Hospital Nakhon Si Thammarat.
Material and Methods: A quasi experiment research will be conducted on patients between January 1st, 2023 and December 31st, 2023. The study consists of 80 patients and aims to evaluate the effects of using or not using a Radivac drainage on those who underwent total knee replacement. The study will assess the length of hospital stays, postoperative pain and wound complications. Data will be collected from medical records and analyzed to determine any significant differences between two.
Results: The study consisted of 80 patients, 38 who received a drain and 42 who did not receive a drain after surgery. With statistical significance, the group without a drain had significantly less hospital stay and experienced less pain than the group with a drain. The average hospital stays for the group with and without a drain was 5.34 days and 4.64 days respectively (p<0.05). The difference in pain levels on days 2, the group without a drain reporting less pain than the other group, with a pain scores of 1.64 and 2.11, respectively (P=0.036). The difference in pain levels on days 3, the group without a drain reporting less pain than the other group, with a pain scores of 1.31 and 1.61, respectively (P=040). The wound complication has no statistical difference in both groups.
Conclusion: Not using a drain after surgery for total knee replacement has a statistically significant effect on reducing hospital stay and pain on postoperative days 2 and 3. There was no incidence of infection and wound complications in either group.
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เนื้อหาและข้อมูลในบทความที่ลงตีพิมพ์ในมหาราชนครศรีธรรมราชเวชสาร ถือเป็นข้อคิดเห็นและความรับผิดชอบของผู้เขียนบทความโดยตรงซึ่งกองบรรณาธิการวารสาร ไม่จำเป็นต้องเห็นด้วย หรือร่วมรับผิดชอบใด ๆ
บทความ ข้อมูล เนื้อหา รูปภาพ ฯลฯ ที่ได้รับการตีพิมพ์ในมหาราชนครศรีธรรมราชเวชสาร ถือเป็นลิขสิทธิ์ของมหาราชนครศรีธรรมราชเวชสาร หากบุคคลหรือหน่วยงานใดต้องการนำทั้งหมดหรือส่วนหนึ่งส่วนใดไปเผยแพร่ต่อหรือเพื่อกระทำการใด จะต้องได้รับอนุญาตเป็นลายลักษณ์อักษรจากวารสารมหาราชนครศรีธรรมราชเวชสาร ก่อนเท่านั้น
