Transcutaneous Electrical Nerve Stimulation (TENS) in the Immediate Postoperative Period Following Proximal Femoral Fractures Reduces Drug Costs
Journal Title: Journal of Advances in Medicine and Medical Research - Year 2017, Vol 20, Issue 5
Abstract
Aim: The aim of this study was to evaluate the effect of TENS on the costs generated with the intake of analgesic drugs in patients with proximal femoral fractures. Study Design: Randomized, double-blind, placebo-controlled clinical trial. Place and Duration of Study: Department of Orthopedics and Traumatology. Santa Luzia Hospital, between September 2015 and July 2016. Methodology: Forty-two patients, homogeneous for age, color and sex, were allocated into three groups. These were divided into TENS treatment (n=14), Placebo TENS (n=14) and Control (n=14), with application for a period of seventy-two hours postoperatively, assessing pain, by visual analogue scale, and drug intake (tenoxicam, dipyrone, tramadol, morphine and diazepam). Results: Long-term TENS reduced pain and drug intake by 62.96% (tramadol), 45.61% (tenoxicam), 24% (dipyrone) and 87.5% (morphine) in patients in the postoperative period following femoral fracture. This reduction represented a decrease of US$ 3,975.34 for every 1,000 patients with proximal femoral fractures treated with TENS on the three days after surgery. Conclusion: TENS, when used ininterrupedly, was shown to be effective for pain reduction and generated a significant reduction in drug-related costs in the immediate postoperative period of patients with proximal femoral fractures.
Authors and Affiliations
F. S. Silva, E. Bobsin, J. S. Grings, M. M. Silveira, A. B. M. Z. Rosa
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