Post-surgical opioid prescribing patterns and risk factors for additional opioid prescriptions within one year after non-emergent colorectal surgery - 14/06/19
Abstract |
Background |
National opioid concerns resulted in review of prescribing patterns following colorectal surgery.
Methods |
This retrospective cohort study examined prescribing patterns in elective colorectal surgery at a tertiary academic medical center from January 2012 through December 2014.
Results |
Forty percent of 4286 patients received additional opioid prescriptions within the year following colorectal surgery. Multivariable analysis demonstrated that a pre-operative opioid prescriptions within 1 year of surgery (OR 2.91; 95% CI, 1.83–4.60), increasing operative time (OR 1.02; 95% CI, 1.00–1.04), or complications (OR 2.18; 95% CI, 1.38–3.43) was associated with additional opioid prescriptions. The median opioid prescription upon discharge was 225 mg morphine milligram equivalents. Discharge opioid amount was not a risk factor.
Conclusions |
Additional opioid prescriptions after surgery occurred in 40% of patients. Pre-operative prescriptions, increasing operative time and complications were associated with additional opioid prescriptions while opioid amount at discharge was not a risk factor.
Le texte complet de cet article est disponible en PDF.Highlights |
• | Opioid use is of national concern and of surgical interest. |
• | Median discharge opioid prescription after elective colorectal surgery was 225 mg. |
• | Within 1 year, additional opioid prescriptions occurred in 40% of patients. |
• | Key risk factors were associated with additional opioid prescriptions. |
• | Opioid amount at discharge was not a risk factor for additional prescriptions. |
Abbreviations : ERP, CUC, AHFS, MME, IQR, ORs, CIs, ROC, SSI, PCP
Plan
Vol 218 - N° 1
P. 56-61 - juillet 2019 Retour au numéro
Article précédent
- Impact of blunt pulmonary contusion in polytrauma patients with rib fractures
- Claire Miller, Allan Stolarski, Ashar Ata, Ashley Pfaff, Pallavi Nadendla, Kimberly Owens, Lauren Evans, Daniel Bonville, Carl Rosati, Steven C. Stain, Marcel Tafen
- Perioperative use of blood products is associated with risk of morbidity and mortality after surgery
- Eliza W. Beal, Fabio Bagante, Anghela Paredes, Ozgur Akgul, Katiuscha Merath, Santino Cua, Mary E. Dillhoff, Carl R. Schmidt, Erik Abel, Scott Scrape, Aslam Ejaz, Timothy M. Pawlik
Bienvenue sur EM-consulte, la référence des professionnels de santé.
L’accès au texte intégral de cet article nécessite un abonnement.
Déjà abonné à cette revue ?