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 numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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