Researchers at Hospital for Special Surgery (HSS) have recognized danger components for persistent opioid use after surgical procedure in pediatric sufferers. Study findings had been introduced on the 2021 Spring American Society of Regional Anesthesia and Pain Medicine (ASRA) Annual Meeting.
Previous analysis signifies that prescription patterns for opioids after surgical procedure in kids and adolescents could also be related to long-term use and abuse.
“Pediatric patients have developing brains that are uniquely vulnerable to addiction, and we need to learn to treat their pain safely without putting them at additional risk for opioid misuse,” mentioned principal investigator Kathryn (Kate) DelPizzo, MD, an anesthesiologist at HSS.
It is due to this fact essential for clinicians to grasp risk factors for opioid dependence on this susceptible inhabitants, and to develop methods to stop long-term opioid use.
Dr. DelPizzo and colleagues examined insurance claims from Truven Health Marketscan information from sufferers underneath the age of 21 who underwent inpatient or outpatient surgical procedure from 2013 to 2017. The main end result examined was persistent opioid use after surgical procedure, outlined as a number of extra stuffed opioid prescriptions between 90 and 180 days post-surgery.
Out of greater than 3.7 million sufferers, about 9% (N=345,523) stuffed no less than one opioid prescription inside six months after surgical procedure, and 0.3% (N=11,334) developed ongoing opioid use.
Several danger components had been recognized for persistent opioid use: older age, feminine intercourse, earlier yr of present process surgical procedure (e.g., 2013 versus 2014 by 2017), larger burden of comorbidities, earlier use of antidepressants, residence outdoors of the Northeastern United States, having undergone an inpatient or a musculoskeletal process (versus basic surgical procedure or different specialties), and former opioid use.
“This data gives an indication that providers may be able to use a patient’s baseline characteristics to predict which children and adolescents are most at risk for trouble with opioids during the postsurgical period,” Dr. DelPizzo famous.
HSS is dedicated to affected person security and being a frontrunner in efficient ache administration. Its Controlled Substances Task Force continues to make strides in patient education and safe prescribing.
“Factors Associated With Long-term Opioid Use in Pediatric Surgical Patients” epostersonline.com/ASRASPRING21/node/1050
Hospital for Special Surgery
Study identifies danger components for pediatric opioid dependence after surgical procedure (2021, May 13)
retrieved 14 May 2021
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