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Factors associated with home opioid use after thoracic surgeryCentral MessagePerspective

التفاصيل البيبلوغرافية
العنوان: Factors associated with home opioid use after thoracic surgeryCentral MessagePerspective
المؤلفون: Jeffrey D. Hodges, MD, MS, Duc T. Nguyen, MD, PhD, Jane Doan, MPA, Leonora M. Meisenbach, DNP, RN, ACNP-BC, Ray Chihara, MD, PhD, Edward Y. Chan, MD, FACS, Edward A. Graviss, PhD, MPH, FIDSA, Min P. Kim, MD, FACS
المصدر: JTCVS Open, Vol 5, Iss , Pp 173-186 (2021)
بيانات النشر: Elsevier, 2021.
سنة النشر: 2021
المجموعة: LCC:Diseases of the circulatory (Cardiovascular) system
LCC:Surgery
مصطلحات موضوعية: enhanced recovery after surgery, minimally invasive thoracic surgery, postoperative pain control, opioid medication, Diseases of the circulatory (Cardiovascular) system, RC666-701, Surgery, RD1-811
الوصف: Objective: Enhanced recovery after surgery (ERAS) with a pre-emptive pain management program has been shown to decrease opioid prescriptions after thoracic surgery. We sought to determine which patient or procedural factors were associated with the need for prescription opioid medications after thoracic surgical procedures. Methods: We performed a retrospective analysis of a postoperative pain survey at the time of follow-up in combination with procedural and patient characteristic data. We then performed univariate and multivariate logistic regression to determine factors associated with prescription opioids use. Results: Two hundred twenty-eight patients completed questionnaires at a median of 37 days after surgery. Most patients received minimally invasive surgery (n = 213, 93%) with the 2 most common types of operations being foregut (n = 92, 40%) and pulmonary resection (n = 80, 35%). Thirty-nine percent of patients (n = 89) were taking chronic pain medications preoperatively, with 15% on chronic opioids medication (n = 33). After surgery, 166 patients (72%) did not take opioids at home. Multivariate analysis showed any chronic opioid medications before surgery (odds ratio, 28.8; 95% confidence interval, 9.13-90.8, P
نوع الوثيقة: article
وصف الملف: electronic resource
اللغة: English
تدمد: 2666-2736
Relation: http://www.sciencedirect.com/science/article/pii/S2666273620301741; https://doaj.org/toc/2666-2736
DOI: 10.1016/j.xjon.2020.11.010
URL الوصول: https://doaj.org/article/6f1c3cce94bb47eca1e828665cfd65df
رقم الأكسشن: edsdoj.6f1c3cce94bb47eca1e828665cfd65df
قاعدة البيانات: Directory of Open Access Journals
الوصف
تدمد:26662736
DOI:10.1016/j.xjon.2020.11.010