Pain medicine

Anaesthetist prediction of postoperative opioid use: a multicentre prospective cohort study

BJA OpenPublished Prospective cohort study

Main finding · Opioid use, PACUResult — go to the resultSpearman's rho 0.24 95% CI 0.16–0.33

Authors' conclusion

Specialist anaesthetists cannot accurately predict opioid use or dose in the PACU or the first 24 postoperative hours.

Study context

Population
Anaesthetist-patient pairs from eight hospitals
Participants
487 anaesthetist-patient pairs
Exposure
Anaesthetist-predicted vs actual postoperative opioid use and dose
Outcome
Correlation between predicted and actual opioid use and dose (oral morphine equivalents (MEQ)) in the post-anaesthesia care unit (PACU) and first 24 h postoperatively
Methodological detailsmulticentre
  • Multicentre

Main finding

Opioid use, PACU · PACU

Spearman's rho

0.24

95% CI 0.16–0.33

P < 0.001

Events by group

As reported in the abstract

Observational data: associations, not effects.

Further findings

Opioid use, first 24 h

Spearman's rho 0.36 (0.28–0.44) · P < 0.001

Opioid dose (MEQ), PACU

Spearman's rho 0.21 (0.13–0.29) · P < 0.001

Opioid dose (MEQ), first 24 h

Spearman's rho 0.53 (0.40–0.60) · P < 0.001

Original publication

Anaesthetist prediction of postoperative opioid use: a multicentre prospective cohort study. BJA Open. Published 6 October 2023. doi:10.1016/j.bjao.2023.100226

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