Pain medicine

Factors associated with use of opioid rescue medication after surgery

Reg Anesth Pain MedPublished Prospective observational study

Authors' conclusion

Factors related to at-home rescue medication use closely mirrored known risk factors for persistent opioid use after surgery, such as prior chronic pain, prior substance use, affective disturbances, and pain severity before surgery.

Study context

Population
Outpatient surgery patients in an opioid-sparing postoperative context (NSAIDs plus up to six 5 mg oxycodone rescue pills), Norwegian hospital
Participants
270 patients
Exposure
Patients taking rescue opioids vs non-takers after outpatient surgery
Outcome
At-home use of opioid rescue medication and associated risk factors
Follow-up
1-2 days after surgery
Methodological detailssingle-centre
  • Single-centre

Main finding

As reported in the abstract

At-home rescue opioid use · 1-2 days after discharge

Patients reporting taking rescue opioids (N=228)

35%

Preoperative chronic pain (>3 months), opioid-takers vs non-takers

74% vs 48%

Observational data: associations, not effects.

Further findings

Acute pain level at follow-up · >4 months

Acute pain level, mean±SD
1.1±1.8
Patients reporting opioid analgesic use (N=217)
4 (2%)

Original publication

Factors associated with use of opioid rescue medication after surgery. Reg Anesth Pain Med. Published 21 July 2023. doi:10.1136/rapm-2023-104412

Composed by AI from the published abstract and checked against it. How Briefs are made →

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