Pediatric anesthesia & critical care
Health Care Burden Associated With Adolescent Prolonged Opioid Use After Surgery
Main finding · Total health care costsResult — go to the resultAdjusted mean difference 4604 $ 95% CI $4027-$5181Authors' conclusion
In adolescents, POUS was associated with increased total health care costs and utilization in the 730 days after their surgical encounter.
Study context
- Population
- Opioid-naive US patients 12 to 21 years of age receiving outpatient prescription opioids after surgery (Optum Clinformatics Data Mart, 2003–2019)
- Participants
- 126,338 patients · 132,107 procedures
- Exposure
- POUS vs non-POUS
- POUSn = 4,867
- Outcome
- Total health care costs and visits
- Follow-up
- 730 days after surgery
Methodological detailsinsurance claims database, multivariable regression
- Insurance claims database
- Multivariable regression
Main finding
Total health care costs
Adjusted mean difference
4604 $
95% CI $4027-$5181
P < 0.001
POUS vs non-POUS
adjusted mean difference 4604 $ (95% CI $4027-$5181); P < 0.001
As reported in the abstract
Observational data: associations, not effects.
Further findings
| Outcome | Estimate | P value | |
|---|---|---|---|
| Health care utilization · 730 days after surgery | adjusted mean difference, inpatient LOS 0.26 (95% CI 0.22–0.30) | P < 0.001 | |
| Health care utilization · 730 days after surgery | adjusted mean difference, inpatient visits 0.07 (95% CI 0.07–0.08) | P < 0.001 | |
| Health care utilization · 730 days after surgery | adjusted mean difference, emergency visits 0.96 (95% CI 0.89–1.03) | P < 0.001 | |
| Health care utilization · 730 days after surgery | adjusted mean difference, outpatient/other visits 5.78 (95% CI 5.37–6.19) | P < 0.001 | |
| −50510Difference (linear scale) |
- POUS incidence
- 3.9% · 4867
Original publication
Health Care Burden Associated With Adolescent Prolonged Opioid Use After Surgery. Anesth Analg. Published 20 June 2022. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →