Pain medicine

Long term opioid use after burn injury: a retrospective cohort study

Br J AnaesthPublished Retrospective cohort study

Main finding · Opioid use after dischargeResult — go to the resultIncidence rate ratio 1.43

Authors' conclusion

Opioid use is high in those admitted with a burn injury or acute pancreatitis when compared with the general population, increasing further after hospital discharge.

Study context

Population
Adults admitted with a burn injury from 2009 to 2019, with matched comparison cohortsmatched cohorts
Participants
7,147 / 6,810 / 28,184
Exposure
Burn injury vs acute pancreatitis vs general population
  • Burnn = 7,147
  • Pancreatitisn = 6,810
  • General populationn = 28,184reference
Outcome
Post-discharge opioid use
Methodological detailsmatched comparison cohorts, multivariable negative binomial regression
  • Matched comparison cohorts
  • Multivariable negative binomial regression

Main finding

Opioid use after discharge

Incidence rate ratio

1.43

By group

As reported in the abstract

Observational data: associations, not effects.

Further findings

Pre-admission opioid use

Factors associated with increased opioid prescriptions after discharge

Female sex, lower socioeconomic status, ICU admission, pre-injury opioid use and history of excess alcohol use associated with increased opioid prescriptions

Original publication

Long term opioid use after burn injury: a retrospective cohort study. Br J Anaesth. Published 11 January 2024. doi:10.1016/j.bja.2023.12.003

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