Study identifies risk factors for pediatric opioid dependenc
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Researchers at Hospital for Special Surgery (HSS) have identified risk factors for persistent opioid use after surgery in pediatric patients.

Previous research indicates that prescription patterns for opioids after surgery in children and adolescents may be associated with long-term use and abuse.

Doctors examined insurance claims from Truven Health Marketscan data from patients under the age of 21 who underwent inpatient or outpatient surgery. The primary outcome examined was persistent opioid use after surgery, defined as one or more additional filled opioid prescriptions between 90 and 180 days post-surgery.

Out of more than 3.7 million patients, about 9% filled at least one opioid prescription within six months after surgery, and 0.3% developed ongoing opioid use.

Several risk factors were identified for persistent opioid use: older age, female sex, earlier year of undergoing surgery, a higher burden of comorbidities, previous use of antidepressants, residence outside of the Northeastern United States, having undergone an inpatient or a musculoskeletal procedure, and previous opioid use.

"This data gives an indication that providers may be able to use a patient's baseline characteristics to predict which children and adolescents are most at risk for trouble with opioids during the postsurgical period," the investigator noted.

46th Annual Regional Anesthesiology and Acute Pain Medicine Meeting
Source: https://epostersonline.com/ASRASPRING21/node/1050
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