Open AccessDevelopment and Validation of a Bedside Risk Assessment for Sustained Prescription Opioid Use After Surgery
Author(s) -
Muhammad Ali Chaudhary,
Nizar Bhulani,
E De Jager,
Stuart R. Lipsitz,
Nicollette K. Kwon,
Daniel J. Sturgeon,
QuocDien Trinh,
Tracey Koehlmoos,
Adil H. Haider,
Andrew J. Schoenfeld
Publication year - 2019
Publication title -
jama network open
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.278
H-Index - 39
ISSN - 2574-3805
DOI - 10.1001/jamanetworkopen.2019.6673
Subject(s) - medicine , opioid , medical prescription , intensive care medicine , risk assessment , pharmacology , computer science , computer security , receptor
Key Points Question Can a risk score for sustained prescription opioid use after surgery be developed for a working-age population using readily available clinical information? Findings In this case-control study of 86 356 patients undergoing 1 of 10 common surgical procedures, prior opioid exposure was the factor most strongly associated with sustained opioid use. The group with the lowest Stopping Opioids After Surgery scores (<31) had a mean 4.1% risk of sustained opioid use; the group with intermediate scores (31-50) had a mean risk of 14.9%; and the group with the highest scores (>50) had a mean risk of 35.8%. Meaning The scoring system developed in this study may inform the risk of sustained prescription opioid use after surgery and be scalable to clinical practice.
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