Impact of Preoperative Opioid Use After Emergency General Surgery

Background Preoperative exposure to narcotics has recently been associated with poor outcomes after elective major surgery, but little is known as to how preoperative opioid use impacts outcomes after common, emergency general surgical procedures (EGS). Methods A high-volume, single-center analysis...

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Bibliographic Details
Published in:Journal of gastrointestinal surgery 2018-06, Vol.22 (6), p.1098-1103
Main Authors: Kim, Young, Cortez, Alexander R., Wima, Koffi, Dhar, Vikrom K., Athota, Krishna P., Schrager, Jason J., Pritts, Timothy A., Edwards, Michael J., Shah, Shimul A.
Format: Article
Language:English
Subjects:
Adult
Analgesics, Opioid - therapeutic use
Direct Service Costs
Drug Prescriptions - statistics & numerical data
Emergencies
Female
Gastroenterology
Gastrointestinal surgery
Humans
Length of Stay
Male
Medicine
Medicine & Public Health
Middle Aged
Narcotics
Original Article
Patient Readmission
Postoperative Period
Preoperative Period
Retrospective Studies
Surgery
Surgical Procedures, Operative
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Summary:Background Preoperative exposure to narcotics has recently been associated with poor outcomes after elective major surgery, but little is known as to how preoperative opioid use impacts outcomes after common, emergency general surgical procedures (EGS). Methods A high-volume, single-center analysis was performed on patients who underwent EGS from 2012 to 2013. EGS was defined as the seven emergent operations that account for 80% of the national burden. Preoperative opioid use was defined as having an active opioid prescription within 7 days prior to surgery. Chronic opioid use was defined as having an opioid prescription concurrent with 90 days after discharge. Results A total of 377 patients underwent EGS during the study period. Preoperative opioid use was present in 84 patients (22.3%). Preoperative opioid users had longer hospital LOS (10.5 vs 6 days), higher costs of care ($25,331 vs $11,454), and higher 30-day readmission rates (22.6 vs 8.2%) compared with opioid-naïve patients ( p  
ISSN:1091-255X
1873-4626
DOI:10.1007/s11605-017-3665-x