Smoking Is Not an Independent Risk Factor for Increased Opioid Consumption in Patients Being Treated for Ankle Fractures

Using narcotics for pain management is an integral part of orthopaedic surgery, especially after traumatic injuries such as ankle fractures. Although narcotics are often necessary for adequate pain control, prolonged duration of opioid treatment is becoming more common, and the detrimental effects o...

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Bibliographic Details
Published in:The Journal of foot and ankle surgery 2020-05, Vol.59 (3), p.495-497
Main Authors: Koury, Kimberly, Weiner, David, Gwam, Chukwuweike, Loughran, Galvin, Murphy, Jordan, Vulpis, Christian, Wisbeck, Jacob
Format: Article
Language:English
Subjects:
Adult
Aged
Analgesics, Opioid - therapeutic use
Ankle Fractures - surgery
Female
Fracture Fixation - adverse effects
Humans
Male
Middle Aged
opioid epidemic
opioid misuse
Pain, Postoperative - diagnosis
Pain, Postoperative - drug therapy
Pain, Postoperative - etiology
Retrospective Studies
Risk Factors
Smoking - adverse effects
surgical pain management
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Summary:Using narcotics for pain management is an integral part of orthopaedic surgery, especially after traumatic injuries such as ankle fractures. Although narcotics are often necessary for adequate pain control, prolonged duration of opioid treatment is becoming more common, and the detrimental effects of opioid use are well known. To treat this epidemic, we need to better understand the factors that put patients at risk for increased narcotic requirements and potential opioid misuse after orthopaedic injuries. The purpose of this study was to retrospectively compare opioid use among ankle fracture patients in smokers versus nonsmokers to better elucidate whether tobacco use is a risk factor for increased opioid consumption. A retrospective review was conducted for all patients who presented with an ankle fracture (Weber A to C) to any of 8 institutions in a large mid-Atlantic regional hospital system and subsequently underwent surgery between the November 2013 and January 2017. Exclusion criteria included patients age
ISSN:1067-2516
1542-2224
DOI:10.1053/j.jfas.2019.09.023