Abstract

Analysis of cumulative inpatient opioid use in patients undergoing colorectal surgery across multiple centres

Author(s): Priyanshu Sharma

The likelihood of increased inpatient opioid use and its connection to continued opioid use after colorectal surgery are poorly understood. We located patients who had undergone colorectal surgery at five affiliated facilities. The National Surgical Quality Improvement Program of the American College of Surgeons recorded patient comorbidities, surgical information, and results. Preoperative opioid exposure, inpatient opioid use, and continued use 90–180 days following surgery were all documented. There were 1646 patients examined. The patients in the high use group received >250 MMEs (top quartile). Age remained significant (age 0.001) on multivariable analysis (OR 1.48; p 14 0.037). In order to identify individuals who might profit from opioid sparing measures, we identified risk variables for excessive inpatient use. Additionally, a higher likelihood of long-term opioid usage was linked to significant postoperative inpatient use.