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SHR Neuro Cancer Cardio Lipid Metab Microb

DeJesus, J; Shah, NR; Franco-Mesa, C; Walters, ET; Palackic, A; Wolf, SE.
Risk factors for opioid use disorder after severe burns in adults.
Am J Surg. 2023; 225(2): 400-407. Doi: 10.1016/j.amjsurg.2022.09.023
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Co-authors Med Uni Graz: Palackic Alen
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Abstract:: INTRODUCTION: Risk factors for opioid dependence amongst burn patients have not been well-explored compared to other surgical fields. METHODS: The TrinetX database was queried for patients diagnosed with opioid use disorder (OUD) after thermal or chemical burn. Propensity score matching was performed. Opioid and non-opioid analgesia use, ICU care, surgery, and comparative risks among common opiates were examined using descriptive and univariate regression models, including odds ratios. Subgroup analysis evaluated the impact of multimodal analgesia. RESULTS: Odds of receiving IV opioids for acute analgesia (p = <0.0001, OR = 1.80, CI = 1.45-2.25), undergoing surgery (p = <0.0001, OR = 1.58, CI = 1.26-1.98), and ICU care (p = <0.0001, OR = 3.60, CI = 2.00-3.83) after burn injury were higher in patients who developed OUD. Patients receiving multimodal therapy within 24 hours of admission had lower odds of developing OUD (OR = 0.74, CI = 2.76-4.68, p = 0.0001) and chronic pain (OR = 0.89, CI = 0.78-1.00, p = 0.05) regardless of TBSA. CONCLUSION: Patients who developed opioid use disorder following burn injury had higher odds of receiving opioid exclusive pain management, more frequent surgery, ICU care.
Find related publications in this database (using NLM MeSH Indexing): Humans - administration & dosage; Adult - administration & dosage; Analgesics, Opioid - adverse effects; Pain Management - administration & dosage; Burns - therapy, drug therapy; Opioid-Related Disorders - complications, epidemiology; Risk Factors - administration & dosage; Retrospective Studies - administration & dosage
Find related publications in this database (Keywords): Opioid use disorder; Opioids; Burn; Pain; Multimodal; ICU