Predictors of Opioid Administration in the Acute Postoperative Period

Female Pelvic Medicine & Reconstructive Surgery
Marcella G Willis-GrayAlexis A Dieter

Abstract

Our primary objective was to evaluate age as a predictor of postanesthesia care unit (PACU) opioid administration in women undergoing reconstructive pelvic surgery. Our secondary objective was to identify additional predictors of PACU opioid administration. We conducted a retrospective cohort study of women undergoing outpatient urogynecologic surgery for pelvic organ prolapse and/or stress urinary incontinence between September 2015 to October 2016 at 1 academic medical center. We compared 2 cohorts (1) women older than 65 years and (2) women older than 65 years. Our primary outcome was any opioid medication administered during the PACU admission. A total of 183 women were included in the study; 124 (68%) were younger than 65 years, and 59 (32%) were 65 years or older. For our primary outcome, women younger than 65 years were more likely to be given any opioids in PACU than women 65 years (70% vs 54%, P = 0.04, respectively). Women younger than 65 years were also given higher total amounts of opioid narcotics postoperatively (9.0 ± 8.3 vs 5.1 ± 6.0 mg, P < 0.05). For our secondary outcome, we found that PACU opioid administration was associated with midurethral sling (MUS) surgery (70% MUS vs 30% no MUS, P = 0.04) and high max...Continue Reading

References

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Jun 9, 2017·Obstetrics and Gynecology·Sarah S OsmundsonMichael G Richardson

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Citations

Jul 13, 2020·American Journal of Obstetrics and Gynecology·Marcella G Willis-GrayJennifer M Wu
Mar 27, 2021·Female Pelvic Medicine & Reconstructive Surgery
Oct 21, 2021·Female Pelvic Medicine & Reconstructive Surgery·Krista M L ReaganJaime B Long

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