Factors Predicting Chronic Opioid Use after Orthopedic Surgical Procedures

BACKGROUND: Opioid abuse has been an increasing problem since the 1990s. With over 47,000 opioid related deaths recorded in 2017 alone, concerns have raised regarding dangers of introducing opioids perioperatively to patients undergoing major surgeries. OBJECTIVES: The present study proposes examine frequency, amount, and trends post-operative consumption orthopedic surgical procedures. STUDY DESIGN: This was a randomized, retrospective questionnaire-based study. SETTING: Patients who underwent any type surgery at University Pennsylvania Presbyterian Hospital from 1/1/2018 3/12/2019 were randomly selected called during summer 2019. METHODS: In this study, 828 by telephone These asked variety questions involving behavior post-surgery. ended after receiving responses 200 patients. RESULTS: Nineteen (9.5%) reported positively for experiencing euphoria while taking Of contacted, 6 (3%) switching marijuana instead opioids. Thirty-eight (19%) preferred take no all post-surgery, one patient found given their prescription family member or friend. Twenty-one (10.5%) non-severe pain. Blacks whites most common racial demographics, making up 84 109 totals, respectively. odds ratios predictors showed that relative risk misuse higher black than white (OR = 3.034). There relationship between intra- administration long-term misuse. LIMITATIONS: are self-selected had option opt out when contacted. Some may not available answer phone our being conducted. only conducted received Hospital, thus affecting demographics research. CONCLUSIONS: Prescription is more among population. total frequently lower quantity prescribed. use even though they feel pain insufficient deserve such intervention. Euphoria experienced significant number Often do opioids, although prescriptions. KEY WORDS: Opioids, pain, misuse,