Efficacy of an expanded preoperative survey during perioperative care to identify illicit substance use in teenagers and adolescents
Background As illicit substance use can present several perioperative concerns, effective means to identify such practices are necessary to ensure patient safety. Identification of illicit substance use in pediatric patients may be problematic as screening may rely on parental reporting. Aims The cu...
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| Veröffentlicht in: | Pediatric anesthesia 2023-10, Vol.33 (10), p.808-815 |
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| container_title | Pediatric anesthesia |
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| creator | Stone, Katelynn Rice‐Weimer, Julie Tram, Nguyen K. Tobias, Joseph D. |
| description | Background
As illicit substance use can present several perioperative concerns, effective means to identify such practices are necessary to ensure patient safety. Identification of illicit substance use in pediatric patients may be problematic as screening may rely on parental reporting.
Aims
The current study compares answers regarding use of illicit substances between a survey completed by the patient and the preoperative survey completed by parents or guardians.
Methods
The study included patients presenting for surgery at Nationwide Children's Hospital, ranging in age from 12 to 21 years. After consent, patients completed a survey of six drop‐down questions using an iPad. The six questions involved the patient's history of alcohol, tobacco, marijuana, vaping, and opioid use. The results were compared to the answers obtained from the parents during a preoperative phone call.
Results
The study cohort included surveys from 250 patients with a median age of 16 years. Survey data showed a statistically higher reporting of substance use or abuse from the patient study survey in comparison to the routine parental preoperative survey. Alcohol report rates were highest with 69 (27.6%) patients reporting use compared to only 5 parental reports (2%). There was a similar discrepancy in reported rates of vaping use (40 patient reports, 16.0% vs. 11 parental reports, 4.4%) and illicit substance use including marijuana (52 patient reports, 20.8% vs. 11 parental reports, 4.4%). Reported rates of tobacco use were lowest among the survey responses with 12 patient reports (4.8%) and 5 parental reports (2.0%).
Conclusions
Identifying illicit substance and tobacco use via a phone survey of parents is inaccurate and does not allow for proper identification of use of these substances in patients ≤21 years of age presenting for surgery. An anonymous 2‐min survey completed by the patient more correctly identifies these issues. |
| doi_str_mv | 10.1111/pan.14728 |
| format | Article |
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As illicit substance use can present several perioperative concerns, effective means to identify such practices are necessary to ensure patient safety. Identification of illicit substance use in pediatric patients may be problematic as screening may rely on parental reporting.
Aims
The current study compares answers regarding use of illicit substances between a survey completed by the patient and the preoperative survey completed by parents or guardians.
Methods
The study included patients presenting for surgery at Nationwide Children's Hospital, ranging in age from 12 to 21 years. After consent, patients completed a survey of six drop‐down questions using an iPad. The six questions involved the patient's history of alcohol, tobacco, marijuana, vaping, and opioid use. The results were compared to the answers obtained from the parents during a preoperative phone call.
Results
The study cohort included surveys from 250 patients with a median age of 16 years. Survey data showed a statistically higher reporting of substance use or abuse from the patient study survey in comparison to the routine parental preoperative survey. Alcohol report rates were highest with 69 (27.6%) patients reporting use compared to only 5 parental reports (2%). There was a similar discrepancy in reported rates of vaping use (40 patient reports, 16.0% vs. 11 parental reports, 4.4%) and illicit substance use including marijuana (52 patient reports, 20.8% vs. 11 parental reports, 4.4%). Reported rates of tobacco use were lowest among the survey responses with 12 patient reports (4.8%) and 5 parental reports (2.0%).
Conclusions
Identifying illicit substance and tobacco use via a phone survey of parents is inaccurate and does not allow for proper identification of use of these substances in patients ≤21 years of age presenting for surgery. An anonymous 2‐min survey completed by the patient more correctly identifies these issues.</description><identifier>ISSN: 1155-5645</identifier><identifier>EISSN: 1460-9592</identifier><identifier>DOI: 10.1111/pan.14728</identifier><identifier>PMID: 37435702</identifier><language>eng</language><publisher>France: Wiley Subscription Services, Inc</publisher><subject>Drug use ; illicit substance use ; marijuana ; Patients ; pediatric anesthesiology ; perioperative care ; Tobacco ; Vaping</subject><ispartof>Pediatric anesthesia, 2023-10, Vol.33 (10), p.808-815</ispartof><rights>2023 The Authors. published by John Wiley & Sons Ltd.</rights><rights>2023 The Authors. Pediatric Anesthesia published by John Wiley & Sons Ltd.</rights><rights>2023. This article is published under http://creativecommons.org/licenses/by-nc-nd/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c3488-4a258f83c2d47a42cb7774198d0bf442a809abb7a1978789b8f4b1fef020ec153</cites><orcidid>0000-0003-4374-1485 ; 0009-0000-2911-5555</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fpan.14728$$EPDF$$P50$$Gwiley$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fpan.14728$$EHTML$$P50$$Gwiley$$Hfree_for_read</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37435702$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Stone, Katelynn</creatorcontrib><creatorcontrib>Rice‐Weimer, Julie</creatorcontrib><creatorcontrib>Tram, Nguyen K.</creatorcontrib><creatorcontrib>Tobias, Joseph D.</creatorcontrib><title>Efficacy of an expanded preoperative survey during perioperative care to identify illicit substance use in teenagers and adolescents</title><title>Pediatric anesthesia</title><addtitle>Paediatr Anaesth</addtitle><description>Background
As illicit substance use can present several perioperative concerns, effective means to identify such practices are necessary to ensure patient safety. Identification of illicit substance use in pediatric patients may be problematic as screening may rely on parental reporting.
Aims
The current study compares answers regarding use of illicit substances between a survey completed by the patient and the preoperative survey completed by parents or guardians.
Methods
The study included patients presenting for surgery at Nationwide Children's Hospital, ranging in age from 12 to 21 years. After consent, patients completed a survey of six drop‐down questions using an iPad. The six questions involved the patient's history of alcohol, tobacco, marijuana, vaping, and opioid use. The results were compared to the answers obtained from the parents during a preoperative phone call.
Results
The study cohort included surveys from 250 patients with a median age of 16 years. Survey data showed a statistically higher reporting of substance use or abuse from the patient study survey in comparison to the routine parental preoperative survey. Alcohol report rates were highest with 69 (27.6%) patients reporting use compared to only 5 parental reports (2%). There was a similar discrepancy in reported rates of vaping use (40 patient reports, 16.0% vs. 11 parental reports, 4.4%) and illicit substance use including marijuana (52 patient reports, 20.8% vs. 11 parental reports, 4.4%). Reported rates of tobacco use were lowest among the survey responses with 12 patient reports (4.8%) and 5 parental reports (2.0%).
Conclusions
Identifying illicit substance and tobacco use via a phone survey of parents is inaccurate and does not allow for proper identification of use of these substances in patients ≤21 years of age presenting for surgery. An anonymous 2‐min survey completed by the patient more correctly identifies these issues.</description><subject>Drug use</subject><subject>illicit substance use</subject><subject>marijuana</subject><subject>Patients</subject><subject>pediatric anesthesiology</subject><subject>perioperative care</subject><subject>Tobacco</subject><subject>Vaping</subject><issn>1155-5645</issn><issn>1460-9592</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>24P</sourceid><recordid>eNp1kc1O7SAURonRqFcd-AKGxIl3UAUKhQ6N8V5NjDrQcUNhYzA9tEKrdu6Dix5_EhOZQGDttXf4ENql5JDmdTTocEi5ZGoFbVJekaIWNVvNZypEISouNtCflO4JoSWr2DraKCUvhSRsE72cOueNNjPuHdYBw3OWWbB4iNAPEPXoHwGnKT7CjO0UfbjD-dp_vxkdAY899hbC6N2Mfdd548dc1KZRBwN4SoB9wCNA0HcQU25ksbZ9B8nkorSN1pzuEux87Fvo9t_pzclZcXH1__zk-KIwJVeq4JoJ5VRpmOVSc2ZaKSWntbKkdZwzrUit21ZqWkslVd0qx1vqwBFGwFBRbqGDpXeI_cMEaWwWPk_QdTpAP6WGqbJitSKizuj-D_S-n2LI02WqIoIRQcpM_V1SJvYpRXDNEP1Cx7mhpHmLpsm_2bxHk9m9D-PULsB-kZ9ZZOBoCTz5DubfTc318eVS-QoYopnX</recordid><startdate>202310</startdate><enddate>202310</enddate><creator>Stone, Katelynn</creator><creator>Rice‐Weimer, Julie</creator><creator>Tram, Nguyen K.</creator><creator>Tobias, Joseph D.</creator><general>Wiley Subscription Services, Inc</general><scope>24P</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-4374-1485</orcidid><orcidid>https://orcid.org/0009-0000-2911-5555</orcidid></search><sort><creationdate>202310</creationdate><title>Efficacy of an expanded preoperative survey during perioperative care to identify illicit substance use in teenagers and adolescents</title><author>Stone, Katelynn ; Rice‐Weimer, Julie ; Tram, Nguyen K. ; Tobias, Joseph D.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3488-4a258f83c2d47a42cb7774198d0bf442a809abb7a1978789b8f4b1fef020ec153</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Drug use</topic><topic>illicit substance use</topic><topic>marijuana</topic><topic>Patients</topic><topic>pediatric anesthesiology</topic><topic>perioperative care</topic><topic>Tobacco</topic><topic>Vaping</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Stone, Katelynn</creatorcontrib><creatorcontrib>Rice‐Weimer, Julie</creatorcontrib><creatorcontrib>Tram, Nguyen K.</creatorcontrib><creatorcontrib>Tobias, Joseph D.</creatorcontrib><collection>Wiley Online Library Open Access</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Pediatric anesthesia</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Stone, Katelynn</au><au>Rice‐Weimer, Julie</au><au>Tram, Nguyen K.</au><au>Tobias, Joseph D.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Efficacy of an expanded preoperative survey during perioperative care to identify illicit substance use in teenagers and adolescents</atitle><jtitle>Pediatric anesthesia</jtitle><addtitle>Paediatr Anaesth</addtitle><date>2023-10</date><risdate>2023</risdate><volume>33</volume><issue>10</issue><spage>808</spage><epage>815</epage><pages>808-815</pages><issn>1155-5645</issn><eissn>1460-9592</eissn><abstract>Background
As illicit substance use can present several perioperative concerns, effective means to identify such practices are necessary to ensure patient safety. Identification of illicit substance use in pediatric patients may be problematic as screening may rely on parental reporting.
Aims
The current study compares answers regarding use of illicit substances between a survey completed by the patient and the preoperative survey completed by parents or guardians.
Methods
The study included patients presenting for surgery at Nationwide Children's Hospital, ranging in age from 12 to 21 years. After consent, patients completed a survey of six drop‐down questions using an iPad. The six questions involved the patient's history of alcohol, tobacco, marijuana, vaping, and opioid use. The results were compared to the answers obtained from the parents during a preoperative phone call.
Results
The study cohort included surveys from 250 patients with a median age of 16 years. Survey data showed a statistically higher reporting of substance use or abuse from the patient study survey in comparison to the routine parental preoperative survey. Alcohol report rates were highest with 69 (27.6%) patients reporting use compared to only 5 parental reports (2%). There was a similar discrepancy in reported rates of vaping use (40 patient reports, 16.0% vs. 11 parental reports, 4.4%) and illicit substance use including marijuana (52 patient reports, 20.8% vs. 11 parental reports, 4.4%). Reported rates of tobacco use were lowest among the survey responses with 12 patient reports (4.8%) and 5 parental reports (2.0%).
Conclusions
Identifying illicit substance and tobacco use via a phone survey of parents is inaccurate and does not allow for proper identification of use of these substances in patients ≤21 years of age presenting for surgery. An anonymous 2‐min survey completed by the patient more correctly identifies these issues.</abstract><cop>France</cop><pub>Wiley Subscription Services, Inc</pub><pmid>37435702</pmid><doi>10.1111/pan.14728</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0003-4374-1485</orcidid><orcidid>https://orcid.org/0009-0000-2911-5555</orcidid><oa>free_for_read</oa></addata></record> |
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| ispartof | Pediatric anesthesia, 2023-10, Vol.33 (10), p.808-815 |
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| language | eng |
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| source | Wiley Online Library Journals Frontfile Complete |
| subjects | Drug use illicit substance use marijuana Patients pediatric anesthesiology perioperative care Tobacco Vaping |
| title | Efficacy of an expanded preoperative survey during perioperative care to identify illicit substance use in teenagers and adolescents |
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