Opioid Use among Adolescents Undergoing Surgical Repair of Facial Trauma
New persistent opioid use has been quantified among adults undergoing surgery; less is known about the risk among adolescents. The authors examine new persistent opioid use in opioid-naive adolescent patients who underwent operative repair of facial fractures. Using the IBM MarketScan Commercial Dat...
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| Veröffentlicht in: | Plastic and reconstructive surgery (1963) 2021-03, Vol.147 (3), p.690-698 |
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| container_title | Plastic and reconstructive surgery (1963) |
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| creator | Som, Avira Santosa, Katherine B. Skolnick, Gary B. Lapidus, Jodi B. Waljee, Jennifer F. Patel, Kamlesh B. |
| description | New persistent opioid use has been quantified among adults undergoing surgery; less is known about the risk among adolescents. The authors examine new persistent opioid use in opioid-naive adolescent patients who underwent operative repair of facial fractures.
Using the IBM MarketScan Commercial Database, the authors performed a retrospective analysis of patients aged 11 to 17 years who underwent facial fracture repair between 2006 and 2015. The incidences of prolonged opioid use and potentially inappropriate opioid prescriptions were determined.
Of 4892 patients, 78.5 percent filled a prescription. Among these patients, 7.9 percent had prolonged opioid use. Significant risk factors included older age (i.e., age 15 to 17 years) (OR, 1.579; 95 percent CI, 1.173 to 2.126 compared to younger patients), multiple comorbidities (OR, 3.005; 95 percent CI, 1.193 to 7.568), mandible fracture (OR, 1.614; 95 percent CI, 1.213 to 2.146), and multiple fractures (OR, 1.542; 95 percent CI, 1.002 to 2.372). Overall, 24.1 percent received a potentially inappropriate opioid prescription. Mandible fracture repair was associated with increased risk (OR, 2.753; 95 percent CI, 2.275 to 3.331) of potentially inappropriate opioid prescription.
Nearly one in 12 adolescents met criteria for prolonged opioid use; nearly one in four received a potentially inappropriate opioid prescription. Significant risk factors included mandible fracture, older age, multiple comorbidities, and multiple fractures. Like adults, many adolescents are at high risk for potentially inappropriate opioid prescriptions and prolonged opioid use following surgical repair.
Risk, III. |
| doi_str_mv | 10.1097/PRS.0000000000007643 |
| format | Article |
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Using the IBM MarketScan Commercial Database, the authors performed a retrospective analysis of patients aged 11 to 17 years who underwent facial fracture repair between 2006 and 2015. The incidences of prolonged opioid use and potentially inappropriate opioid prescriptions were determined.
Of 4892 patients, 78.5 percent filled a prescription. Among these patients, 7.9 percent had prolonged opioid use. Significant risk factors included older age (i.e., age 15 to 17 years) (OR, 1.579; 95 percent CI, 1.173 to 2.126 compared to younger patients), multiple comorbidities (OR, 3.005; 95 percent CI, 1.193 to 7.568), mandible fracture (OR, 1.614; 95 percent CI, 1.213 to 2.146), and multiple fractures (OR, 1.542; 95 percent CI, 1.002 to 2.372). Overall, 24.1 percent received a potentially inappropriate opioid prescription. Mandible fracture repair was associated with increased risk (OR, 2.753; 95 percent CI, 2.275 to 3.331) of potentially inappropriate opioid prescription.
Nearly one in 12 adolescents met criteria for prolonged opioid use; nearly one in four received a potentially inappropriate opioid prescription. Significant risk factors included mandible fracture, older age, multiple comorbidities, and multiple fractures. Like adults, many adolescents are at high risk for potentially inappropriate opioid prescriptions and prolonged opioid use following surgical repair.
Risk, III.</description><identifier>ISSN: 0032-1052</identifier><identifier>ISSN: 1529-4242</identifier><identifier>EISSN: 1529-4242</identifier><identifier>DOI: 10.1097/PRS.0000000000007643</identifier><identifier>PMID: 33587556</identifier><language>eng</language><publisher>United States: Lippincott Williams & Wilkins</publisher><subject>Adolescent ; Analgesics, Opioid - adverse effects ; Child ; Drug Prescriptions - standards ; Drug Prescriptions - statistics & numerical data ; Facial Injuries - epidemiology ; Facial Injuries - surgery ; Female ; Humans ; Inappropriate Prescribing - adverse effects ; Inappropriate Prescribing - statistics & numerical data ; Male ; Opioid-Related Disorders - etiology ; Opioid-Related Disorders - prevention & control ; Pain, Postoperative - drug therapy ; Pain, Postoperative - etiology ; Retrospective Studies ; Risk Factors ; Time Factors</subject><ispartof>Plastic and reconstructive surgery (1963), 2021-03, Vol.147 (3), p.690-698</ispartof><rights>Lippincott Williams & Wilkins</rights><rights>Copyright © 2021 by the American Society of Plastic Surgeons.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4087-864f0acab0746b0453aae327b2f222f119d9af8353d0f18d66e4f3f2da0ff5283</citedby><cites>FETCH-LOGICAL-c4087-864f0acab0746b0453aae327b2f222f119d9af8353d0f18d66e4f3f2da0ff5283</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,776,780,881,27903,27904</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33587556$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Som, Avira</creatorcontrib><creatorcontrib>Santosa, Katherine B.</creatorcontrib><creatorcontrib>Skolnick, Gary B.</creatorcontrib><creatorcontrib>Lapidus, Jodi B.</creatorcontrib><creatorcontrib>Waljee, Jennifer F.</creatorcontrib><creatorcontrib>Patel, Kamlesh B.</creatorcontrib><title>Opioid Use among Adolescents Undergoing Surgical Repair of Facial Trauma</title><title>Plastic and reconstructive surgery (1963)</title><addtitle>Plast Reconstr Surg</addtitle><description>New persistent opioid use has been quantified among adults undergoing surgery; less is known about the risk among adolescents. The authors examine new persistent opioid use in opioid-naive adolescent patients who underwent operative repair of facial fractures.
Using the IBM MarketScan Commercial Database, the authors performed a retrospective analysis of patients aged 11 to 17 years who underwent facial fracture repair between 2006 and 2015. The incidences of prolonged opioid use and potentially inappropriate opioid prescriptions were determined.
Of 4892 patients, 78.5 percent filled a prescription. Among these patients, 7.9 percent had prolonged opioid use. Significant risk factors included older age (i.e., age 15 to 17 years) (OR, 1.579; 95 percent CI, 1.173 to 2.126 compared to younger patients), multiple comorbidities (OR, 3.005; 95 percent CI, 1.193 to 7.568), mandible fracture (OR, 1.614; 95 percent CI, 1.213 to 2.146), and multiple fractures (OR, 1.542; 95 percent CI, 1.002 to 2.372). Overall, 24.1 percent received a potentially inappropriate opioid prescription. Mandible fracture repair was associated with increased risk (OR, 2.753; 95 percent CI, 2.275 to 3.331) of potentially inappropriate opioid prescription.
Nearly one in 12 adolescents met criteria for prolonged opioid use; nearly one in four received a potentially inappropriate opioid prescription. Significant risk factors included mandible fracture, older age, multiple comorbidities, and multiple fractures. Like adults, many adolescents are at high risk for potentially inappropriate opioid prescriptions and prolonged opioid use following surgical repair.
Risk, III.</description><subject>Adolescent</subject><subject>Analgesics, Opioid - adverse effects</subject><subject>Child</subject><subject>Drug Prescriptions - standards</subject><subject>Drug Prescriptions - statistics & numerical data</subject><subject>Facial Injuries - epidemiology</subject><subject>Facial Injuries - surgery</subject><subject>Female</subject><subject>Humans</subject><subject>Inappropriate Prescribing - adverse effects</subject><subject>Inappropriate Prescribing - statistics & numerical data</subject><subject>Male</subject><subject>Opioid-Related Disorders - etiology</subject><subject>Opioid-Related Disorders - prevention & control</subject><subject>Pain, Postoperative - drug therapy</subject><subject>Pain, Postoperative - etiology</subject><subject>Retrospective Studies</subject><subject>Risk Factors</subject><subject>Time Factors</subject><issn>0032-1052</issn><issn>1529-4242</issn><issn>1529-4242</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdkdtOHDEMhiNEBVvaN0DVXHIz1DnPXFUIsQUJiQrY68g7k-yGZibbZAfE2zeUQ2ktWVYc-4udn5BDCscUWv31x_XNMbwzrQTfITMqWVsLJtgumQFwVlOQbJ98zPkOgGqu5B7Z51w2Wko1I-dXGx99Xy2yrXCI46o66WOwubPjNleLsbdpFX1J30xp5TsM1bXdoE9VdNUcO18StwmnAT-RDw5Dtp9f4gFZzM9uT8_ry6vvF6cnl3UnoNF1o4QD7HAJWqglCMkRLWd6yRxjzFHa9i26hkveg6NNr5QVjjvWIzgnWcMPyLdn7mZaDrZ_mjNhMJvkB0yPJqI3_96Mfm1W8d5QqjjoVhXC0QshxV-TzVsz-LJvCDjaOGXDRAuUKUnbUiqeS7sUc07Wvb1DwTypYIoK5n8VStuX9zO-Nb1--1_uQwxbm_LPMD3YZNYWw3b9h6ckFzUDRoGXU12caf4bQdeScQ</recordid><startdate>20210301</startdate><enddate>20210301</enddate><creator>Som, Avira</creator><creator>Santosa, Katherine B.</creator><creator>Skolnick, Gary B.</creator><creator>Lapidus, Jodi B.</creator><creator>Waljee, Jennifer F.</creator><creator>Patel, Kamlesh B.</creator><general>Lippincott Williams & Wilkins</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20210301</creationdate><title>Opioid Use among Adolescents Undergoing Surgical Repair of Facial Trauma</title><author>Som, Avira ; Santosa, Katherine B. ; Skolnick, Gary B. ; Lapidus, Jodi B. ; Waljee, Jennifer F. ; Patel, Kamlesh B.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4087-864f0acab0746b0453aae327b2f222f119d9af8353d0f18d66e4f3f2da0ff5283</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Adolescent</topic><topic>Analgesics, Opioid - adverse effects</topic><topic>Child</topic><topic>Drug Prescriptions - standards</topic><topic>Drug Prescriptions - statistics & numerical data</topic><topic>Facial Injuries - epidemiology</topic><topic>Facial Injuries - surgery</topic><topic>Female</topic><topic>Humans</topic><topic>Inappropriate Prescribing - adverse effects</topic><topic>Inappropriate Prescribing - statistics & numerical data</topic><topic>Male</topic><topic>Opioid-Related Disorders - etiology</topic><topic>Opioid-Related Disorders - prevention & control</topic><topic>Pain, Postoperative - drug therapy</topic><topic>Pain, Postoperative - etiology</topic><topic>Retrospective Studies</topic><topic>Risk Factors</topic><topic>Time Factors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Som, Avira</creatorcontrib><creatorcontrib>Santosa, Katherine B.</creatorcontrib><creatorcontrib>Skolnick, Gary B.</creatorcontrib><creatorcontrib>Lapidus, Jodi B.</creatorcontrib><creatorcontrib>Waljee, Jennifer F.</creatorcontrib><creatorcontrib>Patel, Kamlesh B.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Plastic and reconstructive surgery (1963)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Som, Avira</au><au>Santosa, Katherine B.</au><au>Skolnick, Gary B.</au><au>Lapidus, Jodi B.</au><au>Waljee, Jennifer F.</au><au>Patel, Kamlesh B.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Opioid Use among Adolescents Undergoing Surgical Repair of Facial Trauma</atitle><jtitle>Plastic and reconstructive surgery (1963)</jtitle><addtitle>Plast Reconstr Surg</addtitle><date>2021-03-01</date><risdate>2021</risdate><volume>147</volume><issue>3</issue><spage>690</spage><epage>698</epage><pages>690-698</pages><issn>0032-1052</issn><issn>1529-4242</issn><eissn>1529-4242</eissn><abstract>New persistent opioid use has been quantified among adults undergoing surgery; less is known about the risk among adolescents. The authors examine new persistent opioid use in opioid-naive adolescent patients who underwent operative repair of facial fractures.
Using the IBM MarketScan Commercial Database, the authors performed a retrospective analysis of patients aged 11 to 17 years who underwent facial fracture repair between 2006 and 2015. The incidences of prolonged opioid use and potentially inappropriate opioid prescriptions were determined.
Of 4892 patients, 78.5 percent filled a prescription. Among these patients, 7.9 percent had prolonged opioid use. Significant risk factors included older age (i.e., age 15 to 17 years) (OR, 1.579; 95 percent CI, 1.173 to 2.126 compared to younger patients), multiple comorbidities (OR, 3.005; 95 percent CI, 1.193 to 7.568), mandible fracture (OR, 1.614; 95 percent CI, 1.213 to 2.146), and multiple fractures (OR, 1.542; 95 percent CI, 1.002 to 2.372). Overall, 24.1 percent received a potentially inappropriate opioid prescription. Mandible fracture repair was associated with increased risk (OR, 2.753; 95 percent CI, 2.275 to 3.331) of potentially inappropriate opioid prescription.
Nearly one in 12 adolescents met criteria for prolonged opioid use; nearly one in four received a potentially inappropriate opioid prescription. Significant risk factors included mandible fracture, older age, multiple comorbidities, and multiple fractures. Like adults, many adolescents are at high risk for potentially inappropriate opioid prescriptions and prolonged opioid use following surgical repair.
Risk, III.</abstract><cop>United States</cop><pub>Lippincott Williams & Wilkins</pub><pmid>33587556</pmid><doi>10.1097/PRS.0000000000007643</doi><tpages>9</tpages></addata></record> |
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| subjects | Adolescent Analgesics, Opioid - adverse effects Child Drug Prescriptions - standards Drug Prescriptions - statistics & numerical data Facial Injuries - epidemiology Facial Injuries - surgery Female Humans Inappropriate Prescribing - adverse effects Inappropriate Prescribing - statistics & numerical data Male Opioid-Related Disorders - etiology Opioid-Related Disorders - prevention & control Pain, Postoperative - drug therapy Pain, Postoperative - etiology Retrospective Studies Risk Factors Time Factors |
| title | Opioid Use among Adolescents Undergoing Surgical Repair of Facial Trauma |
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