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Table 2 Predictors of receiving a high-risk discharge opioid prescription

From: The association of multimodal analgesia and high-risk opioid discharge prescriptions in opioid-naive surgical patients

 

AOR

Lower CL

Upper CL

P value

Sex (reference: female)

  Male

1.132

1.06

1.209

0.0032

Race (reference: White)

  Black

0.782

0.675

0.907

0.0004

  Asian

0.837

0.754

0.928

 

  American Indian or Alaska Native

0.739

0.486

1.124

 

  Native Hawaiian or Pacific Islander

0.882

0.651

1.195

 

  other

0.907

0.831

0.991

 

  unknown

0.854

0.701

1.041

 

Discharge year (reference: 2018)

  2012

2.405

2.072

2.791

< .0001

  2013

3.189

2.818

3.61

 

  2014

2.507

2.218

2.833

 

  2015

2.355

2.092

2.651

 

  2016

1.991

1.772

2.237

 

  2017

1.722

1.534

1.934

 

Length of stay in days (reference < 3)

  3 to 6

1.837

1.702

1.983

< .0001

  > 6

2.158

1.968

2.366

 

History of substance use disorder

0.971

0.734

1.284

0.8348

History of depression

0.942

0.825

1.075

0.3744

History of anxiety

2.625

1.415

4.868

0.0022

Peripheral nerve catheter or epidural used 24 h prior to discharge

1.027

0.916

1.151

0.6502

Multimodal consumed 24 h prior to discharge (reference = no)

  acetaminophen

1.108

1.041

1.170

0.0021

  NSAID

1.016

0.927

1.113

0.7392

  gabapentinoids

1.027

0.92

1.146

0.6324

Multimodal prescribed at discharge (reference = no)

  acetaminophen

1.104

1.029

1.173

0.0075

  NSAID

0.927

0.813

1.056

0.2545

  gabapentinoids

1.486

1.420

1.544

< .0001

Total OME consumed 24 h prior to discharge (reference = 0)

  > 0–30

1.577

1.421

1.75

< .0001

  30–60

3.057

2.749

3.4

 

  60–90

5.141

4.58

5.77

 

  90+

10.431

9.332

11.659

 

Days of opioids on discharge prescription (reference ≤ 7 days)

  > 7 days

0.675

0.628

0.726

< .0001

Return to operating room during surgical admission

0.917

0.812

1.036

0.1658

Discharge Service (reference General surgery)

  Orthopedics

4.662

4.138

5.252

< .0001

  Thoracic surgery

3.122

2.45

3.978

 

  Cardiac surgery

2.766

2.304

3.32

 

  Urology

2.165

1.897

2.472

 

  Critical care medicine

1.832

0.737

4.557

 

  Neurosurgery

1.609

1.442

1.794

 

  Gynecologic oncology

1.368

1.115

1.679

 

  Malignant hematology

1.278

0.717

2.278

 

  Advanced heart failure

0.879

0.263

2.94

 

  Vascular surgery

0.874

0.707

1.081

 

  Otolaryngology, head and neck surgery

0.837

0.682

1.028

 

  Advanced lung disease

0.788

0.156

3.988

 

  Plastic surgery

0.783

0.581

1.055

 

  Colorectal surgery

0.756

0.606

0.943

 

  Gynecology

0.695

0.46

1.051

 

  Hospital medicine

0.549

0.412

0.733

 

  Transplant surgery

0.516

0.305

0.871

 

  Liver transplant

0.457

0.354

0.592

 

  Pediatric service

0.449

0.301

0.671

 

  Obstetrics

0.404

0.32

0.509

 

  Kidney transplant

0.397

0.322

0.49

 

  Neurovascular

0.275

0.096

0.788

 

  Ophthalmology

0.178

0.023

1.353

 

  Neurology

0.131

0.032

0.54

 

  Oral and maxillofacial surgery

0.128

0.052

0.316

 

  Cardiology

0.059

0.008

0.427