The impact of patient age and procedure type on postoperative opioid use following ambulatory pediatric urologic procedures
link.springer.com shows its articles on its own site.
Read the article on link.springer.com ↗Article · Aug 2021 · 1 min read
In brief
In brief
This retrospective study of 805 pediatric patients found that opioid use duration after outpatient urologic procedures increases with patient age, with adolescents using opioids 85% longer than younger children. Procedure type significantly impacts duration, with hypospadias repair and penile reconstruction associated with over twice the opioid use compared to inguinal procedures.
Written by the GCMD Library team from the article.
Abstract
Purpose
The aim of this study is to determine whether patient age and procedure type are associated with duration of opioid use in pediatric patients undergoing ambulatory urologic procedures.
Methods
We retrospectively reviewed pediatric patients who underwent outpatient urologic procedures from 2013 to 2017. At postoperative visits, parents reported the number of days their child took opioid pain medication. Factors associated with duration of opioid use were evaluated using negative binomial regression models.
Results
805 patients were included: 320 infants (39.8%), 430 children (53.4%), and 55 adolescents (6.8%). Overall mean length of opioid use was 1.7 (± 2.6) days. On average, infants used opioids for the shortest duration: 1.5 (± 2.3) days, followed by children: 1.7 (± 2.5) days, and adolescents: 3.1 (± 4.6) days. In adjusted models, adolescents used opioids for 85.2% longer (95% CI 13.1–161.8%; p < 0.001) than children and infants used opioids for 19.4% shorter duration (95% CI 0.4–34.7%; p = 0.05) than children. Each 1-year increase in age was associated with 6.1% increased duration of opioid use (95% CI 3.9–8.5%; p < 0.0001). Patients who underwent circumcision, hypospadias repair, and penile reconstruction took opioids for 75.9% (95% CI 42.6–117.1%; p < 0.001), 144.2% (95% CI 76.4–238.0%; p < 0.001), and 126.7% (95% CI 48.8–245.3%; p < 0.001) longer respectively than patients who underwent inguinal procedures.
Conclusions
Increasing age, circumcision, hypospadias repair, and penile reconstruction are associated with increased duration of opioid use.