Interaction of Age and Opioid Dependence on Length of Hospital Stay for Spine Surgery Patients
| Autor: | Andrew M. Brooks, M. Sami Walid, Joe Sam Robinson, Dana M Darmohray, Leon A. Hyer |
|---|---|
| Rok vydání: | 2009 |
| Předmět: |
Male
Reoperation medicine.medical_specialty Statistics as Topic Pain relief Comorbidity World health Spine surgery Internal medicine Humans Medicine General Psychology Pain Measurement Subclinical infection business.industry Age Factors Length of Stay Middle Aged Opioid-Related Disorders medicine.disease Analgesics Opioid Opioid Back Pain Anesthesia Female Spinal Diseases Who criteria business Hospital stay medicine.drug |
| Zdroj: | Psychological Reports. 105:361-364 |
| ISSN: | 1558-691X 0033-2941 |
| Popis: | Clinical information suggests that opioid dependence is a major contributor to poor outcomes involving health status and to increased length of stay in hospital settings. Before spine surgery, 150 patients who were using an opioid medication for pain relief were interviewed using the six World Health Organization (WHO) guidelines for the diagnosis of opioid dependence. Three groups were defined: opioid-dependent, nonopioid-dependent, and a subclinical group. Results revealed an average of 20% of patients ( N = 30) who met the WHO criteria for the diagnosis of opioid dependence. There were significant positive correlations between age and number of positive WHO criteria, length of stay, and time under surgery. Length of stay was significantly higher for the older age group (> 55 yr.). ANCOVA analysis using two opioid dependence groups (+ and -) and age group as independent variables affecting length of stay, after controlling for type of surgery, pain intensity, and number of previous spine surgeries, revealed that effects of opioid dependence status and age were significant but their interaction was not. Age did add length of stay independently of opioid dependence status; older adults remain in the hospital longer for various reasons probably associated with comorbidities. |
| Databáze: | OpenAIRE |
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