Accuracy of self-reported opioid use in orthopaedic trauma patients

Autor: Fady Y, Hijji, Tyler, Sanda, Scott D, Huff, Andrew W, Froehle, Joseph D, Henningsen, Andrew D, Schneider, Joseph G, Lyons, Humza M, Mian, Jennifer, Jerele, Indresh, Venkatarayappa
Rok vydání: 2021
Zdroj: European journal of orthopaedic surgerytraumatology : orthopedie traumatologie. 33(1)
ISSN: 1432-1068
Popis: Opioids have long been a mainstay of treatment for pain in patients with orthopaedic injuries, but little is known about the accuracy of self-reported narcotic usage in orthopaedic trauma. The purpose of this study is to evaluate the accuracy of self-reported opioid usage in orthopaedic trauma patients.A retrospective review of all new patients presenting to the orthopaedic trauma clinic of a level 1 trauma centre with a chief complaint of recent orthopaedic-related injury over a 2-year time frame was conducted. Participants were administered a survey inquiring about narcotic usage within the prior 3 months. Responses were cross-referenced against a query of a statewide prescription drug monitoring program system.The study comprised 241 participants; 206 (85.5%) were accurate reporters, while 35 (14.5%) were inaccurate reporters. Significantly increased accuracy was associated with hospital admission prior to clinic visit (β = - 1.33; χThis study suggests that most new patients presenting to an orthopaedic trauma clinic with acute injury will accurately report their narcotic usage within the preceding 3 months. Prior hospital admissions increased the likelihood of accurate reporting while higher MEDs or an ED visit prior to the initial visit increased the likelihood of underreporting.
Databáze: OpenAIRE