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The Opioid Risk Tool Correlates With Increased Postsurgical Opioid Use Among Patients With Orthopedic Trauma.

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    The Opioid Risk Tool (ORT) effectively predicts higher postoperative opioid consumption in orthopedic trauma patients. Each additional risk factor identified by the ORT correlates with increased opioid use, aiding in risk assessment.

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    Area of Science:

    • Orthopedic Surgery
    • Pain Management
    • Pharmacology

    Background:

    • Postoperative pain management after orthopedic trauma requires careful opioid prescription.
    • Identifying patients at risk for opioid abuse is crucial for safe and effective pain control.
    • The Opioid Risk Tool (ORT) is validated for chronic pain but its utility in orthopedic trauma is less understood.

    Purpose of the Study:

    • To evaluate the Opioid Risk Tool's (ORT) ability to predict postoperative opioid consumption in orthopedic trauma patients.
    • To identify patients at high risk for opioid abuse following orthopedic trauma surgery.
    • To determine if the ORT score correlates with the amount of opioid medication used post-surgery.

    Main Methods:

    • Prospective study including 104 orthopedic trauma patients (18-80 years old) undergoing surgery.
    • The Opioid Risk Tool (ORT) administered at 2 weeks postoperatively.
    • Morphine milligram equivalents (MME) calculated at 6 weeks postoperatively; patients categorized as low risk (LR) or moderate-to-high risk (M-HR).

    Main Results:

    • 42 patients completed the ORT; 30 were LR, 12 were M-HR.
    • M-HR patients consumed significantly more MME (824) than LR patients (406) (P=.001).
    • Each additional ORT risk factor increased opioid consumption by 61 MME (R2=0.58, P=.02).

    Conclusions:

    • The Opioid Risk Tool (ORT) successfully predicted increased opioid consumption in patients after orthopedic trauma surgery.
    • The ORT demonstrated a correlation between identified risk factors and elevated opioid use.
    • The ORT did not predict the likelihood of patients continuing to receive opioid prescriptions beyond 6 weeks postoperatively.