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  11. Opioid Risk Tool, In-hospital Opioid Exposure, And Opioid Demand Predict Pain Outcomes Following Traumatic Injury

Opioid Risk Tool, in-hospital opioid exposure, and opioid demand predict pain outcomes following traumatic injury

Danielle A Kessler1, Heather E Webber2, Constanza de Dios2

  • 1Drexel University College of Medicine at Tower Health, USA.

Journal of Health Psychology
|April 20, 2024

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View abstract on PubMed

Summary
This summary is machine-generated.

Opioid Risk Tool (ORT) scores, high daily opioid dosage (MME), and patient opioid demand predict continued pain after traumatic injury. These factors indicate patients at risk for poor pain management outcomes post-hospitalization.

Area of Science:

  • Pain Management
  • Trauma Surgery
  • Pharmacology

Background:

  • Opioid analgesics are standard for post-traumatic pain.
  • A subset of patients face risks of prolonged opioid use.
  • Predictive tools for long-term opioid use are crucial.

Purpose of the Study:

  • To assess the predictive power of the Opioid Risk Tool (ORT), daily opioid dosage (milligram morphine equivalents, MME), and opioid demand.
  • To identify factors predicting pain outcomes 2 weeks and 12 months post-discharge in trauma patients.

Main Methods:

  • Bayesian linear models analyzed changes in pain intensity, interference, stress, and treatment need.
  • Data collected from 34 trauma patients at 2 weeks and 12 months post-discharge.
  • Compared predictive utility of ORT, in-hospital MME, and opioid demand.
Keywords:
drugshospitalizationpainrisk factors

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Main Results:

  • Higher ORT scores, increased daily MME, and greater opioid demand predicted less improvement in pain outcomes over time.
  • These factors were associated with poorer pain management trajectories.
  • Malleable factors like opioid demand showed predictive utility.

Conclusions:

  • The Opioid Risk Tool, daily opioid MME, and opioid demand are valuable predictors of long-term pain outcomes after traumatic injury.
  • Malleable factors offer potential targets for interventions to improve pain management.
  • This study provides initial evidence for using these measures in trauma care settings.
trauma