Preoperative opioid, sedative, and antidepressant use is associated with increased postoperative hospital costs in colorectal surgery
| العنوان: | Preoperative opioid, sedative, and antidepressant use is associated with increased postoperative hospital costs in colorectal surgery |
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| المؤلفون: | Nicholas A. Jackson, Avinash S. Bhakta, Laura M. Ebbitt, B. Mark Evers, Daniel L. Davenport, Doug R. Oyler, Tong Gan |
| المصدر: | Surgical Endoscopy |
| بيانات النشر: | Springer Science and Business Media LLC, 2020. |
| سنة النشر: | 2020 |
| مصطلحات موضوعية: | Adult, medicine.medical_specialty, Adolescent, medicine.drug_class, 030230 surgery, Article, 03 medical and health sciences, Postoperative Complications, 0302 clinical medicine, Colorectal surgery, Internal medicine, Prescription drug use, Humans, Hypnotics and Sedatives, Medicine, In patient, Hospital Costs, Retrospective Studies, business.industry, Medical record, Healthcare costs, Hepatology, ACS-NSQIP, Antidepressive Agents, Analgesics, Opioid, Opioids, Opioid, Sedative, Antidepressant, 030211 gastroenterology & hepatology, Surgery, business, Abdominal surgery, medicine.drug |
| الوصف: | Background Opioid (OPD), sedative (SDT), and antidepressant (ADM) prescribing has increased dramatically over the last 20 years. This study evaluated preoperative OPD, SDT, and ADM use on hospital costs in patients undergoing colorectal resection at a single institution. Methods This study was a retrospective record review. The local ACS-NSQIP database was queried for adult patients (age ≥ 18 years) undergoing open/laparoscopic, partial/total colectomy, or proctectomy from January 1, 2013 to December 31, 2016. Individual patient medical records were reviewed to determine preoperative OPD, SDT, and AD use. Hospital cost data from index admission were captured by the hospital cost accounting system and matched to NSQIP query-identified cases. All ACS-NSQIP categorical patient characteristic, operative risk, and outcome variables were compared in medication groups using chi-square tests or Fisher’s exact tests, and continuous variables were compared using Mann–Whitney U tests. Results A total of 1185 colorectal procedures were performed by 30 different surgeons. Of these, 27.6% patients took OPD, 18.5% SDT, and 27.8% ADM preoperatively. Patients taking OPD, SDT, and ADM were found to have increased mean total hospital costs (MTHC) compared to non-users (30.8 vs 23.6 for OPD, 31.6 vs 24.4 for SDT, and 30.7 vs 23.8 for ADM). OPD and SDT use were identified as independent risk factors for increased MTHC on multivariable analysis. Conclusion Preoperative OPD and SDT use can be used to predict increased MTHC in patients undergoing colorectal resections. |
| تدمد: | 1432-2218 0930-2794 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::31f4622114a8662fb28a4ba48e47c8d8Test https://doi.org/10.1007/s00464-020-08062-wTest |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....31f4622114a8662fb28a4ba48e47c8d8 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 14322218 09302794 |
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