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. 2024 Nov 15;121(23):757–763. doi: 10.3238/arztebl.m2024.0200

Table 2. Predictors of prolonged postoperative opioid use.

Predictors Odds Ratio
[95% CI]
p-value*
(Intercept) 0.005 [0.004; 0.006] <0.001
Female sex 1.168 [1.070; 1.276] 0.009
Age (years) 1.030 [1.027; 1.034] <0.001
Number of prior hospital stays 1.117 [1.080; 1.156] <0.001
CCI (unweighted, points) 1.103 [1.064; 1.144] <0.001
Coagulopathy 1.086 [0.904; 1.304] 1.000
Chronic pulmonary disease 0.978 [0.889; 1.076] 1.000
Cardiovascular disease 1.030 [0.927; 1.145] 1.000
Diabetes 1.047 [0.939; 1.167] 1.000
Renal disease 1.076 [0.951; 1.216] 1.000
Depression 0.984 [0.892; 1.085] 1.000
Anxiety 0.931 [0.809; 1.071] 1.000
Bipolar disorder 0.970 [0.604; 1.558] 1.000
Other mood disorder 0.955 [0.569; 1.601] 1.000
Posttraumatic stress disorder 0.964 [0.817; 1.137] 1.000
Alcohol abuse 1.515 [1.277; 1.797] <0.001
Tobacco abuse 1.249 [1.095; 1.425] 0.015
Other substance abuse 1.154 [0.871; 1.529] 1.000
Other psychiatric comorbidity 1.123 [1.001; 1.259] 0.720
Fibromyalgia 1.177 [0.902; 1.536] 1.000
Migraine 1.096 [0.935; 1.285] 1.000
Chronic pain 1.363 [1.248; 1.489] <0.001
Prescription of non-opioid analgesics 1.479 [1.357; 1.613] <0.001
Prescription of benzodiazepines 1.141 [0.940; 1.383] 1.000
Prescription of antidepressants 2.131 [1.943; 2.336] <0.001

Presented are fixed effects (i.e., odds ratios) of the random-intercept logistic regression model predicting prolonged postoperative opioid use from types of surgery (random intercept) and pre-existing risk factors. Random effects are reported in eTable 7.

* Because of the large sample size, p-values of the regression coefficients were adjusted for multiple comparisons according to Holm (31).

CCI, Charlson Comorbidity Index