Table 3.
Odds of chronic use⁎ following cholecystectomy predicted by logistic model
| Variable | Level |
Opioid exposure model |
|
|---|---|---|---|
|
Odds ratio (95% CI) | |||
| Opioid days exposure | MME exposure | ||
| Opioid naive† | No versus yes | 1.75 (1.52–2.01) | 1.73 (1.5–1.98) |
| Opioid days in 30 d following discharge | 1–5 vs 0 days | 0.60 (0.47–0.77) | |
| 6–10 vs 0 days | 0.70 (0.53–0.93) | ||
| 10 + vs 0 days | 2.42 (1.73–3.4) | ||
| Mean daily MME in 30 d following discharge | 0 < MME < 20 vs 0 MME | 0.56 (0.44–0.72) | |
| 20 ≤ MME < 50 vs 0 MME | 1.88 (1.31–2.71) | ||
| MME ≥ 50 vs 0 MME | 7.76 (3.71–16.3) | ||
| Number of opioid prescriptions during exposure period | Per additional prescription | 1.44 (1.24–1.68) | 1.71 (1.48–1.98) |
| Age category | 35–54 vs 18–30 | 1.21 (1.03–1.42) | 1.2 (1.02–1.41) |
| 55–64 vs 18–30 | 1.33 (0.99–1.79) | 1.36 (1.01–1.82) | |
| 65 + vs 18–30 | 1.30 (0.82–2.07) | 1.25 (0.79–1.98) | |
| Race/ethnicity | Minority race/ethnicity versus white | 0.90 (0.78–1.03) | 0.93 (0.81–1.07) |
| Sex | Female versus male | 0.91 (0.72–1.14) | 0.95 (0.75–1.19) |
| Other medications during exposure period | NSAIDS, APAP | 1.61 (1.26–2.06) | 1.56 (1.22–2) |
| Antipsychotics | 1.05 (0.66–1.65) | 1.16 (0.73–1.82) | |
| Antidepressants | 1.10 (0.88–1.39) | 1.1 0(0.88–1.39) | |
| Gabapentin | 1.77 (1.18–2.66) | 1.97 (1.31–2.95) | |
| Pregabalin | 3.05 (0.86–10.8) | 3.03 (0.84–10.9) | |
| Benzodiazepines | 1.93 (1.47–2.55) | 1.8 (1.37–2.38) | |
| Selected sedatives/hypnotics | 0.80 (0.53–1.22) | 0.76 (0.50–1.16) | |
| Muscle relaxants | 1.55 (1.07–2.26) | 1.61 (1.11–2.34) | |
| Duloxetine | 1.19 (0.63–2.23) | 1.13 (0.59–2.14) | |
| Rehospitalization | During exposure period | 0.66 (0.45–0.97) | 0.68 (0.46–1.01) |
| 31–270 d after discharge | 3.84 (3.03–4.85) | 3.69 (2.92–4.66) | |
| Comorbid conditions‡ | Depression | 1.20 (1.01–1.43) | 1.21 (1.02–1.43) |
| Sleep apnea | 1.38 (1.06–1.80) | 1.33 (1.01–1.74) | |
Use of opioids ≥ 90 days after discharge from procedure indicates "chronic use."
Opioid-naive for analyses defined as 0 opioid day.
Only statistically significant comorbid conditions reported.