Table 3.
Independent predictor* | Average pain score POD 0 to 3 |
MEQ total POD 0 to 3 |
Average daily MEQ POD 4 to discharge | Functional recovery (POD) | LOS | |||||
---|---|---|---|---|---|---|---|---|---|---|
Estimate (SE) | p Value | Estimate (SE) | p Value | Estimate (SE) | p Value | Estimate (SE) | p Value | Estimate (SE) | p Value | |
Age, y† | –0.05 (0.01) | <0.0001‡ | –4.5 (0.8) | <0.0001‡ | –0.7 (0.2) | <0.0001‡ | — | — | 0.03 (0.02) | 0.1303 |
Male vs female | — | — | 56.4 (15.9) | 0.0004‡ | — | — | –0.77 (0.17) | <0.0001‡ | — | — |
White vs non-White | –0.46 (0.39) | 0.24 | — | — | –11.2 (5.6) | 0.044‡ | — | — | — | — |
Depression, yes vs no | 0.63 (0.25) | 0.012‡ | 43.9 (17.9) | 0.014‡ | 10.5 (3.6) | 0.0032‡ | — | — | — | — |
Substance use disorder, yes vs no | 0.76 (0.53) | 0.16 | 107.2 (45.2) | 0.018‡ | 11.6 (7.8) | 0.14 | — | — | — | — |
Alcohol use disorder, yes vs no |
— | — | –21.6 (24.8) | 0.38 | 12.6 (4.7) | 0.0079‡ | — | — | — | — |
Chronic opioid use, yes vs no | 0.76 (0.28) | 0.0059‡ | 61.7 (19.3) | 0.0014‡ | 11.8 (4.0) | 0.0030‡ | — | — | 1.20 (0.45) | 0.0072‡ |
Open vs robotic approach | 0.47 (0.29) | 0.010 | — | — | — | — | 0.28 (0.21) | 0.1780 | — | — |
Operative duration§, min | — | — | 0.07 (0.07) | 0.28 | 0.02 (0.01) | 0.17 | — | — | 0.004 (0.002) | 0.0285‡ |
ITM vs none (reference group) | –0.07 (0.24) | 0.77 | –81.4 (17.4) | <0.0001‡ | –12.0 (3.5) | 0.0006‡ | –0.57 (0.18) | 0.0018‡ | –1.90 (0.41) | <0.0001‡ |
ITM+TAP vs none | –0.27 (0.34) | 0.43 | –91.2 (24.5) | 0.0002‡ | –8.8 (4.9) | 0.072 | –0.90 (0.25) | 0.0003‡ | –2.18 (0.58) | 0.0002‡ |
ITM+TAP vs ITM‖ | –0.20 (0.33) | 0.55 | –9.9 (23.0) | 0.67 | 3.1 (4.7) | 0.50 | –0.33 (0.24) | 0.1591 | –0.09 (0.55) | 0.8698 |
Regression model for each outcome includes all factors significant in univariate analysis, and otherwise shown as —.
Continuous factor age is centered at the overall mean (66 y).
Statistically significant.
Continuous factor surgical duration is centered at the overall mean (387 min).
Additional test is a linear contrast of model parameters.
ITM, intrathecal morphine; LOS, length of stay; MEQ, morphine equivalents; POD, postoperative day; TAP, transversus abdominus plane block.