Pre-spine surgery daily opioid users face 690% greater odds of daily opioid use at 2-year follow up — 6 things to know


Baltimore-based Johns Hopkins University School of Medicine researchers investigated the impact of opioid use on adult spinal deformity spine surgery patients.

The study included 475 patients from 18 surgical centers who underwent ASD surgery between 2008 and 2015.

Spine published the study.

Here are six things to know.

1. Forty-four percent of the patients self-reported daily pre-surgery opioid use.

2. Patients taking narcotic opioids were older on average than non-daily users.

3. Thirty-seven percent of daily narcotic users suffered from depression compared to 14 percent of non-daily users.

4. Researchers found daily opioid users had more comorbidities as well as greater back pain and disability.

5. Daily opioid users faced a 70 percent higher chance of an extended length of stay compared to non-daily users. Additionally, daily users had an average of a 16-hour longer stay in the intensive care unit and 690 percent higher chance of using opioids daily at two-year follow up.

6. The researchers note self-reports of opioid use may be unreliable.



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