E-Posters-10205_Willis

10205_Willis_Gray

Pdf Summary

This study aimed to identify predictors of opioid administration in the acute postoperative period for women undergoing outpatient urogynecologic surgery. The researchers found that age was a significant predictor, with women under 65 years old being more likely to receive opioids in the post-anesthesia care unit (PACU). Other predictors included undergoing a midurethral sling procedure and experiencing high maximum pain scores in the PACU. Notably, intraoperative use of local anesthetic or IV acetaminophen/ketorolac did not impact opioid administration in the PACU.<br /><br />The findings highlight the importance of identifying patients at higher risk for opioid use and abuse after surgery, especially in the younger population. Efforts to minimize opioid use in the PACU should specifically focus on women under 65 years old. However, further research is needed to assess postoperative pain medication usage after discharge home.<br /><br />The study was a retrospective cohort study that included 183 women who underwent outpatient pelvic organ prolapse and/or stress urinary incontinence surgery at one academic institution. Pain scores were assessed using the Verbal Numerical Rating Scale, with a maximum pain score of 7-10 considered high pain. The primary outcome was the administration of any opioid medication in the PACU.<br /><br />Ultimately, this study provides valuable insights into the predictors of opioid administration in the acute postoperative period for women undergoing urogynecologic surgery. By identifying these predictors, healthcare providers can develop strategies to minimize opioid use and promote appropriate pain management in this population.

Keywords

opioid administration

acute postoperative period

women

outpatient urogynecologic surgery

predictors

age

post-anesthesia care unit

midurethral sling procedure

maximum pain scores

local anesthetic